Evidence map›Paper›PMID 23669153›Full record

Observational studyPatient education and counseling2013

Shared decision-making to improve attention-deficit hyperactivity disorder care.

William B Brinkman, Jessica Hartl Majcher, Lauren M Poling, Gaoyan Shi, Mike Zender, Heidi Sucharew, Maria T Britto, Jeffery N Epstein

Abstract readObservational Study
In one paragraph

Observational study in Patient education and counseling, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 4 pooled it
17.6field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 4 syntheses or guidelines pooled it, 102 citations in OpenAlex.

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  7. Pilot trial of iBDecide: Evaluating an online tool to facilitate shared decision making for adolescents and young adults with ulcerative colitis.Health expectations : an international journal of public participation in health care and health policy · 2022
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  8. What is the effect of a decision aid in potentially vulnerable parents? Insights from the head CT choice randomized trial.Health expectations : an international journal of public participation in health care and health policy · 2020
    Trial
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2 more citing papers are in PubMed but not listed here.

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

8 authors at 3 institutions in 1 country.

William B BrinkmanDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA. bill.brinkman@cchmc.org
Jessica Hartl Majcher
Lauren M Poling
Gaoyan Shi
Mike Zender
Heidi Sucharew
Maria T Britto
Jeffery N Epstein
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati · 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
Medication Continuity in Children Treated for ADHDK23MH083027 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI BRINKMAN, WILLIAM BERNARD · 2010 to 2014
$878k
NCRR NIH HHS UL1 RR026314NIMH NIH HHS K23 MH083027NIMH NIH HHS K23MH083027NIMH NIH HHS K24 MH064478NIMH NIH HHS K24MH064478
6 · The paper itself

Abstract

objectiveTo examine the effect of a shared decision-making intervention with parents of children newly diagnosed with attention-deficit/hyperactivity disorder.

methodsSeven pediatricians participated in a pre/post open trial of decision aids for use before and during the office visit to discuss diagnosis and develop a treatment plan. Encounters pre- (n=21, control group) and post-intervention implementation (n=33, intervention group) were compared. We video-recorded encounters and surveyed parents.

resultsCompared to controls, intervention group parents were more involved in shared decision-making (31.2 vs. 43.8 on OPTION score, p<0.01), more knowledgeable (6.4 vs. 8.1 questions correct, p<0.01), and less conflicted about treatment options (16.2 vs. 10.7 on decisional conflict total score, p=0.06). Visit duration was unchanged (41.0 vs. 41.6min, p=0.75). There were no significant differences in the median number of follow-up visits (0 vs. 1 visits, p=0.08), or the proportion of children with medication titration (62% vs. 76%, p=0.28), or parent-completed behavior rating scale to assess treatment response (24% vs. 39%, p=0.36).

conclusionsOur intervention increased shared decision-making with parents. Parents were better informed about treatment options without increasing visit duration. PRACTICE IMPLICATIONS: Interventions are available to prepare parents for visits and enable physicians to elicit parent preferences and involvement in decision-making.

Indexed as

Decision MakingDecision Support TechniquesPatient Care PlanningProfessional-Family RelationsAdultAttention Deficit Disorder with HyperactivityChildHumansMaleMiddle AgedOhioParentsPatient Education as TopicPhysiciansPractice Patterns, Physicians'Primary Health CareADHDAdherenceattention-deficit hyperactivity disorderAttention-deficit hyperactivity disorderDecision aidsFamily/self-managementSDMshared decision-makingShared decision-making

Identifiers

PMID23669153
PMCPMC3759588
OpenAlexW2079644566

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.