TY - JOUR
AU - M. Janssen
AU - M. Wensing
AU - R. van der Gaag
AU - I. Cornelissen
AU - P. van Deurzen
AU - J. Buitelaar
A1 - 
AB - Implementation of clinical guidelines for diagnosis and treatment of attention deficit hyperactivity disorder (ADHD) in children and adolescents is a challenge in practice due to insufficient availability of mental health specialists and lack of effective cooperation with primary care physicians. The Tornado program aims to reduce time between referral and start of treatment in eligible patients. This study aims to assess the effectiveness and efficiency of this program.Methods/designThis is a non-randomized controlled before-after study involving 90 outpatients (6 inverted question mark18 years old) suspected of uncomplicated ADHD, which were recruited by ten mental health teams. The Tornado program, provided by three teams, combines accelerated-track diagnosis and treatment planning. This is followed by psychoeducation at a mental health center and pharmacological treatment by primary care physicians, who received an online e-learning module for this purpose. The control group consists of patients of seven other teams, who receive care as usual. Primary outcome is the patients inverted question mark time between referral to the mental health or pediatric center and start of treatment. Secondary outcomes include severity of ADHD symptoms; functional status; health-related quality of life; treatment adherence; indicators of diagnostic procedures and treatments; patient, parent, and professional experiences and satisfaction with care; and an economic evaluation. The study is powered to detect a difference of 36 days.DiscussionThis study will provide insight into the effectiveness and efficiency of the Tornado program, an accelerated-track program in mental healthcare.Trial registrationNetherlands Trial Register NTR2505. Trial status: active data collection.
BT - Implementation science : IS
C5 - Education & Workforce; Healthcare Disparities
CP - 1
IS - 1
JF - Implementation science : IS
N2 - Implementation of clinical guidelines for diagnosis and treatment of attention deficit hyperactivity disorder (ADHD) in children and adolescents is a challenge in practice due to insufficient availability of mental health specialists and lack of effective cooperation with primary care physicians. The Tornado program aims to reduce time between referral and start of treatment in eligible patients. This study aims to assess the effectiveness and efficiency of this program.Methods/designThis is a non-randomized controlled before-after study involving 90 outpatients (6 inverted question mark18 years old) suspected of uncomplicated ADHD, which were recruited by ten mental health teams. The Tornado program, provided by three teams, combines accelerated-track diagnosis and treatment planning. This is followed by psychoeducation at a mental health center and pharmacological treatment by primary care physicians, who received an online e-learning module for this purpose. The control group consists of patients of seven other teams, who receive care as usual. Primary outcome is the patients inverted question mark time between referral to the mental health or pediatric center and start of treatment. Secondary outcomes include severity of ADHD symptoms; functional status; health-related quality of life; treatment adherence; indicators of diagnostic procedures and treatments; patient, parent, and professional experiences and satisfaction with care; and an economic evaluation. The study is powered to detect a difference of 36 days.DiscussionThis study will provide insight into the effectiveness and efficiency of the Tornado program, an accelerated-track program in mental healthcare.Trial registrationNetherlands Trial Register NTR2505. Trial status: active data collection.
PY - 2014
SN - 1748-5908; 1748-5908
SP - 155
T1 - Improving patient care for attention deficit hyperactivity disorder in children by organizational redesign (Tornado program) and enhanced collaboration between psychiatry and general practice: a controlled before and after study
T2 - Implementation science : IS
TI - Improving patient care for attention deficit hyperactivity disorder in children by organizational redesign (Tornado program) and enhanced collaboration between psychiatry and general practice: a controlled before and after study
U1 - Education & Workforce; Healthcare Disparities
U2 - 25359002
VL - 9
VO - 1748-5908; 1748-5908
Y1 - 2014
ER -