Comparative Effectiveness Research for Two Medical Home Models for Attention Deficit Hyperactivity Disorder

Boston Medical Center (BMC)

Status: Completed

Conditions: Attention Deficit/Hyperactivity Disorder

Treatments: Behavioral: Collaborative Care Plus; Behavioral: Traditional Collaborative Care

Study type: Interventional

Funder types: Other

Identifiers

NCT01275378

R40MC17181

Details and patient eligibility

About

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.

Enrollment: 156 estimated patients

Sex: All

Ages: 6 to 12 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 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

Exclusion criteria

• 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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

---

156 participants in 2 patient groups

Collaborative Care Plus

Active Comparator group

Description:

Collaborative care model with specific theory-based elements to address common reasons for ADHD treatment failure

Treatment:

Behavioral: Collaborative Care Plus

Traditional Collaborative Care

Active Comparator group

Description:

Traditional collaborative care, in which care managers serve as intermediaries between primary care physicians and specialists

Treatment:

Behavioral: Traditional Collaborative Care