Exploring the Group Visit Model for Pediatric ADHD Management in the Medical Home
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 56
- 试验地点
- 1
- 主要终点
- Number of clinic visits during study period
研究概览
简要总结
Attention deficit hyperactivity disorder (ADHD) affects 8% of US youth. Even though evidence shows medications are effective in reducing ADHD symptoms, many families experience ongoing parenting stress around parent-child interactions. Children often have ongoing impairments in functioning. ADHD is a common condition identified and managed by primary care pediatricians. However current care in the clinic is not optimal to address parents' and children's needs around ADHD chronic care. Time is the biggest barrier. Group visits are a viable option to improve pediatric ADHD care, but requires extensive study. The goal of this proposed study is to test the feasibility and effectiveness of the group visit model for ADHD management within pediatric primary care. This study will be a randomized feasibility study that will generate important pilot data, as well as result in an innovative, exportable pediatric ADHD group curriculum for primary care practice.
详细描述
The specific research aims of this proposal are:
Aim 1: Develop and test a group curriculum for parents of children (age 6 to 18 years) with ADHD to increase parental knowledge about ADHD and self-confidence in managing issues related to their child's functioning in school and home.
Aim 2: Develop and test a group curriculum for children (age 6 to 18 years) with ADHD to teach social and educational skills to improve adaptive functioning at home and school.
Aim 3: To assess any added benefits to the parents, children and providers (related to group visit logistics and satisfaction) the group visit model has over usual care.
Aim 4: To assess whether the group visit model can be done efficiently and effectively in the setting of an actual general pediatric practice.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 6 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •children with ADHD and their parents
- •children receiving routine ADHD follow-up care at the study clinic
- •if on medication, must be "stable" for 3 months and therefore not needing monthly clinic appointments to titrate medication
排除标准
- •conduct disorder
- •moderate to severe intellectual disability
研究组 & 干预措施
ADHD Group Curriculum
Participants assigned to the group visit intervention agree to participate in 5 group visits every 3 months rather than individual ADHD follow-up visits to the clinic. Parents and children participate in separate but simultaneously run groups. Group portion is 60 minutes and then parent-child dyads complete individual visits for medication titration and physical exam.
干预措施: ADHD Group Curriculum (Behavioral)
Control
Participants continue to go to the clinic for 5 routine ADHD follow-up visits to the clinic every 3 months as usual clinical protocol.
结局指标
主要结局
Number of clinic visits during study period
时间窗: 12 months
Feasibility of group visit model was measured as number of visits to the clinic by chart review. We also looked at the number of group visits a family attended based on the sign in sheet provided at the beginning of each session.
次要结局
- teacher report of child's ADHD symptoms in school(12 months)
- Child functioning at school(baseline)
- Parent-rated ADHD symptoms(12 months)
- Child functioning at home(12 months)
- Teacher report of child's ADHD symptoms(baseline)
- Parenting self-efficacy(Baseline)
- Parental knowledge, satisfaction towards medication treatment(baseline)
- teacher rating of child's functioning in school(12 months)
- Parenting Self-efficacy(12 months)
- Parent knowledge and satisfaction towards medication treatment(12 months)
- Quality of Life(12 months)
- Parent-rated ADHD symptoms(Baseline)
- Child functioning at home(Baseline)
- Quality of Life(baseline)
研究者
Nerissa Bauer
Assistant Professor
Indiana University