Trial Outcomes & Findings for Disseminating a Model Intervention to Promote Improved Attention-deficit Hyperactivity Disorder (ADHD) Care in the Community (NCT NCT01056016)

Results Overview

Percentage of patients across pediatricians in each randomized group for whom the pediatrician collected teacher ratings to monitor treatment response

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

49 participants

Primary outcome timeframe

Baseline and 6 months

Results posted on

2016-12-23

Participant Flow

Participant milestones

Participant milestones
Measure	Wait-list Control Wait-list control group	ADHD Collaborative Intervention This intervention includes mapping and redesign of office flow to facilitate adherence to American Academy of Pediatrics (AAP) ADHD guidelines as well as didactic sessions related to diagnosis and treatment of ADHD. Didactics include the importance of obtaining parent and teacher behavioral ratings at the time of the initial assessment for ADHD and during follow-up after initiating medication treatment and making a DSM-IV based ADHD diagnosis. Practices are given a web-based ADHD portal to assist them in creating a patient registry and to help in obtaining parent and teacher ratings scales. The intervention lasts for 6 months. ADHD Collaborative: This intervention includes mapping and redesign of office flow to facilitate adherence to AAP ADHD guidelines as well as didactic sessions related to diagnosis and treatment of ADHD. Didactics emphasize the importance of obtaining parent and teacher behavioral ratings (e.g. Vanderbilt ADHD Rating Scales) at the time of the initial
Overall Study STARTED	22	27
Overall Study COMPLETED	20	26
Overall Study NOT COMPLETED	2	1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Disseminating a Model Intervention to Promote Improved Attention-deficit Hyperactivity Disorder (ADHD) Care in the Community

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Wait-list Control n=22 Participants Wait-list control group	ADHD Collaborative Intervention n=27 Participants This intervention includes mapping and redesign of office flow to facilitate adherence to AAP ADHD guidelines as well as didactic sessions related to diagnosis and treatment of ADHD. Didactics emphasize the importance of obtaining parent and teacher behavioral ratings (e.g. Vanderbilt ADHD Rating Scales) at the time of the initial assessment for ADHD and during follow-up after initiating medication treatment and making a DSM-IV based ADHD diagnosis. Practices are given a web-based ADHD portal to assist them in creating a patient registry and to help in obtaining parent and teacher ratings scales. The intervention lasts for 6 months. ADHD Collaborative: This intervention includes mapping and redesign of office flow to facilitate adherence to AAP ADHD guidelines as well as didactic sessions related to diagnosis and treatment of ADHD. Didactics emphasize the importance of obtaining parent and teacher behavioral ratings (e.g. Vanderbilt ADHD Rating Scales) at the time of the initial	Total n=49 Participants Total of all reporting groups
Age, Continuous	47.0 Years STANDARD_DEVIATION 10.3 • n=5 Participants	46.6 Years STANDARD_DEVIATION 11.3 • n=7 Participants	46.8 Years STANDARD_DEVIATION 10.7 • n=5 Participants
Gender Female	15 Participants n=5 Participants	14 Participants n=7 Participants	29 Participants n=5 Participants
Gender Male	7 Participants n=5 Participants	13 Participants n=7 Participants	20 Participants n=5 Participants
Region of Enrollment United States	22 participants n=5 Participants	27 participants n=7 Participants	49 participants n=5 Participants

PRIMARY outcome

Timeframe: Baseline and 6 months

Population: Patient chart reviews were conducted with 174 patients in the ADHD Collaborative Intervention group and 64 patients in the Wait-list control group

Percentage of patients across pediatricians in each randomized group for whom the pediatrician collected teacher ratings to monitor treatment response

Outcome measures

Outcome measures
Measure	Wait-list Control n=22 Participants Wait-list control group	ADHD Collaborative Intervention n=27 Participants This intervention includes mapping and redesign of office flow to facilitate adherence to AAP ADHD guidelines as well as didactic sessions related to diagnosis and treatment of ADHD. Didactics emphasize the importance of obtaining parent and teacher behavioral ratings (e.g. Vanderbilt ADHD Rating Scales) at the time of the initial assessment for ADHD and during follow-up after initiating medication treatment and making a DSM-IV based ADHD diagnosis. Practices are given a web-based ADHD portal to assist them in creating a patient registry and to help in obtaining parent and teacher ratings scales. The intervention lasts for 6 months. ADHD Collaborative: This intervention includes mapping and redesign of office flow to facilitate adherence to AAP ADHD guidelines as well as didactic sessions related to diagnosis and treatment of ADHD. Didactics emphasize the importance of obtaining parent and teacher behavioral ratings (e.g. Vanderbilt ADHD Rating Scales) at the time of the initial
Physician ADHD Practice Behavior Baseline	0 percentage of patients Standard Deviation 0	0 percentage of patients Standard Deviation 0
Physician ADHD Practice Behavior 6-months	6.3 percentage of patients Standard Deviation 25.0	38.7 percentage of patients Standard Deviation 36.1

Adverse Events

Wait-list Control

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

ADHD Collaborative Intervention

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Jeff Epstein, Ph.D.

Cincinnati Children's Hospital Medical Center

Phone: 5136368296

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place