Improving the Medication Management of Patients With Attention-Deficit Hyperactivity Disorder
- Conditions
- Attention Deficit-hyperactivity Disorder
- Interventions
- Behavioral: Clinical decision support for medication titration
- Registration Number
- NCT01769300
- Lead Sponsor
- American Academy of Pediatrics
- Brief Summary
The specific aim of this cluster-randomized (site) comparative effectiveness research study is to determine whether children who are (1) 5-12 years of age, (2) cared for in ePROS practices or clinics using an electronic health record (EHR), (3) have attention-deficit hyperactivity disorder (ADHD), and (4) are to receive treatment with stimulant medication for the first time in these practices, have superior clinical outcomes if their clinicians have access to an EHR-guided clinical decision support system (intervention group) than if their clinicians have no such access (control group).
- Detailed Description
In this cluster (site)-randomized trial of clinical decision support for ADHD medication titration, clinicians caring for children with ADHD whose families are initiating stimulant medication at that practice will be followed.
Two groups will be compared; an intervention group, which will receive the intervention-the clinical decision support (CDS)--, and a control group, who will not receive CDS. Over a 6-month period, the CDS will support guideline-based medication titration to achieve optimal symptom control with minimal side effects. The study will track the care delivered to affected children by the practitioners and will assess the endpoints of symptom reduction and side effects. There will also be a sub-study within the larger study which will give the team a better understanding about the pros and cons of consenting parents over the phone.
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Clinical decision support Clinical decision support for medication titration Electronic health record-based clinical decision support for ADHD medication titration.
- Primary Outcome Measures
Name Time Method Improvement in symptoms, as measured by the parent-reported Vanderbilt Assessment Scale. 4 & 6 months after enrollment This intervention study tests a clinical decision support system for ADHD treatment.
- Secondary Outcome Measures
Name Time Method Side effects as reported on the ADHD Vanderbilt Scale. 4 & 6 months after enrollment We will compare side effects between the intervention and control groups.
Trial Locations
- Locations (1)
American Academy of Pediatrics
馃嚭馃嚫Elk Grove Village, Illinois, United States