Trial reportPediatrics2013
Use of a computerized decision aid for ADHD diagnosis: a randomized controlled trial.
Trial report in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 34 papers, 3 of them syntheses that pooled 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.
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.
Comparative Effectiveness of Primary Care-based Interventions for Pediatric ADHD
Use of a Patient Education/Messaging Platform to Increase Uptake and Series Completion of the HPV Vaccine
HPV Vaccination: An Investigation of Physician Reminders and Recommendation Scripts
HPV Vaccination: Evaluation of Reminder Prompts for Doses 2 & 3
Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- National Child Mental Health Quality Measures: Adherence Rates and Extent of Evidence for Clinical Validity.Current psychiatry reports · 2019Pooled it
- Clinical decision support systems in child and adolescent psychiatry: a systematic review.European child & adolescent psychiatry · 2017Pooled it
- Quality improvement, implementation, and dissemination strategies to improve mental health care for children and adolescents: a systematic review.Implementation science : IS · 2017Pooled it
- Adolescent suicide assessment and management in primary care.BMC pediatrics · 2022Trial
- Effect of a Computer-Based Decision Support Intervention on Autism Spectrum Disorder Screening in Pediatric Primary Care Clinics: A Cluster Randomized Clinical Trial.JAMA network open · 2019Trial
- Computer-Based Driving in Dementia Decision Tool With Mail Support: Cluster Randomized Controlled Trial.Journal of medical Internet research · 2018Trial
- Effectiveness of Computer Automation for the Diagnosis and Management of Childhood Type 2 Diabetes: A Randomized Clinical Trial.JAMA pediatrics · 2017Trial
- Trial
- Computer Decision Support Changes Physician Practice But Not Knowledge Regarding Autism Spectrum Disorders.Applied clinical informatics · 2015Trial
- Use of a computerized decision aid for developmental surveillance and screening: a randomized clinical trial.JAMA pediatrics · 2014Trial
- Artificial intelligence in diagnosis of pediatric neurodevelopmental disorders: a scoping review.World journal of pediatrics : WJP · 2026Article
- Clinical Decision Support Systems and Artificial Intelligence in ADHD Assessment and Rehabilitation: Opportunities and Challenges for Technology-Assisted Care.Healthcare (Basel, Switzerland) · 2025Article
- Adolescent, parent, and provider attitudes toward a machine learning based clinical decision support system for selecting treatment for youth depression.BMC medical informatics and decision making · 2024Article
- Decision aid development and its acceptability among adults with attention-deficit/hyperactivity disorders regarding treatment discontinuation after remission.PCN reports : psychiatry and clinical neurosciences · 2022Article
- Clinical decision support methods for children and youths with mental health disorders in primary care.Family practice · 2022Review
- Article
- Assessment of Pediatrician Awareness and Implementation of the Addendum Guidelines for the Prevention of Peanut Allergy in the United States.JAMA network open · 2020Article
- U.S. Child Behavioral Health Quality Measures: Advancing a National Research Agenda.Journal of abnormal child psychology · 2020Article
- A Machine-Based Prediction Model of ADHD Using CPT Data.Frontiers in human neuroscience · 2020Article
- Pediatric decision support using adapted Arden Syntax.Artificial intelligence in medicine · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo determine if implementing attention-deficit/hyperactivity disorder (ADHD) diagnosis and treatment guidelines in a clinical decision support system would result in better care, including higher rates of adherence to clinical care guidelines.
methodsWe conducted a cluster randomized controlled trial in which we compared diagnosis and management of ADHD in 6- to 12-year-olds after implementation of a computer decision support system in 4 practices.
resultsEighty-four charts were reviewed. In the control group, the use of structured diagnostic assessments dropped from 50% in the baseline period to 38% in the intervention period. In the intervention group, however, it rose from 60% to 81%. This difference was statistically significant, even after controlling for age, gender, and race (odds ratio of structured diagnostic assessment in intervention group versus control group = 8.0, 95% confidence interval 1.6-40.6). Significant differences were also seen in the number of ADHD core symptoms noted at the time of diagnosis. Our study was not powered to detect changes in care and management, but the percent of patients who had documented medication adjustments, mental health referrals, and visits to mental health specialists were higher in the intervention group than the control.
conclusionsThe introduction of a clinical decision support module resulted in higher quality of care with respect to ADHD diagnosis including a prospect for higher quality of ADHD management in children. Future work will examine how to further develop the ADHD module and add support for other chronic conditions.
Indexed as
Identifiers
What OpenQuestion holds
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.