Trial Outcomes & Findings for Educating and Supporting Primary Care Providers in the Implementation of Evidence-based Practices for ADHD (NCT NCT02271386)

NCT ID: NCT02271386

Last Updated: 2019-03-18

Results Overview

This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a parent rating scale was sent out during the baseline interval

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

895 participants

Primary outcome timeframe

Baseline Period (8 months)

Results posted on

2019-03-18

Participant Flow

Note: The same group of 105 clinicians participated during both periods. Charts were reviewed for a different random sample of patients in each period (790 patients in total: 391 in the baseline and 399 in the intervention period)

Participant milestones

Participant milestones
Measure
Intervention Clinicians
Clinicians in the intervention arm received the three-part intervention (Supporting Practice for ADHD, or SPA) which includes: education about ADHD management and communication training, collaborative consultation, and performance feedback, for the first 8 months of the study.
Control Clinicians
Clinicians in the control arm received no intervention for the first 8 months of the study, then received the full SPA intervention for the last 8 months of the study.
Patients of Intervention Clinicians
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Baseline Period- 8 Months
STARTED
53
52
200
191
Baseline Period- 8 Months
COMPLETED
53
52
200
191
Baseline Period- 8 Months
NOT COMPLETED
0
0
0
0
Intervention Period- 8 Months
STARTED
53
52
202
197
Intervention Period- 8 Months
COMPLETED
53
52
202
197
Intervention Period- 8 Months
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Age was only measured for patients.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Clinicians
n=53 Participants
Clinicians in the intervention arm received the three-part intervention (Supporting Practice for ADHD, or SPA) which includes: education about ADHD management and communication training, collaborative consultation, and performance feedback, for the first 8 months of the study.
Control Clinicians
n=52 Participants
Clinicians in the control arm received no intervention for the first 8 months of the study, then received the full SPA intervention for the last 8 months of the study.
Patients of Intervention Clinicians
n=402 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=388 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Total
n=895 Participants
Total of all reporting groups
Age, Continuous
9.3 years
STANDARD_DEVIATION 1.9 • n=402 Participants • Age was only measured for patients.
9.2 years
STANDARD_DEVIATION 2.0 • n=388 Participants • Age was only measured for patients.
9.3 years
STANDARD_DEVIATION 2.0 • n=790 Participants • Age was only measured for patients.
Sex: Female, Male
Female
43 Participants
n=53 Participants
45 Participants
n=52 Participants
107 Participants
n=402 Participants
129 Participants
n=388 Participants
324 Participants
n=895 Participants
Sex: Female, Male
Male
10 Participants
n=53 Participants
7 Participants
n=52 Participants
295 Participants
n=402 Participants
259 Participants
n=388 Participants
571 Participants
n=895 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
16 Participants
n=402 Participants • Ethnicity was only recorded for patients.
18 Participants
n=388 Participants • Ethnicity was only recorded for patients.
34 Participants
n=790 Participants • Ethnicity was only recorded for patients.
Ethnicity (NIH/OMB)
Not Hispanic or Latino
386 Participants
n=402 Participants • Ethnicity was only recorded for patients.
370 Participants
n=388 Participants • Ethnicity was only recorded for patients.
756 Participants
n=790 Participants • Ethnicity was only recorded for patients.
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=402 Participants • Ethnicity was only recorded for patients.
0 Participants
n=388 Participants • Ethnicity was only recorded for patients.
