COMPARATIVE EFFECTIVENESS RESEARCH FOR TWO MEDICAL HOME MODELS FOR ATTENTION DEFICIT HYPERACTIVITY DISORDER
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 156
- 试验地点
- 2
- 主要终点
- ADHD Symptoms
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Triple (Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 6 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •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
结局指标
主要结局
ADHD Symptoms
时间窗: 12 mo
Swanson, Nolan and Pelham scale (SNAP-IV)
Patient Medication Adherence
时间窗: 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
次要结局
- ODD Symptoms(12 mo)
- Social Skills(12 mo)
- Time to Symptom Improvement(12 mo)
研究者
Michael Silverstein
Associate Professor of Pediatrics
Boston Medical Center