Skip to main content
OpenTrials
Completed

NCT Number: NCT02271386

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

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.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Attention Deficit Hyperactivity Disorder Attention Deficit Disorder with Hyperactivity Attention Deficit and Disruptive Behavior Disorders Mental Disorders Neurodevelopmental Disorders

Age range

5 year–12 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19103, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Supporting Practice for ADHD (SPA)

Behavioral

The SPA intervention will last for 8 months for each study arm (first 8 months of the study for the intervention group, last 8 months for the control group). The intervention includes 3 components: 1) a series of web-based educational presentations to provide education to providers about evidence-based practice for managing ADHD and strategies for promoting effective communication with families 2) Collaborative consultation designed to address clinical issues arising in practice will be provided by members of the study team.

  • Providers will be given systematic performance feedback with regard to their use of evidence-based practices for ADHD every 2 months during the 8-month intervention period.

Primary outcomes

  1. Number of Patients Who Were Sent the Parents Rating Scale

    Time frame: Baseline Period (8 months)

    This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a parent rating scale was sent out during the baseline interval

  2. Number of Patients Whose Parent Rating Scale Was Returned

    Time frame: Baseline Period (8 months)

    This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a parent rating scale was received by the clinician during the baseline interval

  3. Number of Patients Who Were Sent the Teacher Rating Scale

    Time frame: Baseline Period (8 months)

    This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a teacher rating scale was sent out during the baseline interval

  4. Number of Patients Whose Teacher Rating Scale Was Returned

    Time frame: Baseline Period (8 months)

    This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a teacher rating scale was received by the clinician during the baseline interval

  5. Number of Patients Who Were Sent the Parents Rating Scale

    Time frame: Intervention Period (8 months)

    This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a parent rating scale was sent out during the intervention interval

  6. Number of Patients Whose Parent Rating Scale Was Returned

    Time frame: Intervention Period (8 months)

    This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a parent rating scale was received by the clinician during the intervention interval

  7. Number of Patients Who Were Sent the Teacher Rating Scale

    Time frame: Intervention Period (8 months)

    This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a teacher rating scale was sent out during the intervention interval

  8. Number of Patients Whose Teacher Rating Scale Was Returned

    Time frame: Intervention Period (8 months)

    This measure is based on chart review of patients of clinicians in each study arm (up to 4 patients per clinician) and reflects whether there is evidence that a teacher rating scale was received by the clinician during the intervention interval

Secondary outcomes

  1. Number of Patients Who Were Sent the Parent Rating Scale - by MOC Status

    Time frame: Baseline Period (8 months)

    We calculated the percent of patient charts with evidence that a parent rating scale was sent out during the baseline period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

  2. Number of Patients Whose Parent Rating Scale Was Returned- by MOC Status

    Time frame: Baseline Period (8 months)

    We calculated the percent of patient charts with evidence that a parent rating scale was received by the clinician/practice during the baseline period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

  3. Number of Patients Who Were Sent the Teacher Rating Scale- by MOC Status

    Time frame: Baseline Period (8 months)

    We calculated the percent of patient charts with evidence that a teacher rating scale was sent out during the baseline period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

  4. Number of Patients Whose Teacher Rating Scale Was Returned- by MOC Status

    Time frame: Baseline Period (8 months)

    We calculated the percent of patient charts with evidence that a teacher rating scale was received by the clinician/practice during the baseline period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

  5. Number of Patients Who Were Sent the Parent Rating Scale- by MOC Status

    Time frame: Intervention Period (8 months)

    We calculated the percent of patient charts with evidence that a parent rating scale was sent out during the intervention period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

  6. Number of Patients Whose Parent Rating Scale Was Returned- by MOC Status

    Time frame: Intervention Period (8 months)

    We calculated the percent of patient charts with evidence that a parent rating scale was received by the clinician/practice during the intervention period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

  7. Number of Patients Who Were Sent the Teacher Rating Scale- by MOC Status

    Time frame: Intervention Period (8 months)

    We calculated the percent of patient charts with evidence that a teacher rating scale was sent out during the intervention period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

  8. Number of Patients Whose Teacher Rating Scale Was Returned- by MOC Status

    Time frame: Intervention Period (8 months)

    We calculated the percent of patient charts with evidence that a teacher rating scale was received by the clinician/practice during the intervention period, separately for intervention clinicians who did and did not complete Maintenance of Certification (MOC) attestation.

  9. Number of Patients Who Were Sent the Parent Rating Scale- by Feedback Call Participation

    Time frame: Baseline Period (8 months)

    We calculated the percent of patient charts with evidence that a parent rating scale was sent out during the baseline period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

  10. Number of Patients Whose Parent Rating Scale Was Returned- by Feedback Call Participation

    Time frame: Baseline Period (8 months)

    We calculated the percent of patient charts with evidence that a parent rating scale was received by the clinician/practice during the baseline period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

  11. Number of Patients Who Were Sent the Teacher Rating Scale- by Feedback Call Participation

    Time frame: Baseline Period (8 months)

    We calculated the percent of patient charts with evidence that a teacher rating scale was sent out during the baseline period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

  12. Number of Patients Whose Teacher Rating Scale Was Returned- by Feedback Call Participation

    Time frame: Baseline Period (8 months)

    We calculated the percent of patient charts with evidence that a teacher rating scale was received by the clinician/practice during the baseline period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

  13. Number of Patients Who Were Sent the Parent Rating Scale- by Feedback Call Participation

    Time frame: Intervention Period (8 months)

    We calculated the percent of patient charts with evidence that a parent rating scale was sent out during the intervention period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

  14. Number of Patients Whose Parent Rating Scale Was Returned- by Feedback Call Participation

    Time frame: Intervention Period (8 months)

    We calculated the percent of patient charts with evidence that a parent rating scale was received by the clinician/practice during the intervention period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

  15. Number of Patients Who Were Sent the Teacher Rating Scale- by Feedback Call Participation

    Time frame: Intervention Period (8 months)

    We calculated the percent of patient charts with evidence that a teacher rating scale was sent out during the intervention period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

  16. Number of Patients Whose Teacher Rating Scale Was Returned- by Feedback Call Participation

    Time frame: Intervention Period (8 months)

    We calculated the percent of patient charts with evidence that a teacher rating scale was received by the clinician/practice during the intervention period, separately for intervention clinicians who did and did not participate in at least one performance feedback call.

  17. Implementation Outcome: Number of Clinicians Who Completed All 3 Educational Presentations

    Time frame: Intervention Period (8 months)

    We assessed the proportion of clinicians randomized to the intervention group that completed all 3 educational presentations.

  18. Implementation Outcome: Number of Clinicians Who Used the Collaborative Consultation Component

    Time frame: Intervention Period (8 months)

    We calculated the proportion of clinicians in the intervention group that posted in the online networking site which was used to facilitate collaborative consultation.

  19. Implementation Outcome: Number of Clinicians Who Participated in at Least One Performance Feedback Call

    Time frame: Intervention Period (8 months)

    We calculated the proportion of clinicians in the intervention group who participated in at least one of the four performance feedback calls that were held during the study period.

  20. Implementation Outcome: Number of Clinicians Who Participated in All Intervention Components and Attested to Fulfilling MOC Requirements

    Time frame: Intervention Period (8 months)

    We calculated the proportion of clinicians in the intervention group who completed all components of the intervention and attested to fulfilling MOC requirements.

Sponsors and collaborators

Lead sponsor

Children's Hospital of Philadelphia

Other

Registry information

Important dates

Study start
2014
Primary completion
2016
Study completion
2016
First posted
Oct 22, 2014
Registry last updated
Mar 18, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.