Adaptive Response to Intervention (RTI) for Students With ADHD
Attention Deficit Disorder With Hyperactivity
About this trial
This is an interventional treatment trial for Attention Deficit Disorder With Hyperactivity
Eligibility Criteria
Inclusion Criteria:
- Child meets DSM-V diagnostic criteria for Attention-Deficit/Hyperactivity Disorder
- Child will be entering grades 1 - 5
Exclusion Criteria:
- Child or sibling living in the same home has history of sustained successful treatment of ADHD with stimulant medication
- Child currently has a special education placement involving placement in reduced ratio classroom or having a part or full-time aid due to behavior problems
- Child has an IQ less than 70
- Child has psychosis or a pervasive developmental disorder
- Child is in a classroom that already has a study participant
- Child is home-schooled
Sites / Locations
- Florida International University Center for Children and FamiliesRecruiting
- Center for Children and Families, University at BuffaloRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
No Intervention
Experimental
Experimental
Experimental
Experimental
Business as Usual (BAU)
Response to Intervention (RTI): Tier 1
RTI: Daily Report Card (DRC)
RTI: Enhanced
Medication
One-third of participants will be assigned to this condition and will receive academic accommodations and interventions as deemed appropriate by their teachers, school personnel, and parents. This condition is intended to mirror current standard procedures for youth with ADHD. Thus, the specific accommodations and interventions are expected to vary across students. Some students' parents and physicians may choose to start stimulant medication with a goal of improving classroom performance.
Two-thirds of participants will be assigned to the RTI Tier 1 Arm. Teachers of students in this arm will receive consultation in RTI Tier 1 Classroom Management strategies.
Students assigned to the RTI Tier 1 Arm, who do not respond to the initial RTI Tier 1 Classroom Management strategies, will move to the RTI DRC Arm of the study. Teachers of students in this arm of the study will receive consultation to implement a daily report card.
Half of students in the RTI DRC Arm who do not respond to the DRC intervention will be randomly assigned to the RTI: Enhanced Arm. Students in this arm will receive a more intensive classroom behavioral intervention directed at individual target behaviors through an enhanced DRC.
Half of students in the RTI DRC Arm who do not respond to the DRC intervention will be randomly assigned to the Medication arm and will receive stimulant medication as an additional intervention.