Educating and Supporting Primary Care Providers in the Implementation of Evidence-based Practices for ADHD

Children's Hospital of Philadelphia1 site in 1 country895 target enrollmentNovember 2014

Overview

Brief Summary

Although numerous studies have demonstrated that a high percentage of primary care providers (PCPs) are knowledgeable about the American Academy of Pediatrics' guidelines for managing ADHD, many fail to implement these guidelines correctly. The goal of this project is to increase the use of evidence-based practices (EBP) for assessing and treating children with ADHD between 5 and 12 years in the context of primary care practice. This randomized controlled trial will evaluate the whether a 3-part intervention (education about ADHD management and communication training, collaborative consultation, and performance feedback regarding use of EBPs) is effective in improving EBP use among primary care providers.

Registry

clinicaltrials.gov

Start Date

November 2014

End Date

July 31, 2016

Last Updated

7 years ago

Study Type

Interventional

Study Design

Crossover

Sex

All

Investigators

Sponsor

Children's Hospital of Philadelphia

Responsible Party

Sponsor

Eligibility Criteria

Inclusion Criteria

•Non-resident clinician (physician or nurse practitioner) at participating site

Exclusion Criteria

•Residents
•Secondary Subjects: Families
•Inclusion Criteria:
•Children aged 5-12 years receiving care from a clinician enrolled in the study for ADHD and their parents
•Exclusion Criteria:
•Autism spectrum disorder

Outcomes

Primary Outcomes

Number of Patients Who Were Sent the Parents Rating Scale

Time Frame: Intervention Period (8 months)

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

Number of Patients Whose Teacher Rating Scale Was Returned

Time Frame: Intervention Period (8 months)

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

Number of Patients Whose Parent Rating Scale Was Returned

Time Frame: Intervention Period (8 months)

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

Number of Patients Who Were Sent the Teacher Rating Scale

Time Frame: Intervention Period (8 months)

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

Secondary Outcomes

Number of Patients Who Were Sent the Parent Rating Scale- by MOC Status(Intervention Period (8 months))
Number of Patients Whose Parent Rating Scale Was Returned- by Feedback Call Participation(Intervention Period (8 months))
Number of Patients Who Were Sent the Teacher Rating Scale- by MOC Status(Intervention Period (8 months))
Number of Patients Whose Parent Rating Scale Was Returned- by MOC Status(Intervention Period (8 months))
Number of Patients Who Were Sent the Parent Rating Scale- by Feedback Call Participation(Intervention Period (8 months))
Number of Patients Whose Teacher Rating Scale Was Returned- by Feedback Call Participation(Intervention Period (8 months))
Number of Patients Who Were Sent the Parent Rating Scale - by MOC Status(Baseline Period (8 months))
Number of Patients Whose Teacher Rating Scale Was Returned- by MOC Status(Intervention Period (8 months))
Implementation Outcome: Number of Clinicians Who Completed All 3 Educational Presentations(Intervention Period (8 months))
Number of Patients Who Were Sent the Teacher Rating Scale- by Feedback Call Participation(Intervention Period (8 months))
Implementation Outcome: Number of Clinicians Who Used the Collaborative Consultation Component(Intervention Period (8 months))
Implementation Outcome: Number of Clinicians Who Participated in at Least One Performance Feedback Call(Intervention Period (8 months))
Implementation Outcome: Number of Clinicians Who Participated in All Intervention Components and Attested to Fulfilling MOC Requirements(Intervention Period (8 months))