0 Participants
n=790 Participants • Ethnicity was only recorded for patients.
Race/Ethnicity, Customized
White
248 Participants
n=402 Participants • Race was only recorded for patients.
143 Participants
n=388 Participants • Race was only recorded for patients.
391 Participants
n=790 Participants • Race was only recorded for patients.
Race/Ethnicity, Customized
Black
104 Participants
n=402 Participants • Race was only recorded for patients.
221 Participants
n=388 Participants • Race was only recorded for patients.
325 Participants
n=790 Participants • Race was only recorded for patients.
Race/Ethnicity, Customized
Other
50 Participants
n=402 Participants • Race was only recorded for patients.
24 Participants
n=388 Participants • Race was only recorded for patients.
74 Participants
n=790 Participants • Race was only recorded for patients.
Insurance payer
Medicaid
169 Participants
n=402 Participants • Insurance payer was only recorded for patients.
224 Participants
n=388 Participants • Insurance payer was only recorded for patients.
393 Participants
n=790 Participants • Insurance payer was only recorded for patients.
Insurance payer
Private
230 Participants
n=402 Participants • Insurance payer was only recorded for patients.
163 Participants
n=388 Participants • Insurance payer was only recorded for patients.
393 Participants
n=790 Participants • Insurance payer was only recorded for patients.
Insurance payer
Missing
3 Participants
n=402 Participants • Insurance payer was only recorded for patients.
1 Participants
n=388 Participants • Insurance payer was only recorded for patients.
4 Participants
n=790 Participants • Insurance payer was only recorded for patients.
Provider Type
Pediatrician
45 Participants
n=53 Participants • Provider type is only applicable to clinician participants.
48 Participants
n=52 Participants • Provider type is only applicable to clinician participants.
93 Participants
n=105 Participants • Provider type is only applicable to clinician participants.
Provider Type
Nurse Practitioner
8 Participants
n=53 Participants • Provider type is only applicable to clinician participants.
4 Participants
n=52 Participants • Provider type is only applicable to clinician participants.
12 Participants
n=105 Participants • Provider type is only applicable to clinician participants.
Baseline Perception of Acceptability of Managing ADHD in Primary Care- Assessing ADHD
3.2 units on a scale
STANDARD_DEVIATION 0.6 • n=53 Participants • This measure only applies to clinicians.
3.3 units on a scale
STANDARD_DEVIATION 0.4 • n=52 Participants • This measure only applies to clinicians.
3.3 units on a scale
STANDARD_DEVIATION 0.5 • n=105 Participants • This measure only applies to clinicians.
Baseline Perception of Acceptability of Managing ADHD in Primary Care- Providing Mental Health Care
3.4 units on a scale
STANDARD_DEVIATION 0.5 • n=53 Participants • This measure only applies to clinicians.
3.4 units on a scale
STANDARD_DEVIATION 0.5 • n=52 Participants • This measure only applies to clinicians.
3.4 units on a scale
STANDARD_DEVIATION 0.5 • n=105 Participants • This measure only applies to clinicians.
Baseline Perception of Acceptability of Managing ADHD in Primary Care- Recommending Medications
3.5 units on a scale
STANDARD_DEVIATION 0.6 • n=53 Participants • This measure only applied to clinicians.
3.6 units on a scale
STANDARD_DEVIATION 0.4 • n=52 Participants • This measure only applied to clinicians.
3.6 units on a scale
STANDARD_DEVIATION 0.5 • n=105 Participants • This measure only applied to clinicians.
Perceived effectiveness at managing ADHD in primary care
2.9 units on a scale
STANDARD_DEVIATION 0.8 • n=53 Participants • This measure only applies to clinicians.
3.1 units on a scale
STANDARD_DEVIATION 0.6 • n=52 Participants • This measure only applies to clinicians.
3.0 units on a scale
STANDARD_DEVIATION 0.7 • n=105 Participants • This measure only applies to clinicians.

