Attention-deficit/hyperactivity disorder outcomes for children treated in community-based pediatric settings.

Archives of Pediatrics & Adolescent Medicine
Jeffery N EpsteinLori J Stark

Abstract

To determine if children treated by community physicians who participated in an attention-deficit/hyperactivity disorder (ADHD) quality improvement intervention demonstrate symptom and impairment improvements comparable with those achieved in university-based clinical trials. Case series. Rural, suburban, and urban practices, with 28% of the 47 practices serving primarily (>50% of patients) Medicaid-receiving populations. A total of 785 children aged between 7 and 11 years were treated for ADHD by community physicians participating in the study. Intervention A total of 158 community physicians from 47 separate practices participated in a quality improvement intervention, the ADHD Collaborative, designed to improve physician adherence to evidence-based ADHD treatment guidelines. The intervention included mapping and redesign of practice office flow to facilitate adherence to American Academy of Pediatrics ADHD guidelines as well as didactic sessions related to diagnosis and treatment of ADHD. Medical record reviews were completed at the initial assessment and every 3 months for 1 year to evaluate treatment outcome. Improvement in parent- and teacher-rated ADHD symptoms and functional impairment. Children showed large improvement...Continue Reading

Associated Clinical Trials

Citations

Jul 14, 2010·Current Psychiatry Reports·Nancy B PalmerAmy Desalvo
Feb 12, 2011·Patient Preference and Adherence·William B Brinkman, Jeffery N Epstein
Jun 15, 2011·Pediatrics·John V LavignePoonam Jha
Mar 27, 2016·Journal of the American Academy of Child and Adolescent Psychiatry·William B BrinkmanJeffery N Epstein
Nov 19, 2010·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Vanessa B WilsonJoel T Nigg
Feb 10, 2016·Journal of Child and Adolescent Psychopharmacology·Kathleen Myers, Jonathan S Comer
Mar 21, 2015·Journal of the American Academy of Child and Adolescent Psychiatry·Kathleen MyersWayne Katon
Mar 5, 2014·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·David J Kolko, Ellen Perrin
Aug 11, 2015·Journal of Child and Adolescent Psychopharmacology·Carol M RockhillKathleen Myers
Sep 26, 2013·Journal of Attention Disorders·Sabrina Elayne Brierley SchuckKimberley D Lakes
Sep 23, 2014·Journal of Attention Disorders·Melissa R Dvorsky, Joshua M Langberg
Aug 10, 2010·School Mental Health·Alexander G Fiks, Laurel K Leslie
Jun 9, 2012·Journal of Clinical Psychology in Medical Settings·David F CurtisSarah Mire
May 4, 2012·Expert Review of Neurotherapeutics·Jeffery N Epstein
Aug 18, 2017·Journal of Developmental and Behavioral Pediatrics : JDBP·Nerissa S BauerAaron E Carroll
Feb 5, 2015·Journal of Developmental and Behavioral Pediatrics : JDBP·Briannon C OʼConnorJeffery N Epstein
Sep 29, 2015·Journal of Developmental and Behavioral Pediatrics : JDBP·Nerissa S BauerStephen M Downs
Jan 1, 2016·Advances in School Mental Health Promotion·Thomas J PowerAlexander G Fiks
Jun 9, 2012·Clinical Child and Family Psychology Review·Joshua M Langberg, Stephen P Becker
Jun 26, 2015·Expert Review of Clinical Pharmacology·Nicoletta AdamoDavid Coghill
Apr 9, 2020·The Journal of Pediatric Pharmacology and Therapeutics : JPPT : the Official Journal of PPAG·Selena R PasadynMichael Manos
Feb 11, 2014·Journal of Attention Disorders·Matthew F DaleyRegina Bussing

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