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First published on January 11, 2008, doi:10.1177/1087054707311666
This version was published on February 14, 2008
© 2008 SAGE Publications

Article

Feasibility and Preliminary Efficacy of an After-School Program for Middle Schoolers With ADHD: A Randomized Trial in a Large Public Middle School

Brooke S.G. Molina, Ph.D.*, Kate Flory, Ph.D., Oscar G. Bukstein, M.D., Andrew R. Greiner, B.S., Jennifer L. Baker, B.S., Vicky Krug, M.A., and Steven W. Evans, Ph.D.

* To whom correspondence should be addressed. E-mail: molinab{at}upmc.edu.


  Abstract
Objective: This pilot study tests the feasibility and preliminary efficacy of an after-school treatment program for middle schoolers with ADHD using a randomized clinical trial design. Method: A total of 23 students with ADHD (25% female, 48% African American) from a large public middle school were randomly assigned to a 10-week program or to community comparison. Manualized treatment targeted educational, social, and recreational skills, homework completion, and school and home behavior. Parents participated. Results: Recruitment and randomization targets were easily met (87% completion). Parent and teacher satisfaction was positive. Small to medium treatment effects resulted despite greater medication use in the control group, with improvements in functioning for the program-treated youth or absence of deterioration relative to the comparison group. Conclusion: Despite testing an abbreviated version of the after-school program (< 5 months), this study reveals feasibility and palatability for this intervention and modest beneficial effects on behavioral and academic outcomes. (J. of Att. Dis. XXXX; XX(X) xx-xx)


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