Adaptive Response to Intervention (RTI) for Students With ADHD
Status:
Recruiting
Trial end date:
2023-06-01
Target enrollment:
Participant gender:
Summary
Purpose: The primary purpose of the proposed project is to investigate the efficacy of Tier 1
and Tier 2 interventions delivered through a Response to Intervention (RTI) framework for
children with attention-deficit/hyperactivity disorder (ADHD). Further, for children who do
not respond to initial Tier 2 strategies, the proposed study will assess which additional
course of intervention is most effective: (1) enhanced Tier 2 strategies or (2) stimulant
medication. The majority of youth with ADHD are in general education settings, whether
classified as special education students or not. Thus, experimentally evaluating the efficacy
of well-developed and evidence-based behavioral interventions within a problem-solving
framework such as RTI would significantly inform practice within school-based behavioral
intervention teams.
Project Activities: This study will employ a sequential multiple assignment randomized trial
design (SMART). Prior to the beginning of the academic year, students will be randomly
assigned to one of two conditions: (1) Business as Usual in which children receive whatever
sequence of academic supports and interventions their teachers, school, and parents would
typically put into place throughout the entire academic year and (2) an RTI approach to begin
with Tier 1 classroom-wide management strategies with opportunities to add Tier 2 strategies
for youth who do not respond to the initial Tier 1 approach.
Phase:
Phase 4
Details
Lead Sponsor:
Florida International University
Collaborator:
University at Buffalo
Treatments:
Amphetamine Central Nervous System Stimulants Methylphenidate