{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T06:03:47Z","timestamp":1780725827059,"version":"3.54.1"},"reference-count":67,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000058","name":"Substance Abuse and Mental Health Services Administration","doi-asserted-by":"publisher","award":["H79SM082302"],"award-info":[{"award-number":["H79SM082302"]}],"id":[{"id":"10.13039\/100000058","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Atten Disord"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Attention Deficit\/Hyperactivity Disorder (ADHD) is a chronic and impairing neurodevelopmental disorder diagnosed in approximately 2% to 4% of preschool-age children and 9% of all children. Behavioral parent training (BPT) and high-quality education are effective treatments for young children with ADHD; however, poor rates of treatment access and participation limit the reach of BPTs to rural and underserved communities. In this study, we tested the newly developed Rural Outreach and ADHD Research-Early Childhood (ROAR-EC) program, a clinician-led, 7-session education and parent training program designed for delivery over telemedicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      We conducted a pilot RCT to assess the feasibility, acceptability, engagement of mechanism, and exploratory group\u2009\u00d7\u2009time effects of the ROAR-EC program compared to a control group in a sample of 44 children diagnosed with ADHD from a predominantly rural area (ages 3\u20137;\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      <jats:sub>age<\/jats:sub>\n                      \u2009=\u20094.8; 62% male; 96% White; 89% non-Hispanic\/Latinx). Families were randomized into either ROAR-EC or treatment as usual through developmental pediatrics and followed for 24\u2009weeks. Assessed were metrics of feasibility, acceptability, parenting practices, caregiver empowerment, disruptive behaviors, and ADHD symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Results indicated that ROAR-EC was feasible to implement and acceptable to caregivers. Repeated measures ANOVAs found significant group\u2009\u00d7\u2009time interaction effects in favor of the treatment group compared to control for family empowerment, parenting practices, total behavior problems, impairment, and inattentive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study demonstrated the promise of brief telemedicine programs as feasible, acceptable, and likely beneficial alternatives to traditional BPTs for young children with ADHD in rural and low-resource areas.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10870547251415434","type":"journal-article","created":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T04:13:53Z","timestamp":1770437633000},"page":"857-871","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["ROAR-Early Childhood: Pilot Testing a Brief Telemedicine Parent Training Program for Rural Children Diagnosed with ADHD"],"prefix":"10.1177","volume":"30","author":[{"given":"James T.","family":"Craig","sequence":"first","affiliation":[{"name":"Dartmouth Health, Lebanon, NH, USA"},{"name":"Dartmouth College, Hanover, NH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael T.","family":"Sanders","sequence":"additional","affiliation":[{"name":"Colby College, Waterville, ME, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina C.","family":"Moore","sequence":"additional","affiliation":[{"name":"Dartmouth Health, Lebanon, NH, USA"},{"name":"Dartmouth College, Hanover, NH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Barnett","sequence":"additional","affiliation":[{"name":"Dartmouth Health, Lebanon, NH, USA"},{"name":"Dartmouth College, Hanover, NH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1262-1222","authenticated-orcid":false,"given":"Kady F.","family":"Sternberg","sequence":"additional","affiliation":[{"name":"Dartmouth Health, Lebanon, NH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole L.","family":"Breslend","sequence":"additional","affiliation":[{"name":"University of Vermont, Burlington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren C.","family":"Vazquez","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Sand-Loud","sequence":"additional","affiliation":[{"name":"Dartmouth Health, Lebanon, NH, USA"},{"name":"Dartmouth College, Hanover, NH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary K.","family":"Jankowski","sequence":"additional","affiliation":[{"name":"Dartmouth Health, Lebanon, NH, USA"},{"name":"Dartmouth College, Hanover, NH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,6]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Aduen P. 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