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Comparing treatments for children with ADHD and word reading difficulties: A randomized clinical trial.

Abstract：

OBJECTIVE:This trial compared attention-deficit/hyperactivity disorder (ADHD) treatment alone, intensive reading intervention alone, and their combination for children with ADHD and word reading difficulties and disabilities (RD). METHOD:Children (n = 216; predominantly African American males) in Grades 2-5 with ADHD and word reading/decoding deficits were randomized to ADHD treatment (medication + parent training), reading treatment (reading instruction), or combined ADHD + reading treatment. Outcomes were parent and teacher ADHD ratings and measures of word reading/decoding. Analyses utilized a mixed models covariate-adjusted gain score approach with posttest regressed onto pretest. RESULTS:Inattention and hyperactivity/impulsivity outcomes were significantly better in the ADHD (parent Hedges's g = .87/.75; teacher g = .67/.50) and combined (parent g = 1.06/.95; teacher g = .36/41) treatment groups than reading treatment alone; the ADHD and Combined groups did not differ significantly (parent g = .19/.20; teacher g = .31/.09). Word reading and decoding outcomes were significantly better in the reading (word reading g = .23; decoding g = .39) and combined (word reading g = .32; decoding g = .39) treatment groups than ADHD treatment alone; reading and combined groups did not differ (word reading g = .09; decoding g = .00). Significant group differences were maintained at the 3- to 5-month follow-up on all outcomes except word reading. CONCLUSIONS:Children with ADHD and RD benefit from specific treatment of each disorder. ADHD treatment is associated with more improvement in ADHD symptoms than RD treatment, and reading instruction is associated with better word reading and decoding outcomes than ADHD treatment. The additive value of combining treatments was not significant within disorder, but the combination allows treating both disorders simultaneously. (PsycINFO Database Record

journal_name

J Consult Clin Psychol

journal_title

Journal of consulting and clinical psychology

authors

Tamm L,Denton CA,Epstein JN,Schatschneider C,Taylor H,Arnold LE,Bukstein O,Anixt J,Koshy A,Newman NC,Maltinsky J,Brinson P,Loren REA,Prasad MR,Ewing-Cobbs L,Vaughn A

doi

10.1037/ccp0000170

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

434-446

issue

eissn

0022-006X

issn

1939-2117

pii

2017-13225-001

journal_volume

pub_type

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Comparing treatments for children with ADHD and word reading difficulties: A randomized clinical trial.