A Randomized Community-Based Trial of Behavior Therapy vs. Usual Care for Adolescent ADHD: Secondary Outcomes and Effects on Comorbidity

Community-Delivered Evidence-Based Practice and Usual Care for Adolescent Attention-Deficit/Hyperactivity Disorder: Examining Mechanistic Outcomes

“…For example, in earlier work from the present randomized community-based trial (N = 278), a community-delivered EBP for ADHD (Supporting Teens' Autonomy Daily [STAND]) was compared to UC. Treatment was delivered with suboptimal fidelity, EBP effect sizes were smaller than lab-based trials (Sibley et al, 2021a), and effects failed to separate from UC in both primary (ADHD symptoms and impairments; Sibley et al, 2021c) and secondary analyses (impact on comorbidities and nontargeted ADHDrelated outcomes like social skills and sluggish cognitive tempo; Sibley et al, 2023). However, in both primary and secondary analyses STAND demonstrated superiority to UC when therapists were licensed (ADHD symptoms, OTP skills, conduct problems; Sibley et al, 2021cSibley et al, , 2023.…”

“…Treatment was delivered with suboptimal fidelity, EBP effect sizes were smaller than lab-based trials (Sibley et al, 2021a), and effects failed to separate from UC in both primary (ADHD symptoms and impairments; Sibley et al, 2021c) and secondary analyses (impact on comorbidities and nontargeted ADHDrelated outcomes like social skills and sluggish cognitive tempo; Sibley et al, 2023). However, in both primary and secondary analyses STAND demonstrated superiority to UC when therapists were licensed (ADHD symptoms, OTP skills, conduct problems; Sibley et al, 2021cSibley et al, , 2023. In the United States, therapists who have not received a license to practice from their state department of health often comprise most of the community mental health workforce (Schoenwald et al, 2008) because they are lower cost to employ than those who are licensed.…”