Trial reportPediatrics2016
Impact of a Web-Portal Intervention on Community ADHD Care and Outcomes.
Trial report in Pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01143701 (Evaluation of an Intervention for Improving Community-based Pediatric ADHD Care), which is not on this map. Cited by 21 papers, 1 of them a synthesis 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.
Evaluation of an Intervention for Improving Community-based Pediatric ADHD Care
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Efficacy of Online Intervention for ADHD: A Meta-Analysis and Systematic Review.Frontiers in psychology · 2022Pooled it
- Personalized ADHD Medication Experiments to Inform Decisions About Continued Medication Use: An Open-Label Trial.Academic pediatrics · 2026Trial
- Effects of Collaborative Care for Comorbid Attention Deficit Hyperactivity Disorder Among Children With Behavior Problems in Pediatric Primary Care.Clinical pediatrics · 2020Trial
- The impact of a computerised test of attention and activity (QbTest) on diagnostic decision-making in children and young people with suspected attention deficit hyperactivity disorder: single-blind randomised controlled trial.Journal of child psychology and psychiatry, and allied disciplines · 2018Trial
- Distance-Learning, ADHD Quality Improvement in Primary Care: A Cluster-Randomized Trial.Journal of developmental and behavioral pediatrics : JDBP · 2017Trial
- An Evidence-Based AI Virtual Assistant for Young People With Attention Deficit Hyperactivity Disorder: Co-Design and Prototype Development.JMIR formative research · 2026Article
- Provider Adoption of an Online Attention Deficit Hyperactivity Disorder eHealth Care Application.Applied clinical informatics · 2025Article
- Study protocol for a pilot study for Remote ADHD Monitoring Program (RAMP) for children in rural areas.PloS one · 2025Article
- Telehealth implementation for children with attention deficit hyperactivity disorder: a scoping review.Child health nursing research · 2024Article
- Improving Adherence to Behavioral Parent Training for ADHD Using Digital Health Tools.Journal of psychiatry and brain science · 2022Article
- Perceived Facilitators of and Barriers to Implementation of a Decision Support Tool for Adolescent Depression and Suicidality Screening: Focus Group and Interview Study.JMIR mental health · 2021Article
- The Impact of Persistent Irritability on the Medication Treatment of Paediatric Attention Deficit Hyperactivity Disorder.Frontiers in psychiatry · 2021Article
- Effects of Parent-Teacher Training on Academic Performance and Parental Anxiety in School-Aged Children With Attention-Deficit/Hyperactivity Disorder: A Cluster Randomized Controlled Trial in Shanghai, China.Frontiers in psychology · 2021Article
- Impact of Online Prescription Management Systems on Biologic Treatment Initiation.Advances in therapy · 2019Article
- Timely Interventions for Children with ADHD through Web-Based Monitoring Algorithms.Diseases (Basel, Switzerland) · 2019Article
- Sharing of ADHD Information between Parents and Teachers Using an EHR-Linked Application.Applied clinical informatics · 2018Article
- Predictors of Medication Continuity in Children With ADHD.Pediatrics · 2018Article
- Specific Components of Pediatricians' Medication-Related Care Predict Attention-Deficit/Hyperactivity Disorder Symptom Improvement.Journal of the American Academy of Child and Adolescent Psychiatry · 2017Article
- Patient web portals, disease management, and primary prevention.Risk management and healthcare policy · 2017Review
- Impact of Mental Health Comorbidities on the Community-Based Pediatric Treatment and Outcomes of Children with Attention Deficit Hyperactivity Disorder.Journal of developmental and behavioral pediatrics : JDBP · 2017Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundThe quality of care for children with attention-deficit/hyperactivity disorder (ADHD) delivered in community-based pediatric settings is often poor. Interventions have been developed to improve community-based ADHD care but have not demonstrated that better care results in improved patient outcomes. The objective of this study was to determine whether an ADHD quality improvement (QI) intervention for community-based pediatric practices improves patient outcomes.
methodsA cluster randomized controlled trial was conducted in which 50 community-based pediatric primary care practices (213 providers) were randomized either to receive a technology-assisted QI intervention or to a control condition. The intervention consisted of 4 training sessions, office flow modification, guided QI, and an ADHD Internet portal to assist with treatment monitoring. ADHD treatment processes and parent- and teacher-rated ADHD symptoms over the first year of treatment were collected for 577 patients.
resultsIntent-to-treat analyses examining outcomes of all children assessed for ADHD were not significant (b = -1.97, P = .08). However, among the 373 children prescribed ADHD medication, there was a significant intervention effect (b = -2.42, P = .04) indicating greater reductions in parent ratings of ADHD symptoms after treatment among patients treated by intervention physicians compared with patients treated at control practices. There were no group differences on teacher ratings of ADHD symptoms. ADHD treatment care around medication was significantly better at intervention practices compared with control practices.
conclusionsA technology-assisted QI intervention improved some ADHD care quality and resulted in additional reductions in parent-rated ADHD symptoms among patients prescribed ADHD medications.
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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.