Evidence map›Paper›PMID 25791143›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2015

Effectiveness of a telehealth service delivery model for treating attention-deficit/hyperactivity disorder: a community-based randomized controlled trial.

Kathleen Myers, Ann Vander Stoep, Chuan Zhou, Carolyn A McCarty, Wayne Katon

2 registry-linked trialsOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2015. 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 64 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 6 pooled it
17.0field-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.

NCT00830700 nacompletednot on this map

Telemental Health to Improve Mental Health Care and Outcomes for Children in Underserved Areas

TypeinterventionalSponsorSeattle Children's HospitalRan2009 to 2013Enrolled223ConditionsAttention Deficit Disorder With HyperactivityArmsCATMH intervention
NCT03559712 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Effectiveness of Collaborative Tele-Mental Health Services for ADHD in Primary Care: A Randomized Trial in Dubai (ECTSAP- Dubai Trial)

TypeinterventionalSponsorAl Jalila Children's Specialty HospitalRan2018 to 2018Enrolled122ConditionsADHD, Telemental HealthArmsCollaborative care, Telemental health
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 6 syntheses or guidelines pooled it, 202 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Kathleen MyersUniversity of Washington School of Medicine, Seattle; Seattle Children's Research Institute. Electronic address: Kathleen.myers@seattlechildrens.org.
Ann Vander StoepUniversity of Washington School of Medicine, Seattle; School of Public Health at the University of Washington; Seattle Children's Research Institute.
Chuan ZhouUniversity of Washington School of Medicine, Seattle; School of Public Health at the University of Washington; Seattle Children's Research Institute.
Carolyn A McCartyUniversity of Washington School of Medicine, Seattle; Seattle Children's Research Institute.
Wayne KatonUniversity of Washington School of Medicine, Seattle.
University 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 R01 MH081997NIMH NIH HHS R01MH081997-04S1
6 · The paper itself

Abstract

objectiveTo test the effectiveness of a telehealth service delivery model for the treatment of children with attention-deficit/hyperactivity disorder (ADHD) that provided pharmacological treatment and caregiver behavior training.

methodThe Children's ADHD Telemental Health Treatment Study (CATTS) was a randomized controlled trial with 223 children referred by 88 primary care providers (PCPs) in 7 communities. Children randomized to the experimental telehealth service model received 6 sessions over 22 weeks of combined pharmacotherapy, delivered by child psychiatrists through videoconferencing, and caregiver behavior training, provided in person by community therapists who were supervised remotely. Children randomized to the control service delivery model received treatment with their PCPs augmented with a telepsychiatry consultation. Outcomes were diagnostic criteria for ADHD and oppositional defiant disorder (ODD) and role performance on the Vanderbilt ADHD Rating Scale (VADRS) completed by caregivers (VADRS-Caregivers) and teachers (VADRS-Teachers) and impairment on the Columbia Impairment Scale-Parent Version (CIS-P). Measures were completed at 5 assessments over 25 weeks.

resultsChildren in both service models improved. Children assigned to the telehealth service model improved significantly more than children in the augmented primary care arm for VADRS-Caregiver criteria for inattention (χ(2)[4] = 19.47, p < .001), hyperactivity (χ(2)[4] = 11.91, p = .02), combined ADHD (χ(2)[4] = 14.90, p = .005), ODD (χ(2)[4] = 10.05, p = .04), and VADRS-Caregiver role performance (χ(2) [4] = 12.40, p = .01) and CIS-P impairment (χ(2)[4] = 20.52, p < .001). For the VADRS-Teacher diagnostic criteria, children in the telehealth service model had significantly more improvement in hyperactivity (χ(2)[4] = 11.28, p = .02) and combined ADHD (χ(2)[4] = 9.72, p = .045).

conclusionThe CATTS trial demonstrated the effectiveness of a telehealth service model to treat ADHD in communities with limited access to specialty mental health services. Clinical trial registration information-Children's Attention Deficit Disorder With Hyperactivity (ADHD) Telemental Health Treatment Study; http://clinicaltrials.gov; NCT00830700.

Indexed as

Attention Deficit Disorder with HyperactivityCaregiversChildChild, PreschoolCommunity Mental Health ServicesFemaleFollow-Up StudiesHumansLogistic ModelsMaleOregonParentsPsychiatric Status Rating ScalesReferral and ConsultationTelemedicineTreatment Outcomemental health treatment for children in rural communitiestelehealth for ADHDtelehealth with childrentelemental health with childrentelepsychiatry

Identifiers

PMID25791143
PMCPMC4406418
OpenAlexW2130742531

What OpenQuestion holds

Textmetadata
LicenceTDM
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.