PRIMARY outcome

Timeframe: Baseline Period (8 months)

Population: We reviewed charts for a total of 402 patients of intervention clinicians (200 who had an office visit in the 8-month baseline period and 202 who had an office visit in the 8-month intervention period). We reviewed charts for a total of 388 patients of control clinicians (191 in the baseline period and 197 in the control period).

This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a parent rating scale was sent out during the baseline interval

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=200 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=191 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Who Were Sent the Parents Rating Scale
33 Participants
37 Participants

PRIMARY outcome

Timeframe: Baseline Period (8 months)

Population: We reviewed charts for a total of 402 patients of intervention clinicians (200 who had an office visit in the 8-month baseline period and 202 who had an office visit in the 8-month intervention period). We reviewed charts for a total of 388 patients of control clinicians (191 in the baseline period and 197 in the control period).

This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a parent rating scale was received by the clinician during the baseline interval

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=200 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=191 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Whose Parent Rating Scale Was Returned
29 Participants
28 Participants

PRIMARY outcome

Timeframe: Baseline Period (8 months)

Population: We reviewed charts for a total of 402 patients of intervention clinicians (200 who had an office visit in the 8-month baseline period and 202 who had an office visit in the 8-month intervention period). We reviewed charts for a total of 388 patients of control clinicians (191 in the baseline period and 197 in the control period).

This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a teacher rating scale was sent out during the baseline interval

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=200 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=191 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Who Were Sent the Teacher Rating Scale
33 Participants
34 Participants

PRIMARY outcome

Timeframe: Baseline Period (8 months)

Population: We reviewed charts for a total of 402 patients of intervention clinicians (200 who had an office visit in the 8-month baseline period and 202 who had an office visit in the 8-month intervention period). We reviewed charts for a total of 388 patients of control clinicians (191 in the baseline period and 197 in the control period).

This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a teacher rating scale was received by the clinician during the baseline interval

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=200 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=191 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Whose Teacher Rating Scale Was Returned
28 Participants
31 Participants

PRIMARY outcome

Timeframe: Intervention Period (8 months)

Population: We reviewed charts for a total of 402 patients of intervention clinicians (200 who had an office visit in the 8-month baseline period and 202 who had an office visit in the 8-month intervention period). We reviewed charts for a total of 388 patients of control clinicians (191 in the baseline period and 197 in the control period).

This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a parent rating scale was sent out during the intervention interval

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=202 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=197 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Who Were Sent the Parents Rating Scale
85 Participants
65 Participants

PRIMARY outcome

Timeframe: Intervention Period (8 months)

Population: We reviewed charts for a total of 402 patients of intervention clinicians (200 who had an office visit in the 8-month baseline period and 202 who had an office visit in the 8-month intervention period). We reviewed charts for a total of 388 patients of control clinicians (191 in the baseline period and 197 in the control period).

This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a parent rating scale was received by the clinician during the intervention interval

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=202 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=197 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Whose Parent Rating Scale Was Returned
59 Participants
47 Participants

PRIMARY outcome

Timeframe: Intervention Period (8 months)

Population: We reviewed charts for a total of 402 patients of intervention clinicians (200 who had an office visit in the 8-month baseline period and 202 who had an office visit in the 8-month intervention period). We reviewed charts for a total of 388 patients of control clinicians (191 in the baseline period and 197 in the control period).

This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a teacher rating scale was sent out during the intervention interval

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=202 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=197 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Who Were Sent the Teacher Rating Scale
67 Participants
60 Participants

PRIMARY outcome

Timeframe: Intervention Period (8 months)

Population: We reviewed charts for a total of 402 patients of intervention clinicians (200 who had an office visit in the 8-month baseline period and 202 who had an office visit in the 8-month intervention period). We reviewed charts for a total of 388 patients of control clinicians (191 in the baseline period and 197 in the control period).

This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a teacher rating scale was received by the clinician during the intervention interval

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=202 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=197 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Whose Teacher Rating Scale Was Returned
52 Participants
47 Participants

SECONDARY outcome

Timeframe: Baseline Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not fulfill all requirements to receive Maintenance of Certification (MOC) credit. The MOC group included 76 patients in the baseline and 73 in the intervention period. The non-MOC group included 124 and 129.

We calculated the percent of patient charts with evidence that a parent rating scale was sent out during the baseline period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=76 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=124 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Who Were Sent the Parent Rating Scale - by MOC Status
12 Participants
21 Participants

SECONDARY outcome

Timeframe: Baseline Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not fulfill all requirements to receive Maintenance of Certification (MOC) credit. The MOC group included 76 patients in the baseline and 73 in the intervention period. The non-MOC group included 124 and 129.

We calculated the percent of patient charts with evidence that a parent rating scale was received by the clinician/practice during the baseline period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=76 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=124 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Whose Parent Rating Scale Was Returned- by MOC Status
12 Participants
17 Participants

SECONDARY outcome

Timeframe: Baseline Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not fulfill all requirements to receive Maintenance of Certification (MOC) credit. The MOC group included 76 patients in the baseline and 73 in the intervention period. The non-MOC group included 124 and 129.

