• Evaluation of an Intervention for Improving Community-Based Pediatric ADHD Care


    Grant Number:
    1R01MH083665
    PI: Jeff Epstein, PhD
    Collaborators: Joshua Langberg, PhD; Phil Lichtenstein, MD; Joe Rausch, PhD; Carole Lannon, MD; Kelly Kelleher, MD (Nationwide Children’s Hospital); Rebecca Baum, MD (Nationwide Children’s Hospital); Chris Schatschneider, PhD (FSU); Michael Foster, PhD (UNC)

    The majority of children with ADHD receive their care in primary care settings.  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 American Academy of Pediatrics ADHD care guidelines.  The primary goal of the proposed study is to conduct an experimentally controlled cluster randomized trial of the ADHD Collaborative intervention. Thirty-six 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.  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. 

    We are currently recruiting pediatric practices located in Ohio to participate in this study.  Benefits of participation include access to intervention technology, credits towards satisfying ABP Maintenance of Certification requirement, and 20 hours of CME credits.  If you are interested in participating, please call Rebecca Baum, MD at 1-877-494-2343.

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