ArticleJournal of the American Academy of Child and Adolescent Psychiatry2017
Specific Components of Pediatricians' Medication-Related Care Predict Attention-Deficit/Hyperactivity Disorder Symptom Improvement.
Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Effects of Collaborative Care for Comorbid Attention Deficit Hyperactivity Disorder Among Children With Behavior Problems in Pediatric Primary Care.Clinical pediatrics · 2020Trial
- Primary Care Management of Children with Attention-Deficit/Hyperactivity Disorder Appears More Assertive Following Brief Psychiatric Intervention Compared with Single Session Consultation.Journal of child and adolescent psychopharmacology · 2020Trial
- Providers of ADHD Care for Children: Factors Associated With Coordination of ADHD Services With Schools.Journal of attention disorders · 2026Article
- ADHD Diagnosis and Timing of Medication Initiation Among Children Aged 3 to 5 Years.JAMA network open · 2025Article
- Timing of Medication Treatment in Children 3-5-Years-old with ADHD: A PEDSnet Study.medRxiv : the preprint server for health sciences · 2025Article
- Provider Adoption of an Online Attention Deficit Hyperactivity Disorder eHealth Care Application.Applied clinical informatics · 2025Article
- Applying Large Language Models to Assess Quality of Care: Monitoring ADHD Medication Side Effects.Pediatrics · 2025Article
- Leveraging a Large Language Model to Assess Quality-of-Care: Monitoring ADHD Medication Side Effects.medRxiv : the preprint server for health sciences · 2024Article
- Review of barriers and interventions to promote treatment engagement for pediatric attention deficit hyperactivity disorder care.World journal of psychiatry · 2021Review
- The Role of Parental Knowledge and Attitudes about ADHD and Perceptions of Treatment Response in the Treatment Utilization of Families of Children with ADHD.Evidence-based practice in child and adolescent mental health · 2020Article
- Predictors of Medication Continuity in Children With ADHD.Pediatrics · 2018Article
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Authors and funding
8 authors.
Funding
Abstract
objectiveThe development of attention-deficit/hyperactivity disorder (ADHD) care quality measurements is a prerequisite to improving the quality of community-based pediatric care of children with ADHD. Unfortunately, the evidence base for existing ADHD care quality metrics is poor. The objective of this study was to identify which components of ADHD care best predict patient outcomes.
methodParents of 372 medication-naïve children in grades 1 to 5 presenting to their community-based pediatrician (N = 195) for an ADHD-related concern and who were subsequently prescribed ADHD medication were identified. Parents completed the Vanderbilt ADHD Parent Rating Scale (VAPRS) at the time ADHD was raised as a concern and then approximately 12 months after starting ADHD medication. Each patient's chart was reviewed to measure 12 different components of ADHD care.
resultsAcross all children, the mean decrease in VAPRS total symptom score during the first year of treatment was 11.6 (standard deviation 10.1). Of the 12 components of ADHD care, shorter times to first contact and more teacher ratings collected in the first year of treatment significantly predicted greater decreases in patient total symptom scores. Notably, it was timeliness of contacts, defined as office visits, phone calls, or email communication, that predicted more ADHD symptom decreases. Office visits alone, in terms of number or timeliness, did not predict patient outcomes.
conclusionThe magnitude of ADHD symptom decrease that can be achieved with the use of ADHD medications was associated with specific components of ADHD care. Future development and modifications of ADHD quality care metrics should include these ADHD care components.
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