{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:02:20Z","timestamp":1787068940000,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01MH118320"],"award-info":[{"award-number":["R01MH118320"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Attention\u2010Deficit\/Hyperactivity Disorder (ADHD) is highly heritable; thus, parents and children frequently experience ADHD\u2010related impairments. Parent ADHD is associated with poorer developmental and treatment outcomes for children with ADHD, in part due to executive functioning and emotion regulation difficulties that interfere with parenting and treatment follow\u2010through. Few studies have evaluated multi\u2010modal, family\u2010based approaches that directly address both parent ADHD and parenting to ultimately improve child outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We compared a telehealth\u2010delivered, integrated behavioral parent training program (I\u2010BPT) alone or preceded by a parent stimulant medication titration (PSM\u2009+\u2009I\u2010BPT) for parents with ADHD (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009120; 25% fathers; 27% Black\/African\u2010American; 11% Hispanic) and their 3\u20138\u2010year\u2010old, stimulant\u2010na\u00efve children. I\u2010BPT dually targeted parenting and parent ADHD and was implemented by providers in urban pediatric clinics. Trial registration:\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      identifier NCT04240756;\n                      <jats:italic>Treating Parents with ADHD and Their Young Children<\/jats:italic>\n                      Via\n                      <jats:italic>Telehealth: a Hybrid Type I Effectiveness\u2010Implementation Trial<\/jats:italic>\n                      . Registered at\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/clinicaltrials.gov\/study\/NCT04240756?utm_source=chatgpt.com\">https:\/\/clinicaltrials.gov\/study\/NCT04240756<\/jats:ext-link>\n                      on 01\/21\/2020.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Children whose parents received PSM\u2009+\u2009I\u2010BPT showed significantly steeper declines in\n                      <jats:italic>Clinical Global<\/jats:italic>\n                      Impressions ratings than those receiving I\u2010BPT alone (\n                      <jats:italic>d\u2009=<\/jats:italic>\n                      \u20090.37;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.001). Parents receiving PSM\u2009+\u2009I\u2010BPT also demonstrated faster reductions in their own CGI\u2010S ratings (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.33) and reported greater improvements in inconsistent discipline (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.22) and positive parenting (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.24). Self\u2010reported punitive parenting and observed parenting behaviors improved similarly across I\u2010BPT groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PSM\u2009+\u2009I\u2010BPT led to benefits on parent and child clinical severity and targeted parenting skills compared to I\u2010BPT without parental ADHD medication; broader parenting improvements occurred across both I\u2010BPT conditions. Addressing parent ADHD pharmacologically may enhance the effectiveness of parenting interventions for multiplex ADHD families.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.70222","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:16:10Z","timestamp":1787066170000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Treating parents with\n                    <scp>ADHD<\/scp>\n                    and their children (\n                    <scp>TPAC<\/scp>\n                    ): a hybrid effectiveness\u2010implementation, randomized controlled trial"],"prefix":"10.1111","author":[{"given":"Andrea","family":"Chronis\u2010Tuscano","sequence":"first","affiliation":[{"name":"Department of Psychology University of Maryland  College Park MD 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