The results revealed that findings are becoming increasingly nuanced with variations in levels of evidence related to ages of the children and characteristics of the specific treatment .
In addition , we focused our critique on generalization of treatment effects across setting s and time and on sample diversity ( with regard to ethnicity and levels of parent education ) in relation to the population .
Children of parents with higher levels of education than average appear to be overrepresented in the literature .
The purpose of this research was to up date the series of articles on evidence -based treatment for children and adolescents with attention deficit/hyperactivity disorder that have appeared in this journal ( Evans , Owens & Bunford , 2014 ; Pelham & Fabiano , 2008 ; Pelham , Wheeler , & Chronis , 1998 ) .
Remediating organizational functioning in children with ADHD: immediate and long-term effects from a randomized controlled trial.
OBJECTIVE The study compared the efficacy of 2 behavioral interventions to ameliorate organization , time management , and planning ( OTMP ) difficulties in 3rd- to 5th- grade children with attention-deficit/hyperactivity disorder ( ADHD ) . METHOD In a dual-site r and omized controlled trial , 158 children were assigned to  organizational skills training ( OST ; N = 64 ) ; PATHKO , a performance-based intervention that precluded skills training ( N = 61 ) ; or a wait-list control ( WL , N = 33 ) . Treatments were 20 individual clinic-based sessions over 10 - 12 weeks . OST involved skills building provided primarily to the child . PATHKO trained parents and teachers to reinforce children contingently for meeting end-point target goals . Primary outcomes were the Children 's Organizational Skills Scales ( COSS-Parent , COSS-Teacher ) . Other relevant functional outcomes were assessed . Percentage of participants no longer meeting inclusion criteria for OTMP impairments informed on clinical significance . Assessment s occurred at post-treatment , 1-month post-treatment , and twice in the following school year . RESULTS OST was superior to WL on the COSS-P ( Cohen 's d = 2.77 ; p < .0001 ) , COSS-T ( d = 1.18 ; p < .0001 ) , children 's COSS self-ratings , academic performance and proficiency , homework , and family functioning . OST was significantly better than PATHKO only on the COSS-P ( d = 0.63 ; p < .005 ) . PATHKO was superior to WL on most outcomes but not on academic proficiency . Sixty percent of OST and PATHKO participants versus 3 % of controls no longer met OTMP inclusion criteria . Significant maintenance effects were found for both treatments . CONCLUSIONS Two distinct treatments targeting OTMP problems in children with ADHD generated robust , sustained functional improvements . The interventions show promise of clinical utility in children with ADHD and organizational deficits
The results revealed that findings are becoming increasingly nuanced with variations in levels of evidence related to ages of the children and characteristics of the specific treatment .
In addition , we focused our critique on generalization of treatment effects across setting s and time and on sample diversity ( with regard to ethnicity and levels of parent education ) in relation to the population .
Children of parents with higher levels of education than average appear to be overrepresented in the literature .
The purpose of this research was to up date the series of articles on evidence -based treatment for children and adolescents with attention deficit/hyperactivity disorder that have appeared in this journal ( Evans , Owens & Bunford , 2014 ; Pelham & Fabiano , 2008 ; Pelham , Wheeler , & Chronis , 1998 ) .