Abstract
In contrast to the vast literature on treatments for children with attention-deficit/hyperactivity disorder (ADHD), there is a relative paucity of research examining the efficacy of psychosocial treatments for adolescents with ADHD. Furthermore, only a handful of ADHD treatment studies employ educational interventions to improve academic functioning, and no study to date has examined a parent training intervention for targeting homework problems in middle school students with ADHD. This is despite a majority of parents of adolescents with ADHD reporting academic issues as their primary concern. In order to address this treatment need and gap in the literature, a behaviorally based, family-school homework intervention program (HIP) was developed. Participants included 11 middle school students diagnosed with ADHD and their mothers. A multiple-baseline (MB) across participants design was used to assess intervention effects. Results from this single-subject design demonstrated improvement in parent-reported homework problems and ADHD symptoms, overall grade point average, and teacher-reported academic productivity. Further, this intervention demonstrated high levels of satisfaction as perceived by parents and moderate levels of satisfaction as perceived by adolescents. Well-controlled, group-design studies should be conducted to further evaluate the efficacy of the HIP for middle school students with ADHD.
Similar content being viewed by others
References
Abikoff, H., Gallagher, R., & Alvir, J. M. (2003, November). A teacher rating scale of children’s organizational, time management and planning skills: The COSS-T. Poster presented at the annual meeting of the Association for the Advancement of Behavior Therapy.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: Text revision (4th ed.). Washington, DC.
Anesko, K. M., & O’Leary, S. G. (1982). The effectiveness of brief parent training for the management of children’s homework problems. Child and Family Behavior Therapy, 4, 113–126.
Anesko, K. M., Scholock, G., Ramirez, R., & Levine, F. M. (1987). The Homework Problems Checklist: Assessing children’s homework difficulties. Behavioral Assessment, 9, 179–185.
Barkley, R. A., Fischer, M., Edelbrock, C. S., & Smallish, L. (1990). The adolescent outcome of hyperactive children diagnosed by research criteria: I. An 8-year prospective study. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 546–557.
Barlow, D. H., & Hersen, M. (1984). Single-case experimental designs. Strategies for studying behavior change. Elmsford, NY: Pergamon.
Bergan, J. R., & Kratochwill, T. R. (1990). Behavioral consultation and therapy. New York: Plenum Press.
Biederman, J., Faraone, S., Milberger, S., & Guite, J. (1996). A prospective 4-year follow-up study of attention-deficit hyperactivity and related disorders. Archives of General Psychiatry, 53, 437–446.
Brownell, K., Colletti, G., Ersner-Hershfield, R., Hershfield, S. M., & Wilson, T. (1977). Self-control in school children: Stringency and leniency in self-determined and externally imposed performance standards. Behavior Therapy, 8, 442–455.
Chambless, D. L., & Hollon, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7–18.
Chronis, A., Jones, H., & Raggi, V. (2006). Evidence-based psychosocial treatments for children and adolescents with attention deficit/hyperactivity disorder. Clinical Psychology Review, 26, 486–502.
Cooper, H., Jackson, K., Nye, B., & Lindsay, J. L. (2001). A model of homework’s influence on the performance evaluations of elementary school students. The Journal of Experimental Education, 69, 181–199.
Cooper, H., Lindsay, J. J., & Nye, B. (2000). Homework in the home: How student, family and parenting-style differences relate to the homework process. Contemporary Educational Psychology, 25, 464–487.
Cooper, H., Lindsay, J. J., Nye, B., & Greathouse, S. (1998). Relationships among attitudes about amount of homework assigned and completed, and student achievement. Journal of Educational Psychology, 90, 70–83.
De Los Reyes, A., & Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: A critical review, theoretical framework, and recommendations for further study. Psychological Bulletin, 131, 483–509.
De Los Reyes, A., & Kazdin, A. E. (2006). Conceptualizing changes in intervention research: The range of possible changes model. Psychological Review, 113, 554–583.
DuPaul, G. J., Rapport, M. D., & Perriello, L. M. (1991). Teacher ratings of academic skills: The development of the Academic Performance Rating Scale. School Psychology Review, 20, 284–300.
