COMPARATIVE EFFECTIVENESS RESEARCH FOR TWO MEDICAL HOME MODELS FOR ATTENTION DEFICIT HYPERACTIVITY DISORDER
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Boston Medical Center
- Enrollment
- 156
- Locations
- 1
- Primary Endpoint
- ADHD Symptoms
Overview
Brief Summary
The purpose of this study is to compare the effectiveness of two care models on ADHD outcomes: one, a model of basic care management and structured communication with specialists, consistent with conventional descriptions of a patient-centered Medical Home; and another, which combines the Medical Home with theory-based care management strategies to address common reasons for ADHD treatment failure.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Triple (Care Provider, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 6 Years to 12 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Child is being evaluated for a potential diagnosis of ADHD by a primary care pediatrician at one of our sites.
- •Child is 6 to 12 years of age
- •Family plans to remain in the Boston area for the duration of the follow-up period
- •Mother is comfortable in English or Spanish
Exclusion Criteria
- •Child already has a confirmed diagnosis of ADHD
- •Child already receives ongoing specialty care in one or more of the following clinics: pediatric psychiatry, developmental behavioral pediatrics
Outcomes
Primary Outcomes
ADHD Symptoms
Time Frame: 12 mo
Swanson, Nolan and Pelham scale (SNAP-IV)
Patient Medication Adherence
Time Frame: 12 mo
Timely prescribed refills of ADHD medications - assessed through the EHR - will provide an accurate picture of medication adherence from the perspective of prescription writing. In addition, we will administer the validated Medication Adherence Scale, which has good reliability among parents of urban children with asthma
Secondary Outcomes
- ODD Symptoms(12 mo)
- Social Skills(12 mo)
- Time to Symptom Improvement(12 mo)
Investigators
Michael Silverstein
Associate Professor of Pediatrics
Boston Medical Center