Educating and Supporting Primary Care Providers in the Implementation of Evidence-based Practices for ADHD

Children's Hospital of Philadelphia (CHOP)

Status: Completed

Conditions: Attention Deficit Hyperactivity Disorder

Treatments: Behavioral: Supporting Practice for ADHD (SPA)

Study type: Interventional

Funder types: Other

Identifiers

NCT02271386

14-011189

Details and patient eligibility

About

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.

Enrollment: 895 patients

Sex: All

Ages: 5 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion 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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

---

895 participants in 2 patient groups

Intervention

Experimental group

Description:

Clinicians in the intervention arm will receive the three-part intervention (Supporting Practice for ADHD, or SPA) which includes: education about ADHD management and communication training, collaborative consultation, and performance feedback, for the first 8 months of the study.

Treatment:

Behavioral: Supporting Practice for ADHD (SPA)

Control

Other group

Description:

Clinicians in the control arm will receive no intervention for the first 8 months of the study, then will receive the full SPA intervention for the last 8 months of the study.

Treatment:

Behavioral: Supporting Practice for ADHD (SPA)