Parent-reported homework problems in the MTA study: Evidence for sustained improvement with behavioral treatment

Joshua M. Langberg, L. Eugene Arnold, Amanda M. Flowers, Jeffery N. Epstein, Mekibib Altaye, Stephen P. Hinshaw, James M. Swanson, Ronald Kotkin, Stephen Simpson, Brooke S.G. Molina, Peter S. Jensen, Howard Abikoff, William E. Pelham, Benedetto Vitiello, Karen C. Wells, Lily Hechtman

Research output: Contribution to journalArticlepeer-review

38 Scopus citations


Parent-report of child homework problems was examined as a treatment outcome variable in the MTA-Multimodal Treatment Study of Children with Attention-Deficit= Hyperactivity Disorder (ADHD). Five hundred seventy-nine children ages 7.0 to 9.9 were randomly assigned to either medication management, behavioral treatment, combination treatment, or routine community care. Results showed that only participants who received behavioral treatment (behavioral and combined treatment) demonstrated sustained improvements in homework problems in comparison to routine community care. The magnitude of the sustained effect at the 10-month follow-up assessment was small to moderate for combined and behavioral treatment over routine community care (d=.37,.40, respectively). Parent ratings of initial ADHD symptom severity was the only variable found to moderate these effects.

Original languageEnglish (US)
Pages (from-to)220-233
Number of pages14
JournalJournal of Clinical Child and Adolescent Psychology
Issue number2
StatePublished - Mar 2010

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology


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