Evidence map›Paper›PMID 22007005›Full record

Trial reportPediatrics2011

Use of an Internet portal to improve community-based pediatric ADHD care: a cluster randomized trial.

Jeffery N Epstein, Joshua M Langberg, Philip K Lichtenstein, Rebecca Kolb, Mekibib Altaye, John O Simon

Registry-linked trialOpen access · bronzeAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01056016 (Disseminating a Model Intervention to Promote Improved ADHD Care in the Community), which is not on this map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01056016 nacompletednot on this map

Disseminating a Model Intervention to Promote Improved ADHD Care in the Community

TypeinterventionalSponsorChildren's Hospital Medical Center, CincinnatiRan2009 to 2010Enrolled49ConditionsAttention Deficit Hyperactivity DisorderArmsADHD Collaborative
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Distance-Learning, ADHD Quality Improvement in Primary Care: A Cluster-Randomized Trial.Journal of developmental and behavioral pediatrics : JDBP · 2017
    Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. The acceptability and feasibility of emailed parent questionnaires for medical and developmental surveillance after NICU discharge.Journal of perinatology : official journal of the California Perinatal Association · 2018
    Article
  18. Review
  19. Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Jeffery N EpsteinDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA. jeff.epstein@cchmc.org
Joshua M Langberg
Philip K Lichtenstein
Rebecca Kolb
Mekibib Altaye
John O Simon
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati Medical Center · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR026314 · NCRR · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2009 to 2011
$14.3M
Examining the Biological Basis of ADHDK24MH064478 · NIMH · DUKE UNIVERSITY · PI EPSTEIN, JEFF N. · 2002 to 2014
$1.4M
Disseminating a Model Intervention to Promote Improved ADHD Care in the CommunityR21MH082714 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI EPSTEIN, JEFF N. · 2008 to 2009
$371k
NCRR NIH HHS UL1 RR026314NCRR NIH HHS UL1RR026314NIMH NIH HHS K24 MH064478NIMH NIH HHS K24MH064478NIMH NIH HHS R21 MH082714NIMH NIH HHS R21MH082714
6 · The paper itself

Abstract

objectiveTo determine the effectiveness of a quality improvement program to improve pediatricians' adherence to existing, evidence-based, attention-deficit/hyperactivity disorder (ADHD) practice guidelines.

methodsForty-nine community-based pediatricians at 8 practices participated in a cluster-randomized trial. Practices were matched according to the numbers of pediatricians and the proportions of patients receiving Medicaid. The medical charts for a random sample of patients with ADHD for each of the participating pediatricians were examined at baseline and 6 months. All practices participated in 4 sessions of training, including didactic lectures and office flow modification workshops. Practices were then given access to an ADHD Internet portal that allowed parents, teachers, and pediatricians to input information (eg, rating scales) about patients, after which information was scored, interpreted, and formatted in a report style that was helpful for assessment and treatment of patients with ADHD. Physicians evaluated their practice behaviors quarterly and addressed underperforming areas.

resultsPediatricians in the intervention group, compared with those in the control group, demonstrated significantly higher rates of many American Academy of Pediatrics-recommended ADHD care practices, including collection of parent (Cohen's d = 0.69) and teacher (d = 0.68) rating scales for assessment of children with ADHD, use of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria (d = 0.85), and use of teacher rating scales to monitor treatment responses (d = 1.01).

conclusionA quality improvement intervention that can be widely disseminated by using Internet-based information technology significantly improved the quality of ADHD care in community-based pediatric settings.

Indexed as

Guideline AdherencePractice Guidelines as TopicAttention Deficit Disorder with HyperactivityChildChild, PreschoolCluster AnalysisCommunity Health ServicesEvidence-Based MedicineFemaleHumansInternetMalePediatricsPractice Patterns, Physicians'Quality ImprovementUnited States

Identifiers

PMID22007005
PMCPMC3208964
OpenAlexW2157371994

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.