Table 1.

Sequential, Multiple Assignment, Randomized Trial Pilot Adaptive Treatment Strategies

Condition	Phase 1 MSM	Phase 1 BPT	Phase 2 MSM	Phase 2 BPT
MSM/MSM	MSM protocol—minimum of 7 visits	—	Weekly medication visits with prescriber, continued titration as needed	—
			Addition of late-afternoon immediate release stimulant as needed
MSM/BPT	MSM protocol—minimum of 7 visits	—	Monthly med safety check-ins with prescriber by phone, continued titration as needed	BPT protocol—8 visits
BPT/MSM	—	BPT protocol—8 visits	MSM protocol—minimum of 5 visits	Booster 1-hour sessions with therapist at weeks 12 and 16 focused on skill maintenance and trouble-shooting
BPT/BPT	—	BPT protocol—8 visits	—	Eight additional weekly therapy sessions focused on personalized content beyond manual depending on maternal needs (e.g., child emotion regulation skills; maternal organization and planning)

BPT, behavioral parent training; MSM, maternal stimulant medication.