Evidence map›Paper›PMID 39402929›Full record

Trial reportJournal of attention disorders2025

Adolescent-Reported Changes in Provider Behavior Following Pediatrician Training in Stimulant Diversion Prevention: Results From a Cluster Randomized Controlled Trial.

Brooke S G Molina, Heather M Joseph, Heidi L Kipp, Sarah L Pedersen, David J Kolko, Rachel A Lindstrom, Daniel J Bauer, Geetha A Subramaniam

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of attention disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

8 authors.

Brooke S G MolinaUniversity of Pittsburgh, PA, USA.ORCID 0000-0001-7574-3755
Heather M JosephUniversity of Pittsburgh, PA, USA.ORCID 0000-0002-3352-8835
Heidi L KippUniversity of Pittsburgh Medical Center, USA.
Sarah L PedersenUniversity of Pittsburgh, PA, USA.
David J KolkoUniversity of Pittsburgh, PA, USA.
Rachel A LindstromUniversity of Pittsburgh Medical Center, USA.
Daniel J BauerUniversity of North Carolina, Chapel Hill, Pittsburgh, USA.
Geetha A SubramaniamNational Institute on Drug Abuse, Bethesda, MD, USA.

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
CLINICAL RESEARCH TRAINING IN CHILD PSYCHIATRYT32MH018951 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TINA R GOLDSTEIN · 1990 to 2026
$9.7M
A prospective examination of stimulant diversion and related risk factors for young adults with childhood- or adult-diagnosed ADHDR01DA049721 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BROOKE S.G. MOLINA · 2020 to 2026
$5.4M
Primary care prevention of stimulant diversion by high school students with ADHDU01DA040213 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MOLINA, BROOKE S.G. · 2015 to 2019
$3.5M
Early Signals of Inattention in Neonates and Infants at Familial Risk for ADHDK23MH121585 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOSEPH, HEATHER MARIE · 2020 to 2024
$1.0M
Stimulant diversion by young adults with ADHD: piloting primary care preventionR34DA035464 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MOLINA, BROOKE S.G. · 2014 to 2016
$687k
NCATS NIH HHS UL1 TR001857NIDA NIH HHS R01 DA049721NIDA NIH HHS R34 DA035464NIDA NIH HHS U01 DA040213NIMH NIH HHS K23 MH121585NIMH NIH HHS T32 MH018951
6 · The paper itself

Abstract

objectiveTo test whether pediatrician training leads to provider utilization of stimulant diversion prevention strategies as reported by adolescent patients with ADHD.

methodsPediatric practices received a stimulant diversion prevention workshop (SDP) or continued treatment-as-usual (TAU) in a cluster-randomized controlled trial. Surveys were completed by 341 stimulant-treated patients at baseline and three follow-up assessments.

resultsIn intent-to-treat analyses of patient reports, SDP adolescents reported more provider use of diversion prevention strategies compared to TAU. They also reported more parent-patient communication about diversion. Provider satisfaction with the training was strong.

conclusionsPediatricians can make use of clinical practice strategies for the prevention of stimulant diversion following a 1-hr training; findings are novel given their reliance on confidential patient report of provider behavior and increase confidence in the results. Coupled with the positive provider satisfaction ratings, results suggest that this brief workshop may be an option for concerned providers that also has the effect of increasing discussion at home about safe use of stimulants.

Indexed as

Central Nervous System StimulantsPediatriciansAdolescentAttention Deficit Disorder with HyperactivityChildFemaleHumansMalePrescription Drug DiversionCentral Nervous System StimulantsADHDadolescentsdiversionpediatriciansstimulant misuse

Identifiers

PMID39402929
PMCPMC11585434

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Registered trials

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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.