Evidence map›Paper›PMID 24664093›Full record

Trial reportPediatrics2014

Collaborative care outcomes for pediatric behavioral health problems: a cluster randomized trial.

David J Kolko, John Campo, Amy M Kilbourne, Jonathan Hart, Dara Sakolsky, Stephen Wisniewski

2 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 84 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 7 pooled it
–field-weighted citation impact
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.

NCT02250339 completednot on this map

Phase 2: A Prospective Observational Study of Feasibility and Tentative Effectiveness of Multi-Systemic and Multicomponent Family-Based Intervention for Families of Children With Neuropsychiatric and/or Psychiatric Disorder(s).

TypeobservationalSponsorSocial Insurance Institution, FinlandRan2013 to 2018Enrolled230ConditionsADHD, Asperger Syndrome, Child Behavior DisordersArmsLAKU family program, Etä-LAKU family program, Family therapy
NCT04946253 narecruitingnot on this mapstarted 2021, after this paper: background citation

Care Team and Practice Level Implementation Strategies to Optimize Pediatric Collaborative Care: A Cluster-Randomized Trial

TypeinterventionalSponsorUniversity of PittsburghRan2021 to 2026Enrolled450ConditionsChild Behavior Problem, Attention Deficit and Disruptive Behavior DisordersArmsDOCC: Evidence-based treatment for disruptive behavior and ADHD, TEAM: Implementation support strategies at the care team level following standard implementation of DOCC, Implementation support strategies at the leadership level following standard implementation of DOCC
3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  6. Research in the Integration of Behavioral Health for Adolescents and Young Adults in Primary Care Settings: A Systematic Review.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2017
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  11. Treatment Effects of a Primary Care Intervention on Parenting Behaviors: Sometimes It's Relative.Prevention science : the official journal of the Society for Prevention Research · 2017
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  12. Collaborative mental health care for pediatric behavior disorders in primary care: Does it reduce mental health care costs?Families, systems & health : the journal of collaborative family healthcare · 2017
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24 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

6 authors.

David J KolkoDepartments of Psychiatry.
John Campo
Amy M Kilbourne
Jonathan Hart
Dara Sakolsky
Stephen Wisniewski

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
NCATS NIH HHS UL1 TR000005Wellcome Trust 063272
6 · The paper itself

Abstract

objectiveTo assess the efficacy of collaborative care for behavior problems, attention-deficit/hyperactivity disorder (ADHD), and anxiety in pediatric primary care (Doctor Office Collaborative Care; DOCC).

methodsChildren and their caregivers participated from 8 pediatric practices that were cluster randomized to DOCC (n = 160) or enhanced usual care (EUC; n = 161). In DOCC, a care manager delivered a personalized, evidence-based intervention. EUC patients received psychoeducation and a facilitated specialty care referral. Care processes measures were collected after the 6-month intervention period. Family outcome measures included the Vanderbilt ADHD Diagnostic Parent Rating Scale, Parenting Stress Index-Short Form, Individualized Goal Attainment Ratings, and Clinical Global Impression-Improvement Scale. Most measures were collected at baseline, and 6-, 12-, and 18-month assessments. Provider outcome measures examined perceived treatment change, efficacy, and obstacles, and practice climate.

resultsDOCC (versus EUC) was associated with higher rates of treatment initiation (99.4% vs 54.2%; P < .001) and completion (76.6% vs 11.6%, P < .001), improvement in behavior problems, hyperactivity, and internalizing problems (P < .05 to .01), and parental stress (P < .05-.001), remission in behavior and internalizing problems (P < .01, .05), goal improvement (P < .05 to .001), treatment response (P < .05), and consumer satisfaction (P < .05). DOCC pediatricians reported greater perceived practice change, efficacy, and skill use to treat ADHD (P < .05 to .01).

conclusionsImplementing a collaborative care intervention for behavior problems in community pediatric practices is feasible and broadly effective, supporting the utility of integrated behavioral health care services.

Indexed as

Patient Care TeamAnxietyAttention Deficit Disorder with HyperactivityChildChild Behavior DisordersCooperative BehaviorFemaleHumansMaleclinical trialscollaborative careevidence-based practiceintegrated behavioral health servicespediatric behavioral health problems

Identifiers

PMID24664093
PMCPMC3966503

What OpenQuestion holds

Textmetadata
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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.