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Record W4414712423 · doi:10.1016/j.cbpra.2025.09.002

Evaluating a Virtual Adult ADHD Group in a Primary Care Setting: Feasibility and Clinical Outcomes Pilot Study

2025· article· en· W4414712423 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueCognitive and Behavioral Practice · 2025
Typearticle
Languageen
FieldMedicine
TopicAttention Deficit Hyperactivity Disorder
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsAnxietyThematic analysisCoping (psychology)Interpersonal communicationDepression (economics)Randomized controlled trialIntervention (counseling)Multidisciplinary approach

Abstract

fetched live from OpenAlex

• Virtual adult ADHD Group decreased ADHD, anxiety, and depression symptoms. • Functional improvements reported in life skills, work, school, and family domains. • Participants’ self-concept improved via normalization and validation of ADHD impacts. • This virtual group-based adult ADHD intervention is feasible in a real-world setting. • A follow-up study will examine outcomes in a more rigorous RCT design. A treatment effectiveness study was conducted on a 9-week CBT-based group intervention for adults with ADHD. The intervention, based on the Jeavons et al. (2018) Adult ADHD Treatment Handbook, was delivered virtually by a multidisciplinary team at [blinded for review] Family Health Team in [City], [Country]. Treatment topics included understanding the impacts of ADHD and its common comorbidities, coping skills for managing impulsivity, mood, organization, time, money, and interpersonal relationships. Quantitative data (N = 46) was analyzed in a pre-/post-treatment design using symptom measures of ADHD (ASRS), ADHD-related functional impairment (WFIRS), anxiety (GAD-7) and depression (PHQ-9). Results indicated that ADHD symptoms significantly decreased, with a small effect size t(45) = –2.852, p = 0.003, d = 0.421. Five subscales of the WFIRS demonstrated significant improvements with medium effect sizes. The greatest functional improvements were seen in Self-concept t(44) = –3.858, p < 0.001, d = 0.575, and Life skills t(44) = –3.382, p < 0.001, d = 0.504. Significant improvements with small to medium effect sizes were also demonstrated in depression t(43) = –2.494, p = 0.008, d = 0.376 and anxiety symptoms t(43) = –2.851, p = 0.003, d = 0.430. Thematic analysis of anonymous group satisfaction survey responses indicated that participants experienced positive changes in self-concept through normalization and validation of ADHD life impacts. This pilot study provides valuable information about the feasibility and promising initial outcomes of a virtual group-based adult ADHD intervention in a real-world setting. A follow-up study will examine outcomes in a more rigorous randomized controlled trial design.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.006
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.131
Threshold uncertainty score0.811

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.006
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.261
GPT teacher head0.531
Teacher spread0.270 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it