Comparative Effectiveness Research for Two Medical Home Models for Attention Deficit Hyperactivity Disorder
This study is currently recruiting participants.
Verified October 2010 by Boston Medical Center
Sponsor:
Boston Medical Center
Collaborators:
Codman Square Health Center
Dorchester House Health Center
Information provided by:
Boston Medical Center
ClinicalTrials.gov Identifier:
NCT01275378
First received: October 11, 2010
Last updated: February 23, 2012
Last verified: October 2010
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Purpose
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.
Condition | Intervention |
---|---|
Attention Deficit/Hyperactivity Disorder |
Behavioral: Collaborative Care Plus Behavioral: Traditional Collaborative Care |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Health Services Research |
Official Title: | COMPARATIVE EFFECTIVENESS RESEARCH FOR TWO MEDICAL HOME MODELS FOR ATTENTION DEFICIT HYPERACTIVITY DISORDER |
Resource links provided by NLM:
Further study details as provided by Boston Medical Center:
Primary Outcome Measures:
- ADHD Symptoms [ Time Frame: 6 mo ] [ Designated as safety issue: No ]Swanson, Nolan and Pelham scale (SNAP-IV)
- ADHD Symptoms [ Time Frame: 12 mo ] [ Designated as safety issue: No ]Swanson, Nolan and Pelham scale (SNAP-IV)
- Patient Medication Adherence [ Time Frame: 6 mo ] [ Designated as safety issue: No ]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
- Patient Medication Adherence [ Time Frame: 12 mo ] [ Designated as safety issue: No ]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
Secondary Outcome Measures:
- ODD Symptoms [ Time Frame: 6 mo ] [ Designated as safety issue: No ]SNAP-IV
- Social Skills [ Time Frame: 6 mo ] [ Designated as safety issue: No ]Social Skills Rating System
- Time to Symptom Improvement [ Time Frame: 12 mo ] [ Designated as safety issue: No ]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
- ODD Symptoms [ Time Frame: 12 mo ] [ Designated as safety issue: No ]SNAP-IV
- Social Skills [ Time Frame: 12 mo ] [ Designated as safety issue: No ]Social Skills Rating System
Estimated Enrollment: | 156 |
Study Start Date: | October 2010 |
Estimated Primary Completion Date: | September 2013 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
---|---|
Active Comparator: Collaborative Care Plus
Collaborative care model with specific theory-based elements to address common reasons for ADHD treatment failure
|
Behavioral: Collaborative Care Plus
Traditional collaborative care + systematic addressing of ADHD comorbidities, parental mental health issues, and adherence to treatment plans
|
Active Comparator: Traditional Collaborative Care
Traditional collaborative care, in which care managers serve as intermediaries between primary care physicians and specialists
|
Behavioral: Traditional Collaborative Care
Traditional collaborative care, in which care managers serve as intermediaries between primary care physicians and specialists
|
Eligibility
Ages Eligible for Study: | 6 Years to 12 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | Yes |
Criteria
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
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01275378
Contacts
Contact: Michael Silverstein, M.D & MPH | 617 414 7903 | michael.silverstein@bmc.org |
Locations
United States, Massachusetts | |
Boston Medical Center | Recruiting |
Boston, Massachusetts, United States, 02118 | |
Principal Investigator: Micheal Silverstein, MD, MPH |
Sponsors and Collaborators
Boston Medical Center
Codman Square Health Center
Dorchester House Health Center
Investigators
Principal Investigator: | Michael Silverstein, MD, MPH | Boston Medical Center |
More Information
No publications provided
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on October 18, 2012
No publications provided
Responsible Party: | Michael Silverstein, Boston Medical Center |
ClinicalTrials.gov Identifier: | NCT01275378 History of Changes |
Other Study ID Numbers: | R40MC17181 |
Study First Received: | October 11, 2010 |
Last Updated: | February 23, 2012 |
Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
Attention Deficit Disorder with Hyperactivity Hyperkinesis Attention Deficit and Disruptive Behavior Disorders Mental Disorders Diagnosed in Childhood Mental Disorders |
Dyskinesias Neurologic Manifestations Nervous System Diseases Signs and Symptoms |
ClinicalTrials.gov processed this record on October 18, 2012