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| Name | Class |
|---|---|
| Codman Square Health Center | UNKNOWN |
| Dorchester House Health Center | UNKNOWN |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Collaborative Care Plus | Active Comparator | Collaborative care model with specific theory-based elements to address common reasons for ADHD treatment failure |
|
| Traditional Collaborative Care | Active Comparator | Traditional collaborative care, in which care managers serve as intermediaries between primary care physicians and specialists |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Collaborative Care Plus | Behavioral | Traditional collaborative care + systematic addressing of ADHD comorbidities, parental mental health issues, and adherence to treatment plans |
| Measure | Description | Time Frame |
|---|---|---|
| ADHD Symptoms | Swanson, Nolan and Pelham scale (SNAP-IV) | 6 mo |
| ADHD Symptoms | Swanson, Nolan and Pelham scale (SNAP-IV) | 12 mo |
| Patient Medication Adherence | 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 | 6 mo |
| Patient Medication Adherence | 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 | 12 mo |
| Measure | Description | Time Frame |
|---|---|---|
| ODD Symptoms | SNAP-IV | 6 mo |
| Social Skills | Social Skills Rating System | 6 mo |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michael Silverstein, MD, MPH | Boston Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Boston Medical Center | Boston | Massachusetts | 02118 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25802346 | Derived | Silverstein M, Hironaka LK, Walter HJ, Feinberg E, Sandler J, Pellicer M, Chen N, Cabral H. Collaborative care for children with ADHD symptoms: a randomized comparative effectiveness trial. Pediatrics. 2015 Apr;135(4):e858-67. doi: 10.1542/peds.2014-3221. |
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| ID | Term |
|---|---|
| D001289 | Attention Deficit Disorder with Hyperactivity |
| ID | Term |
|---|---|
| D019958 | Attention Deficit and Disruptive Behavior Disorders |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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| Traditional Collaborative Care | Behavioral | Traditional collaborative care, in which care managers serve as intermediaries between primary care physicians and specialists |
|
| Time to Symptom Improvement | Based on follow-up ADHD symptom scales administered at regular intervals by our care managers, we will quantify the time between initial diagnosis and definitive improvement - conventionally defined by a 25% symptom reduction from baseline | 12 mo |
| ODD Symptoms | SNAP-IV | 12 mo |
| Social Skills | Social Skills Rating System | 12 mo |