Attachment B1 Instrument Table

Longitudinal Follow-up of Youth with ADHD

Attachment B1 Instruments and Constructs Measured

Instruments and Constructs Measured

The following table provides an overview of how the surveys and instruments will address the research constructs of interest in this investigation. See Attachment B2 for detailed descriptions of the instruments. All changes to instruments previously approved by OMB are also highlighted and further explained on the instruments themselves (see corresponding Attachments).

Instrument	Respondent	Construct Measured	OMB approval	Summary of proposed changes to OMB approved instruments	Attachment #
AHDH Communication and Knowledge (Parent Report)	Parent	A. 4. Quality of educational services	sought	-	B3
		E. 1. Health care access barriers
		E. 2. ADHD knowledge
		E. 4. Impact of ADHD diagnosis
		E. 3. Quality of care
		E. 4. Medication side effects
ADHD Treatment, Cost, and Client Satisfaction Questionnaire	Parent	A. 2. Treatment modalities, compliance, care patterns, including medications, dosage, frequency	sought	Cost questions: selected from National Survey of Children with Special Health Care Needs, OMB No. 0920-0406 with minor wording changes for current study	B4a
ADHD Treatment Quarterly Update	Parent	A. 2. Treatment modalities, compliance, care patterns, including medications, dosage, frequency	sought		B4b
		A. 3. Non-pharmacological treatment services and interventions
		A. 4. School based interventions
Brief Impairment Scale	Parent	C. 2. School impairment	sought	-	B5
		C. 4. Interpersonal relationship impairment
Brief Sensation Seeking Scale	Child	D. 1. Risk behavior	sought	-	B22
Critical School Events	Parent Teacher	A. 4. Special education or remedial services	sought	-	B6 B7 B35
		C. 2. School progress, retention, special education services
Demographic Survey	Parent	E. 1. Insurance status	Similar instrument used in OMB 0920-0584	two minor modifications (inclusion of birth date and insurance laps)	B8 B17
		E. 2. Socio-demographics
DISC	Parent Child	A.1. & B. 1. Prevalence of ADHD diagnosis	Standardized instrument used to diagnose and classify ADHD and other disorders (i.e., collects facts or opinions from individuals (including control groups) under treatment or clinical examination in connection with research on a clinical disorder)	-	I2
		C.1. Prevalence of ADHD diagnosis in adolescence
		D.4. Co-morbidity of psychopathology diagnoses
		E. 2. Demographics
Health Risk Behavior Survey	Parent Child	C2. Grades, learning disabilities, general concern about achievement	Similar instrument used in OMB 0920-0584	Added 1) Drug and sexuality questions for children 11-13 and 14+ (from OMB, 0920-0493) 2) Media use questions (from OMB 0920-0406) 3) Additional delinquency and media use questions from existing surveys not previously reviewed by OMB	B9 B10 B11 B23 B24 B25
		D. 1. Harm from injuries, self-harm intention, aggressive acts
		D. 2. Incidence of tobacco use
		D. 2. Incidence of alcohol use (versions 11-13 and 14-18 years only)
		D. 2. Incidence of marijuana and inhalant use (versions 11-13 and 14-18 years only)
		D. 2. Incidence of other illicit drug use (versions 14-18 years only)
		D. 3. Delinquent behaviors (versions 11-13 and 14-18 years only)
		D. 5. Pregnancy/paternity, Sexual activity, birth control use (version 14-18 years only)
		D. 6. Indicators of physical health
		D. 7. Health risk behaviors
Kaufman Brief Intelligence Scale	Child	D. 7. Cognitive development	Standardized instrument to measure cognitive ability (i.e., examination designed to test the aptitude, abilities, or knowledge of the persons tested and for identification or classification)	-	I2
MARSH – Self Description Questionnaire	Child	C. 2. Child’s perceived school success	sought	-	B26 B27 B28
		C. 3. Child’s perception of self in relation to peers and parents
Parent Social Isolation/Support	Parent	D. 7. Health promotion behaviors: Available support, involvement	sought	-	B18
Parent Child Relationship Inventory	Parent	C. 3. Parental support, satisfaction, involvement, communication, limit setting, autonomy, role orientation	sought	-	B12
Parents’ Mental Health Questionnaire	Parent	D. 7. Health risk: Parent pathology, treatment and medication, Sibling pathology	sought		B13
		E. 4. Perception of benefits of treatment
Pediatric Quality of Life	Child	C. 2. Perception of school functioning	sought	-	B29 B30 B31
		C. 3. Perception of social functioning
		C. 4. Quality of physical, emotional, social and school functioning
People In My Life & Inventory of Parent and Peer Attachment	Child	C. 3. Child’s perceived quality of parent and peer relationship: trust, communication, alienation	sought	-	B32 B33
Strengths and Difficulties Questionnaire	Parent Teacher	B. 2. & C. 1. Impairment levels	Same instrument used in PLAY study, OMB 0920-0584	-	B19 B20 B35
		C. 1. Impairment levels
		C. 3. Peer and prosocial difficulties
		D. 4. Emotional, conduct, peer, and prosocial functioning
Vanderbilt Parent Rating Scale Vanderbilt Teacher Rating Scale	Parent Teacher	A. 1. Prevalence of ADHD behavioral symptoms	Same instrument used in PLAY study, OMB 0920-0584	-	B21 B35
		B. 1. Prevalence of ADHD behavioral symptoms B. 2. Impairment levels
		C. 1. Prevalence of ADHD behavioral symptoms and impairment levels
		C. 2. School performance
		D. 4. ODD, CD, Anxiety/Depression symptoms
Youth Demographic Survey	Child	E. 2. Socio-demographics	sought	-	B34

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