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August 20, 2026Journal of Child Psychology and PsychiatryOpen Access

Treating parents with ADHD and their children ( TPAC ): a hybrid effectiveness‐implementation, randomized controlled trial

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Authors

ACAndrea Chronis-TuscanoNBNadia BounouaCDChristina M. Danko

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Overview

Randomized trial demonstrates improved child and parent outcomes with parental stimulant medication and behavioral training, indicating benefits of dual-targeted interventions for ADHD families.

Key Points

  • To evaluate whether adding parent stimulant medication titration prior to telehealth-delivered integrated behavioral parent training enhances clinical and parenting outcomes in families where both parent and child have ADHD.
  • Randomized controlled trial (NCT04240756) comparing telehealth-delivered integrated behavioral parent training (I-BPT) alone versus preceded by parent stimulant medication titration (PSM + I-BPT).
  • Enrolled N = 120 parents with ADHD (25% fathers; 27% Black/African-American; 11% Hispanic) and their stimulant-naïve children aged 3–8 years across urban pediatric clinics.
  • Children whose parents received PSM + I-BPT showed significantly steeper declines in Clinical Global Impressions ratings compared to those receiving I-BPT alone (d = 0.37; p = .001).
  • Parents receiving PSM + I-BPT demonstrated faster reductions in their own CGI-S ratings (d = 0.33) and greater improvements in inconsistent discipline (d = 0.22) and positive parenting (d = 0.24).
  • Self-reported punitive parenting and observed parenting behaviors improved similarly across both intervention groups.

Cite This Study

Chronis-Tuscano et al. (2026) studied this question.

synapsesocial.com/papers/6a86b5c58a91293e6a1cd39ehttps://doi.org/10.1111/jcpp.70222
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