Table 2.

Intervention Components

Modality	Initial Treatment	Secondary/Adaptive Treatment
Medication	8-hour stimulant equivalent to 0.15 mg/kg methylphenidate b.i.d.	Increased school dose Added evening/weekend doses
Behavioral Treatment	8 weekly sessions of group behavioral parent training (concurrent group social skills training for children) Monthly booster parent training sessions 3 consultation meetings with primary teacher to establish a school-home daily report card One individual parent training session to establish home rewards for daily report card	Group or individual classroom contingency management systems (Barrish, Sauders, & Wolf, 1969) Time-out in school Tutoring Organizational skills training (Schultz & Evans, 2015) School-based rewards Weekly Saturday social skills sessions (Pelham et al., 2008) Homework skills training (Power et al., 2001) Paraprofessional-implemented school rewards programs Home-based daily report card

Note. The adaptive components listed represent those offered or recommended as-needed based on individual areas of impairment. Not every child received every component of the adaptive treatment.