在基于家庭的青少年ADHD学术培训和药物决策协议中,将坚持与有效性联系起来
Samuel Meisel1, Nicole Porter2, Molly Bobek2
1Department of Psychological and Brain Sciences, Boston University.
概括
药物整合协议 (MIP) 有效地减少了青少年的ADHD症状和家庭作业问题. 越来越多的人遵守MIP,有望改善社区环境中的治疗结果.
科学领域:
- 儿科心理学 儿科心理学
- 行为健康 行为健康
- 治疗ADHD的治疗方法
背景情况:
- 像CASH-AA和MIP这样的基于家庭的行为协议解决了ADHD青少年的学术问题和药物决策.
- 通过协议剂量来衡量治疗的坚持,对于了解治疗疗效至关重要.
研究的目的:
- 检查两个基于家庭的干预措施的协议剂量 (坚持) 与患有多动症青少年的治疗结果之间的关联.
- 调查遵守多动症青少年家庭学术支持 (CASH-AA) 和药物整合协议 (MIP) 如何影响多动症症状,并发症状,家庭作业问题和药物遵守.
主要方法:
- 利用潜增长曲线模型分析了来自ADHD的145名青少年和49名治疗师的数据.
- 被检查的治疗师报告了青少年和护理人员收到的CASH-AA和MIP的分钟.
- 评估结果包括注意力不集中/过度活跃的症状,外部化/内部化症状,家庭作业问题和多个随访点的药物遵守.
主要成果:
- 在12个月的随访中,对MIP的更高坚持与减少注意力不集中和过度活跃的症状,外部化症状和家庭作业问题有关.
- 坚持MIP也预测了护理人员报告的注意力缺失症状的更快下降.
- 坚持CASH-AA与护理人员报告的注意力不集中症状增加有关,但家庭作业问题下降速度较慢;这两种协议都没有影响内化症状或药物使用.
结论:
- 研究结果支持药物整合协议 (MIP) 作为青少年多动症行为干预措施的有效性.
- 强调治疗坚持的重要性,以获得基于家庭的多动症干预措施的积极结果.
- 建议在社区环境中加强MIP的实施,以利用其对青少年ADHD管理的好处.
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