ERIC Number: EJ1467395
Record Type: Journal
Publication Date: 2025-Mar
Pages: 15
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1087-0547
EISSN: EISSN-1557-1246
Available Date: 0000-00-00
Operationalizing In-Session Treatment Engagement Strategies and Behaviors for Adolescents with ADHD and Their Parents
Margaret H. Sibley1,2,3; Lourdes M. Rodriguez3; Melissa Lopez3; Erika M. Brochu3; Fabiana V. Bracho3; Mercedes Ortiz2; Jasmine Hashimoto2
Journal of Attention Disorders, v29 n5 p336-350 2025
Objective: Many treatment engagement challenges are documented for adolescents with ADHD. Across contexts, helping professionals (i.e., therapists, prescribers, educators, coaches) might benefit from an engagement strategy toolbox to facilitate work with adolescents with ADHD and their families. Method: The current study describes the development and psychometric testing of the ADHD Engagement Process Code (AEPC), a measure that operationalizes engagement strategies in the context of a blended behavioral/motivational interviewing treatment for adolescent ADHD (Supporting Teens' Autonomy Daily; STAND). The AEPC also operationalizes in-session parent and adolescent engagement-related behaviors. Behavior counts and global codes were coded for 840 audio-recorded STAND sessions delivered by 21 therapists to 121 adolescents. Subsets of tapes were double coded using the AEPC's parent, adolescent, and therapist coding systems to assess kappa for line-by-line verbalizations and intraclass correlations for session-level behavior counts and global scores. Construct validity was assessed. We explored low frequency and low variability codes and examined correlations between codes. Results: AEPC codes possessed good to excellent inter-rater reliability and strong discriminant validity. Three low frequency codes and one low variability global were identified indicating opportunities for AEPC refinement. Conclusions: The AEPC is publicly available (https://osf.io/kshfy/) and offers a library of adolescent-specific codes for those interested in measuring provider, parent, or adolescent engagement behaviors in relevant populations or contexts.
Descriptors: Secondary School Students, Attention Deficit Hyperactivity Disorder, Parents, Parent Education, Parent Participation, Parent Role, Parent Student Relationship, Learner Engagement, Psychometrics, Behavior Modification, Student Motivation, Counselors, Test Reliability, Test Validity, Interrater Reliability
SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub-com.bibliotheek.ehb.be
Publication Type: Journal Articles; Reports - Research
Education Level: Secondary Education; Adult Education
Audience: N/A
Language: English
Authoring Institution: N/A
Grant or Contract Numbers: R21MH116499; R34MH092466
Author Affiliations: 1Unviersity of Washington School of Medicine, Seattle, USA; 2Seattle Children’s Research Institute, WA, USA; 3Florida International University, Miami, USA