Using Computers to Assist in the Diagnosis and Treatment of Attention-deficit/Hyperactivity Disorder (ADHD)

NCT01351064 | Completed Results

• 2 other identifiers: CHICA_ADHD_StudyR01LM010031
• Study Type: interventional
• Target: 84
• Locations: 1 country
• Sites: 1

Brief Summary

Attention-deficit/hyperactivity disorder (ADHD) is the most commonly diagnosed behavioral disorder in children. Prevalence rates in the United States range from 2% to 18% depending on diagnostic criteria and population studied. Primary care physicians, especially pediatricians, have historically played a large role in the diagnosis and treatment of ADHD. Despite the existence of authoritative guidelines to assist primary care physicians, ample evidence demonstrates that they continue to diagnose and treat this disorder suboptimally. This is due, in part, to a lack of training and cumbersome delivery system designs. Modern computer decision support strategies offer the best hope of equipping general practitioners to deal with the mental health epidemic of ADHD. The investigators have developed a novel decision support system for implementing clinical guidelines in pediatric practice. CHICA (Child Health Improvement through Computer Automation) combines three elements: (1) pediatric guidelines encoded in Arden Syntax; (2) a dynamic, scannable paper user interface; and (3) an HL7-compliant interface to existing electronic medical record systems. The result is a system that both delivers "just-in-time" patient-relevant guidelines to physicians during the clinical encounter, and accurately captures structured data from all who interact with it. Preliminary work with CHICA has demonstrated the feasibility of using the system to implement and evaluate clinical guidelines. The investigators propose to expand CHICA to include ADHD diagnosis and treatment guidelines. The investigators hypothesize that implementation of the ADHD guidelines will result in better outcomes, including higher rates of adherence to recommendations and improved patient functioning.

Conditions

Attention Deficit Hyperactivity Disorder

Keywords

ADHD

Outcome Measures

Primary Outcomes (1)

• Number of Children Diagnosed With ADHD With Structured Diagnostic Assessment

  one year

Secondary Outcomes (1)

• Percent of Patients Receiving ADHD Care Component

  one year

Study Arms (2)

CHICA ADHD Module

EXPERIMENTAL

This arm received The CHICA ADHD Module

Other: CHICA ADHD Module

CHICA ADHD Control

NO INTERVENTION

This arm received CHICA without the ADHD module

Interventions

CHICA ADHD Module OTHER

This module was added to CHICA to help diagnose and manage ADHD

CHICA ADHD Module

Eligibility Criteria

• Age: 5 Years - 12 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Child between age 5 and 12 years seen in one of our clinics

You may not qualify if:

• Child outside the age range or who is not seen in one of our clinics.

Sponsors & Collaborators

• Indiana University: lead
• National Library of Medicine (NLM): collaborator

Study Sites (1)

Children's Health Services Research

Indianapolis, Indiana, 46202, United States

Location

Related Publications (1)

• Carroll AE, Bauer NS, Dugan TM, Anand V, Saha C, Downs SM. Use of a computerized decision aid for ADHD diagnosis: a randomized controlled trial. Pediatrics. 2013 Sep;132(3):e623-9. doi: 10.1542/peds.2013-0933. Epub 2013 Aug 19.

  PMID: 23958768 DERIVED

MeSH Terms

Conditions

Attention Deficit Disorder with Hyperactivity

Condition Hierarchy (Ancestors)

Attention Deficit and Disruptive Behavior Disorders; Neurodevelopmental Disorders; Mental Disorders

Results Point of Contact

• Title: Aaron Carroll
• Organization: IUSM

aaecarro@iu.edu

3172789696

Study Officials

• Aaron E Carroll, MD, MS

  Indiana University School of Medicine

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof of Pediatrics

Study Record Dates

• First Submitted: May 9, 2011
• First Posted: May 10, 2011
• Study Start: July 1, 2010
• Primary Completion: July 1, 2012
• Study Completion: July 1, 2012
• Last Updated: January 25, 2016
• Results First Posted: December 18, 2015

Record last verified: 2015-12

Locations

US (1)