Evidence map›Paper›PMID 23897950›Full record

Trial reportClinical trials (London, England)2013

Methodology for conducting the children's attention-deficit hyperactivity disorder telemental health treatment study in multiple underserved communities.

Ann Vander Stoep, Kathleen Myers

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical trials (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Review
  10. Review
  11. Article
  12. Telepsychiatry Today.Current psychiatry reports · 2015
    Review
  13. Article
  14. Teletherapy delivery of caregiver behavior training for children with attention-deficit hyperactivity disorder.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2015
    Article
  15. Article
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

2 authors at 2 institutions in 1 country.

Ann Vander StoepaDepartment of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, USA.
Kathleen Myers
Seattle Children's Hospital · USUniversity of Washington · US

Funding

Telemental Health to Improve MH Care & Outcomes for Children in Underserved AreasR01MH081997 · NIMH · SEATTLE CHILDREN'S HOSPITAL · PI MYERS, KATHLEEN M · 2008 to 2012
$3.1M
NIMH NIH HHS 1R01MH081997NIMH NIH HHS 3R01 MH081997-0451NIMH NIH HHS R01 MH081997
6 · The paper itself

Abstract

backgroundChildren living in nonmetropolitan communities are underserved by evidence-based mental health care and are underrepresented in clinical trials. PURPOSE: In this article, we describe lessons learned in conducting the Children's Attention-Deficit Hyperactivity Disorder (ADHD) Telemental Health (TMH) Treatment Study (CATTS), a randomized controlled trial testing the effectiveness of TMH in improving outcomes of children with ADHD living in underserved communities.

methodsChildren were referred by primary care providers (PCPs). The test intervention group received six telepsychiatry sessions with each session followed by an caregiver behavior training session delivered in-person by a local therapist. A secure website was used to support decision making by the telepsychiatrists and to facilitate real-time collaboration between the telepsychiatrists and community therapists. The control group received a single telepsychiatry consultation. Questionnaires tapping ADHD symptoms and other outcomes were administered to parents and teachers online through a secure portal from personal computers.

resultstotal of 88 PCPs in seven communities referred the 223 children who participated in the trial. Attrition in treatment sessions and research assessments was very low. Lessons learned TMH proved to be a viable means of providing evidence-based pharmacological services to children and training to local therapists. Recruitment was enhanced by offering the control group a telepsychiatry consultation. Site-specific strategies were needed to meet recruitment targets.

conclusionsThe CATTS trial used methods designed to optimize inclusion of children living in multiple dispersed and underserved areas. The study will serve as a model for other research projects aiming at reducing geographic disparities in access to quality mental health care.

Indexed as

Medically Underserved AreaMental Health ServicesReferral and ConsultationAttention Deficit Disorder with HyperactivityChildChild Health ServicesChild, PreschoolFemaleHumansMaleMulticenter Studies as TopicPsychiatryRandomized Controlled Trials as TopicTelemedicine

Identifiers

PMID23897950
PMCPMC4286399
OpenAlexW2169981331

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.