Assessment & Research

Some effects of stimulant medication on response allocation: a double-blind analysis.

Kelley et al. (2006) · Journal of applied behavior analysis 2006
★ The Verdict

Adderall alone can make kids favor one easy task over another even when both pay the same.

✓ Read this if BCBAs running concurrent schedules with kids on ADHD meds
✗ Skip if BCBAs working with med-free adults or single-response programs

01Research in Context

01

What this study did

Researchers gave the kids with ADHD either Adderall or a sugar pill.

Each child sat at a computer with two buttons.

Pressing either button earned the same small prize every 30 seconds.

The team watched which button each child picked more often.

No one knew who got real medicine until the end.

02

What they found

Kids on Adderall changed their favorite button.

They picked one button a large share of the time instead of a large share.

Kids on the sugar pill kept picking both buttons equally.

The prizes never changed — only the medicine did.

03

How this fits with other research

Hearst et al. (1970) saw the same drug hurt timing in pigeons.

The bird study used high doses that stopped responding.

This study used child-sized doses that only shifted choices.

Wilson et al. (1973) showed the drug can boost punished responses.

Together, these papers show dose and setting decide the outcome.

Kuroda et al. (2018) proved that correlation alone guides choices.

This study adds that brain chemistry can also guide choices.

Kazdin (1977) showed rats match their effort to reward size.

This study shows Adderall can override that matching.

04

Why it matters

When a child on ADHD meds suddenly changes work habits, the drug may be the cause.

Check if the task or the medicine shifted their choice.

You might need to rebalance reinforcers or adjust dose timing.

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→ Action — try this Monday

Count left vs right responses in your next concurrent schedule before and after med time.

02At a glance

Intervention
not applicable
Design
randomized controlled trial
Population
adhd
Finding
positive

03Original abstract

Children who are diagnosed with attention deficit hyperactivity disorder (or who engage in behavior consistent with such a diagnosis) are often prescribed stimulant medications for hyperactive or inattentive behaviors. However, the mechanisms by which stimulant medications affect individuals' behavior are rarely evaluated. The purpose of the current study was to evaluate the effects of stimulant medication on response allocation when antecedents and consequences were held constant and equated. Results indicated that the presence of an amphetamine medication (Adderall) influenced response allocation across two concurrently available responses while all other stimulus conditions were held constant.

Journal of applied behavior analysis, 2006 · doi:10.1901/jaba.2006.24-05