Elliott, S. N., & Von Brock Treuting, M. (1991). The Behavior Intervention Rating Scale: Development and validation of a pretreatment acceptability and effectiveness measure. Journal of School Psychology, 29, 43–51.
Evans, S. W., Allen, J., Moore, S., & Strauss, V. (2005). Measuring symptoms and functioning of youth with ADHD in middle schools. Journal of Abnormal Child Psychology, 33, 695–706.
Evans, S. W., Axelrod, J. L., & Langberg, J. M. (2004). Efficacy of a school-based treatment program for middle school youth with ADHD: Pilot data. Behavior Modification, 28, 528–547.
Evans, S. W., Langberg, J., Raggi, V., Allen, J., & Buvinger, E. (2005). Development of a school-based treatment program for middle school youth with ADHD. Journal of Attention Disorders, 9, 343–353.
Evans, S. W., Pelham, W. E., & Grudberg, M. V. (1995). The efficacy of note taking to improve behavior and comprehension of adolescents with attention-deficit hyperactivity disorder. Exceptionality, 5, 1–17.
Evans, S. W., Serpell, Z. N., Schultz, B., & Pastor, D. A. (2007). Cumulative benefits of secondary school-based treatment of students with attention deficit hyperactivity disorder. School Psychology Review, 36, 256–273.
Fabiano, G. A., Pelham, W. E., Waschbusch, D. A., Gnagy, E. M., Lahey, B. B., Chronis, A. M., et al. (2006). A practical measure of impairment: Psychometric properties of the Impairment Rating Scale in samples of children with attention deficit hyperactivity disorder and two school-based samples. Journal of Clinical Child and Adolescent Psychology, 35, 369–385.
Fehrmann, P. G., Keith, T. Z., & Reimers, T. M. (1987). Home influence on school learning: direct and indirect effects of parental involvement on high school grades. Journal of Educational Research, 80, 330–337.
Fischer, M., Barkley, R. A., Edelbrock, C. S., & Smallish, L. (1990). The adolescent outcome of hyperactive children diagnosed by research criteria: II. Academic, attentional, and neuropsychological status. Journal of Consulting and Clinical Psychology, 58, 580–588.
Gureasko-Moore, S., DuPaul, G. J., & White, G. P. (2006). The effects of self-management in general education classrooms on the organizational skills of adolescents with ADHD. Behavior Modification, 30, 159–183.
Gureasko-Moore, S., DuPaul, G. J., & White, G. P. (2007). Self-management of classroom preparedness and homework: Effects on school functioning of adolescents with Attention Deficit Hyperactivity Disorder. School Psychology Review, 36, 647–664.
Habboushe, D. F., Daniel-Crotty, S., Karustis, J. L., Leff, S. S., Costigan, T. E., Goldstein, S. G., et al. (2001). A family-school homework intervention program for children with attention-deficit/hyperactivity disorder. Cognitive and Behavioral Practice, 8, 123–136.
Kahle, A. L., & Kelley, M. L. (1994). Children’s homework problems: A comparison of goal setting and parent training. Behavior Therapy, 25, 275–290.
Kazdin, A. (2003). The case study and single-case research designs. In A. E. Kazdin (Ed.), Research design in clinical psychology. Boston, MA: Allyn & Bacon.
Keith, T. Z. (1982). Time spent on homework and high school grades: A large sample path analysis. Journal of Educational Psychology, 74, 248–253.
Kelley, M. L., & Stokes, T. F. (1984). Student-teacher contracting with goal setting for maintenance. Behavior Modification, 8, 223–244.
Langberg, J. M., Epstein, J. N., Urbanowicz, C. M., Simon, J. O., & Graham, A. J. (2008). Efficacy of an organizational skills intervention to improve the academic functioning of students with attention-deficit/hyperactivity disorder. School Psychology Quarterly, 23, 407–417.
Mannuza, S., Klein, R. G., Bessler, A., Malloy, P., et al. (1993). Adult outcome of hyperactive boys: Educational achievement, occupational rank, and psychiatric status. Archives of General Psychiatry, 50, 565–575.
Miller, D. L., & Kelley, M. L. (1994). The use of goal setting and contingency contracting for improving children’s homework performance. Journal of Applied Behavior Analysis, 27, 73–84.