We calculated the percent of patient charts with evidence that a teacher rating scale was sent out during the baseline period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=76 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=124 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Who Were Sent the Teacher Rating Scale- by MOC Status
12 Participants
21 Participants

SECONDARY outcome

Timeframe: Baseline Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not fulfill all requirements to receive Maintenance of Certification (MOC) credit. The MOC group included 76 patients in the baseline and 73 in the intervention period. The non-MOC group included 124 and 129.

We calculated the percent of patient charts with evidence that a teacher rating scale was received by the clinician/practice during the baseline period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=76 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=124 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Whose Teacher Rating Scale Was Returned- by MOC Status
12 Participants
16 Participants

SECONDARY outcome

Timeframe: Intervention Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not fulfill all requirements to receive Maintenance of Certification (MOC) credit. The MOC group included 76 patients in the baseline and 73 in the intervention period. The non-MOC group included 124 and 129.

We calculated the percent of patient charts with evidence that a parent rating scale was sent out during the intervention period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=73 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=129 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Who Were Sent the Parent Rating Scale- by MOC Status
40 Participants
45 Participants

SECONDARY outcome

Timeframe: Intervention Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not fulfill all requirements to receive Maintenance of Certification (MOC) credit. The MOC group included 76 patients in the baseline and 73 in the intervention period. The non-MOC group included 124 and 129.

We calculated the percent of patient charts with evidence that a parent rating scale was received by the clinician/practice during the intervention period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=73 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=129 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Whose Parent Rating Scale Was Returned- by MOC Status
26 Participants
33 Participants

SECONDARY outcome

Timeframe: Intervention Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not fulfill all requirements to receive Maintenance of Certification (MOC) credit. The MOC group included 76 patients in the baseline and 73 in the intervention period. The non-MOC group included 124 and 129.

We calculated the percent of patient charts with evidence that a teacher rating scale was sent out during the intervention period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=73 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=129 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Who Were Sent the Teacher Rating Scale- by MOC Status
28 Participants
39 Participants

SECONDARY outcome

Timeframe: Intervention Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not fulfill all requirements to receive Maintenance of Certification (MOC) credit. The MOC group included 76 patients in the baseline and 73 in the intervention period. The non-MOC group included 124 and 129.

We calculated the percent of patient charts with evidence that a teacher rating scale was received by the clinician/practice during the intervention period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=73 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=129 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Whose Teacher Rating Scale Was Returned- by MOC Status
21 Participants
31 Participants

SECONDARY outcome

Timeframe: Baseline Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not participate in at least one performance feedback call. The feedback call group included 115 patients in the baseline and 112 in the intervention period. The non-feedback call group included 85 and 90.

We calculated the percent of patient charts with evidence that a parent rating scale was sent out during the baseline period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=115 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=85 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Who Were Sent the Parent Rating Scale- by Feedback Call Participation
21 Participants
12 Participants

SECONDARY outcome

Timeframe: Baseline Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not participate in at least one performance feedback call. The feedback call group included 115 patients in the baseline and 112 in the intervention period. The non-feedback call group included 85 and 90.

We calculated the percent of patient charts with evidence that a parent rating scale was received by the clinician/practice during the baseline period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=115 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=85 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Whose Parent Rating Scale Was Returned- by Feedback Call Participation
19 Participants
10 Participants

SECONDARY outcome

Timeframe: Baseline Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not participate in at least one performance feedback call. The feedback call group included 115 patients in the baseline and 112 in the intervention period. The non-feedback call group included 85 and 90.

We calculated the percent of patient charts with evidence that a teacher rating scale was sent out during the baseline period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=115 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=85 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Who Were Sent the Teacher Rating Scale- by Feedback Call Participation
24 Participants
9 Participants

SECONDARY outcome

Timeframe: Baseline Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not participate in at least one performance feedback call. The feedback call group included 115 patients in the baseline and 112 in the intervention period. The non-feedback call group included 85 and 90.

