Multimodal Treatment Study of Children With Attention Deficit and Hyperactivity Disorder (MTA)

Summary

This trial is a continuation of the Multimodal Treatment Study of Children with Attention Deficit Hyperactivity Disorder (MTA Study). Continuation Aim 1 is to track the persistence of intervention-related effects as the MTA sample matures into mid-adolescence, including subsequent mental-health and school-related service utilization patterns as a function of MTA treatment experience (treatment assignment) and outcome (degree of treatment success at 14 mo.). Aim 2 is to test specific hypotheses about predictors, mediators, and moderators of long-term outcome among children with ADHD (e.g., comorbidity; family functioning; cognitive skills; peer relations) that may influence adolescent functioning (either independent of or through initial treatment assignment and/or 14-month treatment outcomes); and to compare how these predictors, mediators, and moderators are similar or dissimilar within the normal comparison group. Aim 3 is to track the patterns of risk and protective factors (including their mediation or moderation by initial treatment assignment and/or outcome) involved in early and subsequent stages of developing substance-related disorders and antisocial behavior. Aim 4 is to examine the effect of initial treatment assignment and degree of treatment success on later academic performance, achievement, school conduct, tendency to drop out, and other adverse school outcomes.

In the original MTA design, patients were randomly assigned to 1 of 4 treatment conditions: (1) medication only; (2) psychosocial only; (3) combined (medication and psychosocial); or (4) Assessment-and-Referral condition. All but the latter were treated intensively for 14 months, with assessments for all subjects at baseline, 3, 9, 14, and 24 months. The original MTA design thus provides short-term (10 months post-treatment) follow-up at 24 months. This continuation extends the follow-up to assessments at 36, 60, and 84 months after treatment.

A child may be eligible for this study if he/she:

Is 7 - 9 years old, and has Attention Deficit Hyperactivity Disorder (ADHD).

Conditions

• Attention Deficit Disorder With Hyperactivity
• Substance-related Disorders
• Dyssocial Behavior

Interventions

BEHAVIORAL

Psychosocial treatment

DRUG

Anti-ADHD medication

BEHAVIORAL

Assessment-and-Referral

Sponsors & Collaborators

• National Institute of Mental Health (NIMH)

  collaborator NIH

• NYU Langone Health

  lead OTHER

Principal Investigators

• Howard B. Abikoff, PhD

• C. Keith Conners

• Laurence L. Greenhill, MD

• Stephen P. Hinshaw, PhD

• William E. Pelham, PhD

• James M. Swanson, PhD

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Eligibility

Min Age

7 Years

Max Age

9 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

1998-09-30

Completion

1999-11-30