TY - JOUR
KW - Attention Deficit Disorder with Hyperactivity/complications/therapy
KW - Child
KW - Child, Preschool
KW - Delivery of Health Care, Integrated/organization & administration
KW - Female
KW - Humans
KW - Male
KW - Pennsylvania
KW - Primary Health Care
KW - Problem Behavior
KW - Clinical Trials
KW - collaborative care
KW - integrated care
KW - pediatric care integration
KW - treatment of ADHD
AU - D. J. Kolko
AU - J. A. Hart
AU - J. Campo
AU - D. Sakolsky
AU - J. Rounds
AU - M. L. Wolraich
AU - S. R. Wisniewski
A1 - 
AB - This study evaluates the impact of a 6-month care management intervention for 206 children diagnosed with comorbid attention deficit hyperactivity disorder (ADHD) from a sample of 321 five- to 12-year-old children recruited for treatment of behavior problems in 8 pediatric primary care offices. Practices were cluster-randomized to Doctor Office Collaboration Care (DOCC) or Enhanced Usual Care (EUC). Chart reviews documented higher rates of service delivery, prescription of medication for ADHD, and titration in DOCC (vs EUC). Based on complex conditional models, DOCC showed greater acute improvement in individualized ADHD treatment goals and follow-up improvements in quality of life and ADHD and oppositional defiant disorder goals. Medication use had a significant effect on acute and follow-up ADHD symptom reduction and quality of life. Medication continuity was associated with some long-term gains. A collaborative care intervention for behavior problems that incorporated treatment guidelines for ADHD in primary care was more effective than psychoeducation and facilitated referral to community treatment.
AD - University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.; UPMC Western Psychiatric Hospital, Pittsburgh, PA, USA.; Ohio State University, Morgantown, WV, USA.; University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.; UPMC Western Psychiatric Hospital, Pittsburgh, PA, USA.; University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.; University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
BT - Clinical pediatrics
C5 - Education & Workforce; Healthcare Disparities
CP - 8
DO - 10.1177/0009922820920013
IS - 8
JF - Clinical pediatrics
LA - eng
M1 - Journal Article
N2 - This study evaluates the impact of a 6-month care management intervention for 206 children diagnosed with comorbid attention deficit hyperactivity disorder (ADHD) from a sample of 321 five- to 12-year-old children recruited for treatment of behavior problems in 8 pediatric primary care offices. Practices were cluster-randomized to Doctor Office Collaboration Care (DOCC) or Enhanced Usual Care (EUC). Chart reviews documented higher rates of service delivery, prescription of medication for ADHD, and titration in DOCC (vs EUC). Based on complex conditional models, DOCC showed greater acute improvement in individualized ADHD treatment goals and follow-up improvements in quality of life and ADHD and oppositional defiant disorder goals. Medication use had a significant effect on acute and follow-up ADHD symptom reduction and quality of life. Medication continuity was associated with some long-term gains. A collaborative care intervention for behavior problems that incorporated treatment guidelines for ADHD in primary care was more effective than psychoeducation and facilitated referral to community treatment.
PY - 2020
SN - 1938-2707; 0009-9228; 0009-9228
SP - 787
EP - 800
EP - 
T1 - Effects of Collaborative Care for Comorbid Attention Deficit Hyperactivity Disorder Among Children With Behavior Problems in Pediatric Primary Care
T2 - Clinical pediatrics
TI - Effects of Collaborative Care for Comorbid Attention Deficit Hyperactivity Disorder Among Children With Behavior Problems in Pediatric Primary Care
U1 - Education & Workforce; Healthcare Disparities
U2 - 32503395
U3 - 10.1177/0009922820920013
VL - 59
VO - 1938-2707; 0009-9228; 0009-9228
Y1 - 2020
Y2 - Jul
ER -