Molina, B. S., Pelham, W. E., Blumenthal, J., & Galiszewski, E. (1998). Agreement among teachers’ behavior ratings of adolescents with a childhood history of attention deficit hyperactivity disorder. Journal of Clinical Child Psychology, 27, 330–339.
Morgan, D. L., & Morgan, R. K. (2001). Single-participant research design: Bringing science to managed care. American Psychologist, 56, 119–127.
O’Leary, S. G., & Dubey, D. R. (1979). Applications of self-control procedures by children: A review. Journal of Applied Behavior Analysis, 12, 449–465.
Orvaschel, H., & Puig-Antich, J. (1995). Schedule for affective disorders and schizophrenia for school-aged children-epidemiologic 5th version. Fort Lauderdale, FL: Nova University.
Pelham, W. E. (1993). Pharmacotherapy for children with attention-deficit hyperactivity disorder. School Psychology Review, 22, 199–227.
Pelham, W. E., Evans, S. W., Gnagy, E. M., & Greenslade, K. E. (1992). Teacher ratings of DSM-III–R symptoms for the disruptive behavior disorders: Prevalence, factor analyses, and conditional probabilities in a special education sample. School Psychology Review, 21, 285–299.
Pelham, W. E., Wheeler, T., & Chronis, A. (1998). Empirically supported psychosocial treatments for attention deficit hyperactivity disorder. Journal of Clinical Child Psychology, 27, 190–205.
Pfiffner, L. J., Mikami, A. Y., Huang-Pollock, C., Easterlin, B., Zalecki, C., & McBurnett, K. (2007). A randomized, controlled trial of integrated home-school behavioral treatment for ADHD, predominantly inattentive type. Journal of American Academy of Child and Adolescent Psychiatry, 46, 1041–1050.
Power, T. J., Werba, B. E., Watkins, M. W., Angelucci, J. G., & Eiraldi, R. B. (2006). Patterns of parent-reported homework problems among ADHD-referred and non-referred children. School Psychology Quarterly, 21, 13–33.
Raggi, V. L., & Chronis, A. M. (2006). Interventions to address the academic impairment of children and adolescents with ADHD. Clinical Child and Family Psychology Review, 9, 85–111.
Robin, A. L. (1990). Training families with ADHD adolescents. In R. A. Barkley (Ed.), Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment (pp. 462–497). New York: Guilford Press.
Robin, A. L. (1998). ADHD in adolescents. New York: Guilford Press.
Smith, B. H., Waschbusch, D. A., Willoughby, M., & Evans, S. W. (2000). The efficacy, safety, and practicality of treatments for adolescents with attention-deficit/hyperactivity disorder (ADHD). Clinical Child and Family Psychology Review, 3, 243–267.
Steinberg, L., Lamborn, S. D., Dornbusch, S. M., & Darling, N. (1992). Impact of parenting practices on adolescent achievement: Authoritative parenting, school involvement, and encouragement to succeed. Child Development, 63, 1266–1281.
The Psychological Corporation. (1992). Wechsler Individual Achievement Test manual. San Antonio, TX: Author.
Wechsler, D. (2003). Wechsler intelligence scale for children, 4th Ed. (WISC-IV). Antonio, TX: Harcourt Assessment Inc.
Weiner, R. K., Sheridan, S. M., & Jenson, W. R. (1998). The effects of conjoint behavioral consultation and a structured homework program on math completion and accuracy in junior high school students. School Psychology Quarterly, 13, 281–309.
Weisz, J. R. (2004). Psychotherapy for children and adolescents: Evidence-based treatments and case examples. Cambridge: Cambridge University Press.
Author information
Authors and Affiliations
Corresponding author
Additional information
This research was supported by an American Psychological Association: Division 53 Dissertation Award and the Milton Dean Havron Social Sciences Award for Academic Excellence.
Rights and permissions
About this article
Cite this article
Raggi, V.L., Chronis-Tuscano, A., Fishbein, H. et al. Development of a Brief, Behavioral Homework Intervention for Middle School Students with Attention-Deficit/Hyperactivity Disorder. School Mental Health 1, 61–77 (2009). https://doi.org/10.1007/s12310-009-9008-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12310-009-9008-7