Evaluation of an Intervention for Improving Community-based Pediatric ADHD Care
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| City: |
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Columbus |
| State: |
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Ohio |
| Zip Code: |
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43205 |
| Conditions: |
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ADHD |
| Purpose: |
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ADHD is the most prevalent mental health disorder of childhood. The majority of children
with ADHD receive their care in primary care settings. While the American Academy of
Pediatrics (AAP) issued evidence-based guidelines and recommendations for pediatricians,
most pediatricians have difficulty adhering to these guidelines. Given observed
deficiencies in evidence-based ADHD care and the likely effects on child outcomes, the
development and testing of interventions aimed at improving ADHD care in primary care
settings is necessary. Cincinnati Children's Hospital Medical Center has developed a model
intervention, termed the ADHD Collaborative, to comprehensively address this issue. The
ADHD Collaborative intervention model includes academic detailing, quality improvement
methods, and innovative tools (e.g., web portal) designed to promote and support the
systematic use of the AAP guidelines. This intervention model has been used to train over
200 physicians at 55 practices in the Greater Cincinnati area. The intervention appears to
produce 2- to 4-fold increases in the use of evidence-based ADHD-related practice behaviors
in participating physicians. To date, the intervention has been implemented as a quality
improvement project with few experimental controls. The primary goal of the proposed study
is to conduct an experimentally-controlled cluster randomized trial of the ADHD
Collaborative intervention. Thirty-two pediatric practices will be randomly assigned to
receive the ADHD Collaborative intervention or to provide usual care. Approximately 96
physicians and 576 of their ADHD patients will be included in the study. Chart reviews,
parental interviews, and parent and teacher rating scales will be collected. Between- and
within-group hierarchical linear modeling analyses will examine whether the intervention
produces significant improvements in pediatrician practice behaviors, patient satisfaction
with ADHD care, and child outcomes over and above typical ADHD care. Also, the relative
cost effectiveness of the ADHD Collaborative intervention over typical care will be
established by computing incremental cost-effectiveness ratios using cost and effect size
estimates.
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| Study Summary: |
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| Criteria: |
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Inclusion Criteria:
- Practice must have a minimum of two pediatricians who agree to participate.
- Practice must have an electronic billing system.
- Practice must have internet access at office.
- Practice must not have an on-site mental health professional.
- Practice must have a member of practice staff willing to be trained in human subjects
certification and willing to consent families.
- Children must be in Grade 1-5.
- Children must be newly diagnosed with ADHD.
Exclusion Criteria:
-
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| NCT ID: |
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NCT01143701 |
| Primary Contact: |
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N/A |
| Backup Contact: |
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N/A |
| Location Contact: |
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Columbus, Ohio 43205
United States
There is no listed contact information for this specific location.
Site Status: N/A |
| Data Source: |
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ClinicalTrials.gov |
| Date Processed: |
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May 21, 2013 |
| Modifications to this listing: |
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