We calculated the percent of patient charts with evidence that a teacher rating scale was received by the clinician/practice during the baseline period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=115 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=85 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Whose Teacher Rating Scale Was Returned- by Feedback Call Participation
21 Participants
7 Participants

SECONDARY outcome

Timeframe: Intervention Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not participate in at least one performance feedback call. The feedback call group included 115 patients in the baseline and 112 in the intervention period. The non-feedback call group included 85 and 90.

We calculated the percent of patient charts with evidence that a parent rating scale was sent out during the intervention period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=112 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=90 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Who Were Sent the Parent Rating Scale- by Feedback Call Participation
56 Participants
29 Participants

SECONDARY outcome

Timeframe: Intervention Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not participate in at least one performance feedback call. The feedback call group included 115 patients in the baseline and 112 in the intervention period. The non-feedback call group included 85 and 90.

We calculated the percent of patient charts with evidence that a parent rating scale was received by the clinician/practice during the intervention period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=112 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=90 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Whose Parent Rating Scale Was Returned- by Feedback Call Participation
35 Participants
24 Participants

SECONDARY outcome

Timeframe: Intervention Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not participate in at least one performance feedback call. The feedback call group included 115 patients in the baseline and 112 in the intervention period. The non-feedback call group included 85 and 90.

We calculated the percent of patient charts with evidence that a teacher rating scale was sent out during the intervention period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=112 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=90 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Who Were Sent the Teacher Rating Scale- by Feedback Call Participation
42 Participants
25 Participants

SECONDARY outcome

Timeframe: Intervention Period (8 months)

Population: This outcome was only assessed for patients of clinicians in the intervention group, and compared patients of clinicians who did and did not participate in at least one performance feedback call. The feedback call group included 115 patients in the baseline and 112 in the intervention period. The non-feedback call group included 85 and 90.

We calculated the percent of patient charts with evidence that a teacher rating scale was received by the clinician/practice during the intervention period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=112 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
n=90 Participants
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Number of Patients Whose Teacher Rating Scale Was Returned- by Feedback Call Participation
30 Participants
22 Participants

SECONDARY outcome

Timeframe: Intervention Period (8 months)

Population: This outcome was only assessed for intervention clinicians.

We assessed the proportion of clinicians randomized to the intervention group that completed all 3 educational presentations.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=53 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Implementation Outcome: Number of Clinicians Who Completed All 3 Educational Presentations
42 Participants

SECONDARY outcome

Timeframe: Intervention Period (8 months)

Population: This outcome was only assessed for intervention clinicians.

We calculated the proportion of clinicians in the intervention group that posted in the online networking site which was used to facilitate collaborative consultation.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=53 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Implementation Outcome: Number of Clinicians Who Used the Collaborative Consultation Component
5 Participants

SECONDARY outcome

Timeframe: Intervention Period (8 months)

Population: This outcome was only assessed for intervention clinicians.

We calculated the proportion of clinicians in the intervention group who participated in at least one of the four performance feedback calls that were held during the study period.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=53 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Implementation Outcome: Number of Clinicians Who Participated in at Least One Performance Feedback Call
30 Participants

SECONDARY outcome

Timeframe: Intervention Period (8 months)

Population: This outcome was only assessed for intervention clinicians.

We calculated the proportion of clinicians in the intervention group who completed all components of the intervention and attested to fulfilling MOC requirements.

Outcome measures

Outcome measures
Measure
Patients of Intervention Clinicians
n=53 Participants
Children aged 5-12 with ADHD seen by a clinician in the intervention group during the study period.
Patients of Control Clinicians
Children aged 5-12 with an ADHD diagnosis seen by clinicians in the control group during the study period.
Implementation Outcome: Number of Clinicians Who Participated in All Intervention Components and Attested to Fulfilling MOC Requirements
19 Participants

Adverse Events

Intervention Clinicians

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Clinicians

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Patients of Intervention Clinicians

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Patients of Control Clinicians

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

Alexander Fiks, MD, MSCE

The Children's Hospital of Philadelphia

Phone: 2674262304

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place