Operationalizing In-session Treatment Engagement Strategies and Behaviors for Adolescents With ADHD and Their Parents.

IF 2.7 3区医学 Q2 PSYCHIATRY Journal of Attention Disorders Pub Date : 2025-03-01 Epub Date: 2025-01-05 DOI:10.1177/10870547241308632

Margaret H Sibley, Lourdes M Rodriguez, Melissa Lopez, Erika M Brochu, Fabiana V Bracho, Mercedes Ortiz, Jasmine Hashimoto

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Abstract

Objective: Many treatment engagement challenges are documented for adolescents with ADHD. Across contexts, helping professionals (i.e., therapists, prescribers, educators, coaches) might benefit from an engagement strategy toolbox to facilitate work with adolescents with ADHD and their families.

Method: The current study describes the development and psychometric testing of the ADHD Engagement Process Code (AEPC), a measure that operationalizes engagement strategies in the context of a blended behavioral/motivational interviewing treatment for adolescent ADHD (Supporting Teens' Autonomy Daily; STAND). The AEPC also operationalizes in-session parent and adolescent engagement-related behaviors. Behavior counts and global codes were coded for 840 audio-recorded STAND sessions delivered by 21 therapists to 121 adolescents. Subsets of tapes were double coded using the AEPC's parent, adolescent, and therapist coding systems to assess kappa for line-by-line verbalizations and intraclass correlations for session-level behavior counts and global scores. Construct validity was assessed. We explored low frequency and low variability codes and examined correlations between codes.

Results: AEPC codes possessed good to excellent inter-rater reliability and strong discriminant validity. Three low frequency codes and one low variability global were identified indicating opportunities for AEPC refinement.

Conclusions: The AEPC is publicly available (https://osf.io/kshfy/) and offers a library of adolescent-specific codes for those interested in measuring provider, parent, or adolescent engagement behaviors in relevant populations or contexts.

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ADHD青少年及其父母的治疗参与策略和行为的实施。

目的：许多治疗参与挑战记录了青少年多动症。在不同的情况下，帮助专业人士（即治疗师、处方医生、教育工作者、教练）可能会从参与策略工具箱中受益，以促进与患有多动症的青少年及其家庭的合作。方法：本研究描述了ADHD参与过程代码（AEPC）的开发和心理测量测试，AEPC是一种在青少年ADHD混合行为/动机访谈治疗背景下实施参与策略的措施(《支持青少年自主日报》；站)。AEPC还对会话中父母和青少年参与相关行为进行操作。行为计数和全球代码被编码为840个音频记录的STAND会话，由21名治疗师向121名青少年提供。使用AEPC的家长、青少年和治疗师编码系统对磁带子集进行双重编码，以评估逐行语言表达的kappa和会话级行为计数和整体得分的班级内相关性。评估构念效度。我们探索了低频率和低可变性代码，并检查了代码之间的相关性。结果：AEPC码具有良好至优异的量表间信度和较强的判别效度。确定了三个低频编码和一个低变率全局，表明有机会改进AEPC。结论：AEPC是公开的（https://osf.io/kshfy/），并为那些有兴趣在相关人群或环境中测量提供者、父母或青少年参与行为的人提供了一个青少年特定代码库。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Attention Disorders PSYCHIATRY-

CiteScore

7.60

自引率

6.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Attention Disorders (JAD) focuses on basic and applied science concerning attention and related functions in children, adolescents, and adults. JAD publishes articles on diagnosis, comorbidity, neuropsychological functioning, psychopharmacology, and psychosocial issues. The journal also addresses practice, policy, and theory, as well as review articles, commentaries, in-depth analyses, empirical research articles, and case presentations or program evaluations.