The myADHDportal.com improvement program: An innovative quality improvement intervention for improving the quality of ADHD care among community-based pediatricians

Clinical Practice in Pediatric Psychology

Volumn 1, Issue 1, 2013, Pages 55-67

  Epstein, Jeffery N ^a   Langberg, Joshua M ^a,b   Lichtenstein, Philip K ^a   Kolb, Rebecca C ^a   Simon, John O ^a  

^a UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE   (United States)

^b VIRGINIA COMMONWEALTH UNIVERSITY   (United States)

Author keywords

ADHD; Guidelines; Internet; Quality improvement

Indexed keywords

EID: 84992056934     PISSN: 21694826     EISSN: 21694834     Source Type: Journal    
DOI: 10.1037/cpp0000004     Document Type: Article

References (35)

1. American Academy of Child & Adolescent Psychiatry. (2007). Practice parameters for the assessment and treatment of children and adolescents with attention-deficit hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 894-921.
2. American Academy of Pediatrics. (2000). Clinical practice guideline: Diagnosis and evaluation of the child with attention deficit/hyperactivity disorder. Pediatrics, 105, 1158-1170.
3. American Academy of Pediatrics. (2001). Clinical practice guideline: Treatment of the school-aged child with attention deficit/hyperactivity disorder. Pediatrics, 108, 1033-1044.
4. American Academy of Pediatrics. (2011). ADHD: Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics, 128, 1007-1022.
5. American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: Author.
6. Bussing, R., Zima, B. T., Gary, F. A., & Garvan, C. W. (2003). Barriers to detection, help-seeking, and service use for children with ADHD symptoms. Journal of Behavioral Health Service Research, 30, 176-189.
7. Chan, E., Hopkins, M. R., Perrin, J. M., Herrerias, C., & Homer, C. J. (2005). Diagnostic practices for attention deficit hyperactivity disorder: A national survey of primary care physicians. Ambulatory Pediatrics, 5, 201-208.
8. Epstein, J. N., Langberg, J. M., Lichtenstein, P. K., Altaye, M., Brinkman, W. B., House, K., & Stark, L. J. (2010). Attention-deficit/hyperactivity disorder (ADHD) outcomes for children treated in community-based pediatric settings. Archives of Pediatrics and Adolescent Medicine, 164, 160-165.
9. Epstein, J. N., Langberg, J. M., Lichtenstein, P. K., Kolb, R., Altaye, M., & Simon, J. O. (2011). Use of an internet portal to improve communitybased pediatric ADHD care: A cluster randomized trial. Pediatrics, 128, e1201-e1208.
10. Epstein, J. N., Langberg, J. M., Lichtenstein, P. K., Kolb, R., & Stark, L. J. (2010). Sustained improvement in pediatrician's ADHD practice behaviors in the context of a community-based quality improvement initiative. Children's Health Care, 39, 296-311.
11. Epstein, J. N., Langberg, J. M., Lichtenstein, P. K., Mainwaring, B. A., Luzader, C. P., & Stark, L. J. (2008). A community-wide intervention to improve the ADHD assessment and treatment practices of community physicians. Pediatrics, 122, 19-27.
12. Epstein, J. N., Rabiner, D., Johnson, D. E., FitzGerald, D., Chrisman, A., Erkanli, A., . . . Conners, C. K. (2007). Improving attention-deficit/hyperactivity disorder treatment outcome through use of a collaborative consultation treatment service by community-based pediatricians: A cluster randomized trial. Archives of Pediatrics and Adolescent Medicine, 161, 835-840.
13. Fine, S., & Jewesson, B. (1989). Active drug placebo trial of methylphenidate: A clinical service for children with an attention deficit disorder. Canadian Journal of Psychiatry, 34, 447-449.
14. Gardner, W., Kelleher, K. J., Pajer, K., & Camp, J. V. (2004). Follow-up care of children identified with ADHD by primary care clinicians: A prospective cohort study. Journal of Pediatrics, 145, 767-771.
15. Guyatt, G. H., Keller, J. L., Jaeschke, R., Rosenbloom, D., Adachi, J. D., & Newhouse, M. T. (1990). The n-of-1 randomized controlled trial: Clinical usefulness. Our three-year experience. Annals of Internal Medicine, 112, 293-299.
16. Hoagwood, K., Jensen, P. S., Feil, M., Vitiello, B., & Bhatara, V. (2000). Medication management of stimulants in pediatric practice settings: A national perspective. Developmental and Behavioral Pediatrics, 21, 322-331.
