Culturally Appropriate Assessment of Functional Impairment in Diverse Children: Validation of the ADHD-FX Scale With an At-Risk Community Sample

Haack, Lauren M.; Gerdes, Alyson C.

doi:10.1177/1087054714553021

Cited by 15 publications

(20 citation statements)

References 32 publications

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“… 14 15 The ADHD-FX scale examines school, home and peer functioning, but is not specific to functional impairment and does not include a designated time frame. 16 The Barkley Functional Impairment Scale (BFIS) for children and adults assesses impairment over the past 6 months. 17 This is the only measure of functional impairment that includes population norms.…”

Section: Understanding Functional Impairmentmentioning

confidence: 99%

Conceptual review of measuring functional impairment: findings from the Weiss Functional Impairment Rating Scale

Weiss¹,

McBride²,

Craig

et al. 2018

Evid Based Mental Health

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ObjectiveThis is a narrative review of validation and outcome studies using the Weiss Functional Impairment Rating Scale (WFIRS). The objective of the review is to establish a framework for understanding functional impairment and create a definition for functional response and remission.MethodsWe conducted a literature search via MEDLINE, EBSCO and Google Scholar with no date restrictions and reviewed bibliographies of selected publications. Publications found in languages other than English were translated and clarification obtained from the author(s) if needed. Inclusion criteria were any manuscript that was either a WFIRS psychometric validation study or a clinical trial using the WFIRS as an outcome. There were no exclusion criteria.ResultsThe WFIRS has been validated in multiple cultures, and in clinical, research and control populations. The WFIRS has robust psychometric properties across ages, psychiatric status and informants. Outcome studies show variable improvement, with different response patterns between domains and among different interventions.ConclusionSymptom improvement and remission needs to be complemented with evaluation of functional improvement and remission to obtain a full picture of clinical status over the course of treatment.

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Section: Understanding Functional Impairmentmentioning

confidence: 99%

Conceptual review of measuring functional impairment: findings from the Weiss Functional Impairment Rating Scale

Weiss¹,

McBride²,

Craig

et al. 2018

Evid Based Mental Health

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“…Parents participated in a semistructured clinical interview focused on the presenting problem and history, as well as the Spanish translation of the Disruptive Behavior Disorders (DBD) Structured Parent Interview, a diagnostic interview used to diagnose ADHD and common comorbid disorders (Pelham, 2002). Parents also completed the Spanish translations of the Parent/Teacher DBD Rating Scale (Gerdes, Lawton, Haack, & Hurtado, 2013;Pelham, Gnagy, Greenslade, & Milich, 1992) and ADHD FX-Scale (Haack, Gerdes, Lawton, & Schneider, 2014), which are described in more detail below. Children participated in an unstructured clinical interview and completed several self-report measures.…”

Section: Assessment and Treatmentmentioning

confidence: 99%

Culturally adapting parent training for Latino youth with ADHD: Development and pilot.

Gerdes¹,

Kapke²,

Lawton³

et al. 2015

Journal of Latina/o Psychology

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Focus group data from Latino parents, research examining Latino cultural values, and recommendations from mental health providers working with Latino families were used to culturally adapt, an evidence-based parent training program for Latino youth with attention-deficit/hyperactivity disorder (ADHD). Session-specific, cultural adaptations were made to 5 sessions, and 2 sessions were completely replaced with newly developed, more culturally congruent sessions. The adapted treatment also resulted in global adaptations to all treatment sessions, cultural adaptations to the assessment and feedback phase, as well as adaptations targeting practical barriers to treatment. Initial treatment outcomes from a small pilot demonstrated that 100% of families successfully completed the culturally adapted parent training program and reported being very satisfied with treatment. Eighty percent of children demonstrated reliable improvement in parent-reported ADHD symptomatology, and 40% of parents reported reliable improvement in both parental and family functioning.

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“…The second hypothesis that parent- and teacher-reported functional impairment would account for additional variance in ADHD diagnostic status beyond parent and teacher reports of ADHD symptoms was not supported. This prediction was made based on previous research suggesting that measuring functional impairment is a valuable component of an ADHD assessment (i.e., Pelham et al, 2005), particularly for Latino families (Haack & Gerdes, 2016; Haack et al, 2019). Although parent and teacher reports of ADHD symptoms alone correctly predicted ADHD diagnostic status for the vast majority of cases, adding parent and teacher reports of functional impairment to this model did not add incremental predictive utility to the model.…”

Section: Discussionmentioning

confidence: 99%

“…One way in which clinicians can be sensitive to these issues is to incorporate the more easily understood concept of functional impairment into the assessment and treatment of ADHD, rather than focusing on symptomology alone. For example, a culturally sensitive measure of ADHD-related functional impairment has been developed and validated specifically for use with Latinos (Haack & Gerdes, 2016; Haack, Gerdes, Lawton, & Schneider, 2014). Early research found no significant relationships between the ADHD Functional Impairment Scale (ADHD-FX Scale) and Anglo or Latino acculturation, suggesting the appropriateness of this measure as part of a comprehensive ADHD assessment for Latino youth (Haack & Gerdes, 2016).…”

Section: Us Latino Youthmentioning

confidence: 99%

Incremental Clinical Utility of ADHD Assessment Measures With Latino Families

et al. 2017

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Objective: This study examined the incremental clinical utility of parent and teacher reports of ADHD symptomatology and functional impairment in Latino youth, as well as parent and teacher agreement with the final clinical judgment on a diagnostic structured interview. Method: Participants included 70 Latino youth (47 males, 23 females; M age = 8.13 years, SD = 2.51 years) and their parents and teachers; 60 participants were diagnosed with ADHD. Correlations, percent agreement, kappas, and regressions were utilized. Results: Results demonstrated that teachers agreed with the final clinical judgment more often than did parents. Results additionally demonstrated that functional impairment did not statistically significantly improve diagnostic models already including ADHD symptoms; follow-up analyses were run and are discussed. Finally, results demonstrated that teacher reports statistically significantly improved diagnostic models already including parent reports. Conclusion: The current findings suggest the importance of including both parent and teacher reports of both ADHD symptomatology and functional impairment when assessing ADHD in Latino youth.

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Culturally Appropriate Assessment of Functional Impairment in Diverse Children: Validation of the ADHD-FX Scale With an At-Risk Community Sample

Cited by 15 publications

References 32 publications

Conceptual review of measuring functional impairment: findings from the Weiss Functional Impairment Rating Scale

Conceptual review of measuring functional impairment: findings from the Weiss Functional Impairment Rating Scale

Culturally adapting parent training for Latino youth with ADHD: Development and pilot.

Incremental Clinical Utility of ADHD Assessment Measures With Latino Families

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