Attachment C1 Instrument Table

Longitudinal Follow-up of Youth with ADHD

Attachment C1 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 C2 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	No. 0920-0747	-	C3
		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	No. 0920-0747		C4a
ADHD Treatment Quarterly Update	Parent	A. 2. Treatment modalities, compliance, care patterns, including medications, dosage, frequency	No. 0920-0747		C4b
		A. 3. Non-pharmacological treatment services and interventions
		A. 4. School based interventions
Brief Impairment Scale	Parent	C. 2. School impairment	No. 0920-0747	-	C5
		C. 4. Interpersonal relationship impairment
Brief Sensation Seeking Scale	Child	D. 1. Risk behavior	No. 0920-0747	-	C17
Critical School Events	Parent Teacher	A. 4. Special education or remedial services	No. 0920-0747	-	C6 C7 C29
		C. 2. School progress, retention, special education services
Conflict in Adolescent Dating Relationships Inventory	Child	C. 3. Peer and prosocial difficulties	sought	-	C28
		D. 1. Harm from injuries, self-harm intention, aggressive acts
		D. 4. Emotional, conduct, peer, and prosocial functioning
Demographic Survey	Parent	E. 1. Insurance status	No. 0920-0747		C8 C13
		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) Also included in OMB No. 0920-0747	-	C30
		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	Modified from instrument used for OMB No. 0920-0747	Added 1) driving behavior question YRBSS 2) Medication misuse for studying 3) Self-efficacy for ADHD, 4) Social media use questions, 5) bullying, 6) social support and capital	C9 C10 C19 C20
		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
MARSH – Self Description Questionnaire	Child	C. 2. Child’s perceived school success	No. 0920-0747	-	C21 C22 C23
		C. 3. Child’s perception of self in relation to peers and parents
Olweus Bullying Questionnaire	Child	C. 3. Child’s peer relationships			C25
		D. 2. Health risk behaviors
Parent Social Isolation/Support	Parent	D. 7. Health promotion behaviors: Available support, involvement	No. 0920-0747	-	C14
Parent Child Relationship Inventory	Parent	C. 3. Parental support, satisfaction, involvement, communication, limit setting, autonomy, role orientation	No. 0920-0747	-	C11
Parents’ Mental Health Questionnaire	Parent	D. 7. Health risk: Parent pathology, treatment and medication, Sibling pathology	No. 0920-0747		C12
		E. 4. Perception of benefits of treatment
Pediatric Quality of Life	Child	C. 2. Perception of school functioning	No. 0920-0747	-	C25 C27
		C. 3. Perception of social functioning
		C. 4. Quality of physical, emotional, social and school functioning
Strengths and Difficulties Questionnaire	Parent Teacher	B. 2. & C. 1. Impairment levels	No. 0920-0747	-	C15 C29
		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	No. 0920-0747	-	C16 C29
		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	No. 0920-0747	Addition of questions about educational plans past high school	C28

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