Primary Care Management of Children with Attention-Deficit/Hyperactivity Disorder Appears More Assertive Following Brief Psychiatric Intervention Compared with Single Session Consultation
| العنوان: | Primary Care Management of Children with Attention-Deficit/Hyperactivity Disorder Appears More Assertive Following Brief Psychiatric Intervention Compared with Single Session Consultation |
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| المؤلفون: | Chuan Zhou, L. Lee Carlisle, Ann Vander Stoep, Kathleen Myers, Pingping Qu, Carol M. Rockhill, William J. French |
| المصدر: | J Child Adolesc Psychopharmacol |
| بيانات النشر: | Mary Ann Liebert Inc, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, media_common.quotation_subject, Primary care, behavioral disciplines and activities, Behavior Therapy, Intervention (counseling), mental disorders, medicine, Humans, Attention deficit hyperactivity disorder, Pharmacology (medical), Assertiveness, Child, Psychiatry, media_common, Primary Health Care, business.industry, Original Articles, medicine.disease, Combined Modality Therapy, Psychiatry and Mental health, Crisis Intervention, Attention Deficit Disorder with Hyperactivity, Child, Preschool, Pediatrics, Perinatology and Child Health, Female, business, Single session, Follow-Up Studies |
| الوصف: | Objectives: We examined primary care providers' (PCPs') management of attention-deficit/hyperactivity disorder (ADHD) during and following families' participation in two arms of the Children's ADHD Telemental Health Treatment Study. We hypothesized that more intensive treatment during the trial would show an “after-effect” with more assertive PCPs' management during short term follow-up. Methods: We conducted a pragmatic follow-up of PCPs' management of children with ADHD who had been randomized to two service delivery models. In the Direct Service Model, psychiatrists provided six sessions over 22 weeks of pharmacotherapy followed by behavior training. In the Consultation Model, psychiatrists provided a single-session consultation and made treatment recommendations to PCPs who implemented these recommendations at their discretion for 22 weeks. At the end of the trial, referring PCPs for both service delivery models resumed ADHD treatment for 10 weeks. We performed intent-to-treat analysis using all 223 original participants. We applied linear regression models on continuous outcomes, Poisson regression models on count outcomes, and logistic regression models to binary outcomes. Missing data were addressed through imputations. Results: Participants in the Direct Service Model had more ADHD visits than those in the Consultation Model across the full 32 weeks (mean = 7.05 visits vs. 3.36 visits; adjusted rate ratio = 2.1 [1.85–2.38]; p |
| تدمد: | 1557-8992 1044-5463 |
| DOI: | 10.1089/cap.2020.0013 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6a1aa1d6dea5ce03822e7964e34524e5 https://doi.org/10.1089/cap.2020.0013 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....6a1aa1d6dea5ce03822e7964e34524e5 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15578992 10445463 |
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| DOI: | 10.1089/cap.2020.0013 |