17. Jensen, P., Hinshaw, S., Swanson, J., Greenhill, L., Conners, C., Arnold, L., . . . Wigal, T. (2001). Findings from the NIMH Multimodal Treatment Study of ADHD (MTA): Implications and applications for primary care providers. Journal of Developmental & Behavioral Pediatrics., 22, 60-73.
18. Langberg, J. M., Brinkman, W. B., Lichtenstein, P. K., & Epstein, J. N. (2009). Interventions to promote the evidence-based care of children with ADHD in primary-care settings. Expert Review of Neurotherapeutics, 9, 477-487.
19. Larson, E. B., Ellsworth, A. J., & Oas, J. (1994). Randomized clinical trials in single patients during a 2-year period. Journal of the American Medical Association, 270, 2708-2712.
20. Leslie, L. K., Rappo, P. D., Abelson, H. T., Sewall, S. R., & Jenkins, R. R. (2000). Final report of the FOPE II pediatric generalists of the future workgroup. Pediatrics, 106, 1199-1223.
21. Leslie, L. K., Stallone, K. A., Weckerly, J., McDaniel, A. L., & Monn, A. (2006). Implementing ADHD guidelines in primary care: Does one size fit all? Journal of Health Care for the Poor and Underserved, 17, 302-327.
22. Leslie, L. K., Weckerly, J., Plemmons, D., Landsverk, J., & Eastman, S. (2004). Implementing the American Academy of Pediatrics Attention-Deficit/ Hyperactivity Disorder Diagnostic Guidelines in primary care settings. Pediatrics, 114, 129-140.
23. MTA Cooperative Group. (1999). A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. The MTA Cooperative Group. Multimodal Treatment Study of Children with ADHD. Archives of General Psychiatry, 56, 1073-1086.
24. Nikles, C. J., Mitchell, G. K., Del Mar, C. B., Clavarino, A., & McNairn, N. (2006). An n-of-1 trial service in clinical practice: Testing the effectiveness of stimulants for Attention-Deficit/Hyperactivity Disorder. Pediatrics, 117, 2040-2046.
25. Olson, B. G., Rosenbaum, P. F., Dosa, N. P., & Roizen, N. J. (2005). Improving guideline adherence for the diagnosis of ADHD in an ambulatory pediatric setting. Ambulatory Pediatrics, 5, 138-142.
26. Pace, T. M., Chaney, J. M., Mullins, L. L., & Olson, R. A. (1995). Psychological consultation with primary care physicians: Obstacles and opportunities in the medical setting. Professional Psychology: Research and Practice, 26, 123-131.
27. Pelham, W. E. (1993). Pharmacotherapy of children with attention-deficit hyperactivity disorder. School Psychology Review, 22, 199-227.
28. Pelham, W. E., Fabiano, G. A., & Massetti, G. M. (2005). Evidence-based assessment of attention deficit hyperactivity disorder in children and adolescents. Journal of Clinical Child & Adolescent Psychology, 34, 449-476.
29. Polaha, J., Cooper, S. L., Meadows, T., & Kratochvil, C. J. (2005). The assessment of attention-deficit/ hyperactivity disorder in rural primary care: The portability of the American Academy of Pediatrics guidelines to the "real world". Pediatrics, 115, 120-126.
30. Rushton, J. L., Fant, K. E., & Clark, S. J. (2004). Use of practice guidelines in the primary care of children with attention-deficit/hyperactivity disorder. Pediatrics, 114, e23-e28.
31. Schonwald, A., Huntington, N., Chan, E., Risko, W., & Bridgemohan, C. (2009). Routine developmental screening implemented in urban primary care settings: More evidence of feasibility and effectiveness. Pediatrics, 123, 660-668.
32. Speroff, T., & O'Connor, G. T. (2004). Study designs for PDSA quality improvement research. Quality Management in Healthcare, 13, 17-32.
33. Wolraich, M. L., Feurer, I. D., Hannah, J. N., Baumgaertel, A., & Pinnock, T. Y. (1998). Obtaining systematic teacher reports of disruptive behavior disorders utilizing DSM-IV. Journal of Abnormal Child Psychology, 26, 141-152.
34. Zarin, D. A., Tanielian, T. L., Suarez, A. P., & Marcus, S. C. (1998). Treatment of attention-deficit hyperactivity disorder by different physician specialties. Psychiatric Services, 49, 171.
35. Zito, J. M., Safer, D. J., dosReis, S., Magder, L. S., Gardner, J. F., & Zarin, D. A. (1999). Psychotherapeutic medication patterns for youths with attention- deficit/hyperactivity disorder. Archives of Pediatrics and Adolescent Medicine, 153, 1257-1263.