Clinical trial NCT02271386: Educating and Supporting Primary Care Providers in the Implementation of Evidence-based Practices for ADHD
Official title: Educating and Supporting Primary Care Providers in the Implementation of Evidence-based Practices for ADHD
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Attention Deficit Hyperactivity Disorder
Keywords: Evidence-Based Practice
Provider Education
Lead sponsor: Children's Hospital of Philadelphia
Sponsor class: OTHER
First posted: 2014-10-22
Enrollment: 895
Sex: ALL
Minimum age (years): 5
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: TREATMENT

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.


Eligibility criteria: Primary Subjects: Clinicians

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

Primary outcomes:
measure: Number of Patients Who Were Sent the Parents Rating Scale
timeFrame: Baseline Period (8 months)
measure: Number of Patients Whose Parent Rating Scale Was Returned
timeFrame: Baseline Period (8 months)
measure: Number of Patients Who Were Sent the Teacher Rating Scale
timeFrame: Baseline Period (8 months)
measure: Number of Patients Whose Teacher Rating Scale Was Returned
timeFrame: Baseline Period (8 months)
measure: Number of Patients Who Were Sent the Parents Rating Scale
timeFrame: Intervention Period (8 months)
measure: Number of Patients Whose Parent Rating Scale Was Returned
timeFrame: Intervention Period (8 months)
measure: Number of Patients Who Were Sent the Teacher Rating Scale
timeFrame: Intervention Period (8 months)
measure: Number of Patients Whose Teacher Rating Scale Was Returned
timeFrame: Intervention Period (8 months)
Secondary outcomes:
measure: Number of Patients Who Were Sent the Parent Rating Scale - by MOC Status
timeFrame: Baseline Period (8 months)
measure: Number of Patients Whose Parent Rating Scale Was Returned- by MOC Status
timeFrame: Baseline Period (8 months)
measure: Number of Patients Who Were Sent the Teacher Rating Scale- by MOC Status
timeFrame: Baseline Period (8 months)
measure: Number of Patients Whose Teacher Rating Scale Was Returned- by MOC Status
timeFrame: Baseline Period (8 months)
measure: Number of Patients Who Were Sent the Parent Rating Scale- by MOC Status
timeFrame: Intervention Period (8 months)
measure: Number of Patients Whose Parent Rating Scale Was Returned- by MOC Status
timeFrame: Intervention Period (8 months)
measure: Number of Patients Who Were Sent the Teacher Rating Scale- by MOC Status
timeFrame: Intervention Period (8 months)
measure: Number of Patients Whose Teacher Rating Scale Was Returned- by MOC Status
timeFrame: Intervention Period (8 months)
measure: Number of Patients Who Were Sent the Parent Rating Scale- by Feedback Call Participation
timeFrame: Baseline Period (8 months)
measure: Number of Patients Whose Parent Rating Scale Was Returned- by Feedback Call Participation
timeFrame: Baseline Period (8 months)
measure: Number of Patients Who Were Sent the Teacher Rating Scale- by Feedback Call Participation
timeFrame: Baseline Period (8 months)
measure: Number of Patients Whose Teacher Rating Scale Was Returned- by Feedback Call Participation
timeFrame: Baseline Period (8 months)
measure: Number of Patients Who Were Sent the Parent Rating Scale- by Feedback Call Participation
timeFrame: Intervention Period (8 months)
measure: Number of Patients Whose Parent Rating Scale Was Returned- by Feedback Call Participation
timeFrame: Intervention Period (8 months)
measure: Number of Patients Who Were Sent the Teacher Rating Scale- by Feedback Call Participation
timeFrame: Intervention Period (8 months)
measure: Number of Patients Whose Teacher Rating Scale Was Returned- by Feedback Call Participation
timeFrame: Intervention Period (8 months)
measure: Implementation Outcome: Number of Clinicians Who Completed All 3 Educational Presentations
timeFrame: Intervention Period (8 months)
measure: Implementation Outcome: Number of Clinicians Who Used the Collaborative Consultation Component
timeFrame: Intervention Period (8 months)
measure: Implementation Outcome: Number of Clinicians Who Participated in at Least One Performance Feedback Call
timeFrame: Intervention Period (8 months)
measure: Implementation Outcome: Number of Clinicians Who Participated in All Intervention Components and Attested to Fulfilling MOC Requirements
timeFrame: Intervention Period (8 months)
Other outcomes:
Locations:
city: Philadelphia
country: United States
facility: Children's Hospital of Philadelphia
state: Pennsylvania
Study officials:
affiliation: Children's Hospital of Philadelphia
name: Alexander G Fiks, MD, MSCE
role: PRINCIPAL_INVESTIGATOR
affiliation: Children's Hospital of Philadelphia
name: Thomas Power, PhD
role: PRINCIPAL_INVESTIGATOR
References: