further insight into the effectiveness of a behavioral teacher program targeting adhd symptoms using actigraphy, classroom observations and peer ratings

further insight into the effectiveness of a behavioral teacher program targeting adhd symptoms using actigraphy, classroom observations and peer ratings

;Betty Veenman;Marjolein Luman;Jaap Oosterlaan
accounts of chemical research 2017 Vol. 8 pp. -
378
veenman2017frontiersfurther

Abstract

Objective: The Positivity and Rules program (PR program), a low-level behavioral teacher program targeting symptoms of attention-deficit/hyperactivity disorder (ADHD), has shown positive effects on teacher-rated ADHD symptoms and social functioning. This study aimed to assess whether program effects could be confirmed by instruments assessing classroom behavior other than teacher-ratings, given teachers’ involvement with the training.Methods: Participants were 114 primary school children (age = 6–13) displaying ADHD symptoms in the classroom, who were randomly assigned to the treatment (n = 58) or control group (n = 65). ADHD symptoms were measured using classroom observations and actigraphy, and peer acceptance was measured using peer ratings. Intention-to-treat multilevel analyses were conducted to assess program effects.Results: No beneficial program effects were found for any of the measures.Conclusion: The earlier beneficial program effects on both ADHD symptoms and social functioning reported by teachers, may be explained by a change in the perception of teachers rather than changes in the child’s behavior. Other methodological explanations are also discussed, such as differences between instruments in the sensitivity to program-related changes. The current study underlines the importance of using different measures of classroom behavior to study program effects.ClinicalTrials.gov registration number: NCT02518711

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173386
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10.3389/fpsyg.2017.01157
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