Exploring the Group Visit Model for Pediatric ADHD Management in the Medical Home
1 other identifier
interventional
56
1 country
1
Brief Summary
Attention deficit hyperactivity disorder (ADHD) affects 8% of US youth. Even though evidence shows medications are effective in reducing ADHD symptoms, many families experience ongoing parenting stress around parent-child interactions. Children often have ongoing impairments in functioning. ADHD is a common condition identified and managed by primary care pediatricians. However current care in the clinic is not optimal to address parents' and children's needs around ADHD chronic care. Time is the biggest barrier. Group visits are a viable option to improve pediatric ADHD care, but requires extensive study. The goal of this proposed study is to test the feasibility and effectiveness of the group visit model for ADHD management within pediatric primary care. This study will be a randomized feasibility study that will generate important pilot data, as well as result in an innovative, exportable pediatric ADHD group curriculum for primary care practice.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jun 2012
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2013
CompletedFirst Submitted
Initial submission to the registry
May 18, 2014
CompletedFirst Posted
Study publicly available on registry
May 23, 2014
CompletedMay 26, 2014
May 1, 2014
1.3 years
May 18, 2014
May 22, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of clinic visits during study period
Feasibility of group visit model was measured as number of visits to the clinic by chart review. We also looked at the number of group visits a family attended based on the sign in sheet provided at the beginning of each session.
12 months
Secondary Outcomes (14)
Parent-rated ADHD symptoms
Baseline
Parent-rated ADHD symptoms
12 months
Child functioning at home
Baseline
Child functioning at home
12 months
Teacher report of child's ADHD symptoms
baseline
- +9 more secondary outcomes
Other Outcomes (2)
Participant feedback about the curriculum
after each group visit over 365 days
Pediatric facilitator and staff feedback
at the end of each group visit over 365 days
Study Arms (2)
ADHD Group Curriculum
ACTIVE COMPARATORParticipants assigned to the group visit intervention agree to participate in 5 group visits every 3 months rather than individual ADHD follow-up visits to the clinic. Parents and children participate in separate but simultaneously run groups. Group portion is 60 minutes and then parent-child dyads complete individual visits for medication titration and physical exam.
Control
NO INTERVENTIONParticipants continue to go to the clinic for 5 routine ADHD follow-up visits to the clinic every 3 months as usual clinical protocol.
Interventions
Study specific ADHD Group curriculum was designed and implemented for the study. Parent curriculum included the following topics: What is ADHD, medications, educational advocacy, how to prevent behavioral issues and how to defuse common behavioral challenges and manage stress. Child curriculum included the following topics: what is ADHD, social skills and friendships, handling school and organization skills, understanding feelings and managing negative emotions
Eligibility Criteria
You may qualify if:
- children with ADHD and their parents
- children receiving routine ADHD follow-up care at the study clinic
- if on medication, must be "stable" for 3 months and therefore not needing monthly clinic appointments to titrate medication
You may not qualify if:
- conduct disorder
- autism
- moderate to severe intellectual disability
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
General Pediatrics Clinic Medical Service Area 1 in Riley Hospital for Children at IU Health
Indianapolis, Indiana, 46202, United States
Related Publications (1)
Bauer NS, Szczepaniak D, Sullivan PD, Mooneyham G, Pottenger A, Johnson CS, Downs SM. Group Visits to Improve Pediatric Attention-Deficit Hyperactivity Disorder Chronic Care Management. J Dev Behav Pediatr. 2015 Oct;36(8):553-61. doi: 10.1097/DBP.0000000000000207.
PMID: 26414089DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Nerissa S Bauer, MD, MPH
Indiana University School of Medicine
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
May 18, 2014
First Posted
May 23, 2014
Study Start
June 1, 2012
Primary Completion
October 1, 2013
Study Completion
November 1, 2013
Last Updated
May 26, 2014
Record last verified: 2014-05