Sibley Margaret H, Rodriguez Lourdes M, Lopez Melissa, Brochu Erika M, Bracho Fabiana V, Ortiz Mercedes, Hashimoto Jasmine
Unviersity of Washington School of Medicine, Seattle, USA.
Seattle Children's Research Institute, WA, USA.
J Atten Disord. 2025 Mar;29(5):336-350. doi: 10.1177/10870547241308632. Epub 2025 Jan 5.
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.
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.
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.
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.
已有文献记载，患有注意力缺陷多动障碍（ADHD）的青少年在治疗参与方面存在诸多挑战。在各种情况下，帮助专业人员（如治疗师、开处方者、教育工作者、教练）可能会从一个参与策略工具箱中受益，以促进与患有ADHD的青少年及其家庭的工作。
本研究描述了ADHD参与过程编码（AEPC）的开发和心理测量测试，该测量方法在针对青少年ADHD的行为/动机混合访谈治疗（每日支持青少年自主；STAND）的背景下，将参与策略进行了操作化。AEPC还对治疗过程中家长和青少年与参与相关的行为进行了操作化。对21名治疗师为121名青少年提供治疗的840次STAND治疗的音频记录进行了行为计数和全局编码。使用AEPC的家长、青少年和治疗师编码系统对磁带子集进行了双重编码，以评估逐行言语表达的kappa值以及治疗过程级行为计数和全局得分的组内相关性。评估了结构效度。我们探索了低频和低变异性编码，并检查了编码之间的相关性。
AEPC编码具有良好到优秀的评分者间信度和较强的区分效度。确定了三个低频编码和一个低变异性全局编码，表明AEPC有改进的机会。
AEPC已公开提供（https://osf.io/kshfy/），为那些有兴趣在相关人群或背景中测量提供者、家长或青少年参与行为的人提供了一个针对青少年的编码库。
