N/A
N=303
Communication to Improve Shared Decision-Making in ADHD
Attention-Deficit/Hyperactivity Disorder
Bottom Line
View on ClinicalTrials.gov: NCT02716324 ↗Enrolled (actual)
303
Serious AEs
0.0%
Results posted
Sep 2019
Primary outcome: Primary: Change in Vanderbilt Parent Rating Scales (VPRS) — 32.6; 31.3; 28.7; 29.0 score on a scale — p=.871
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Care Manager CM) (Behavioral); ADHD Portal (Other)
- Age
- Pediatric · 5+ yrs
- Sex
- All
- Sponsor
- Children's Hospital of Philadelphia
- Primary completion
- May 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Vanderbilt Parent Rating Scales (VPRS) |
32.6; 31.3; 28.7; 29.0; 28.1; 26.3 | .871 |
| SECONDARY Mean Goal Attainment Scale (GAS) Score by Timepoint |
2.92; 2.67; 2.93; 3.01; 3.03; 2.86 | 0.499 |
| SECONDARY Treatment Initiation and Use of Services |
79; 88; 40; 49; 77; 87 | 0.718 |
| SECONDARY Treatment Adherence and Use of Services |
48; 51; 19; 29; 47; 50 | 0.310 |
| SECONDARY School Performance |
2.82; 2.77; 3.00; 2.91; 3.03; 3.04 | 0.662 |
| SECONDARY Student Engagement |
2.98; 2.93; 3.18; 3.08; 3.18; 3.09 | 0.707 |
| SECONDARY Teacher Connectedness |
3.81; 3.75; 3.85; 3.82; 3.86; 3.77 | 0.735 |
| SECONDARY Peer Relationships |
3.56; 3.54; 3.63; 3.56; 3.61; 3.63 | 0.873 |
| SECONDARY Family Relationships |
3.81; 3.82; 3.83; 3.80; 3.96; 3.72 | 0.679 |
| SECONDARY Engagement Measure Scores |
3.43; 3.52; 3.45; 3.44; 2.50; 2.64 | 0.495 |
Summary
The purpose of this study was to explore whether using an online patient portal plus a Care Manager is more effective than using an online portal alone in managing care for children with ADHD. Doctors at The Children's Hospital of Philadelphia currently use the online patient portal to help gather information from parents and teachers on ADHD symptoms, treatment, and medication side effects. The Care Manager is a person who meets with participants during the study to discuss their child's ADHD care. The Care Manager communicates with the child's doctor and teacher to communicate a parent's goals and preferences for their child's ADHD care.
Eligibility Criteria
Inclusion Criteria
- Aged 5 through12 years old
- Receiving Attention-Deficit/Hyperactivity Disorder (ADHD) treatment from participating practices
- ADHD or Attention Deficit Disorder (ADD) diagnosis code, International Classification of Diseases (ICD) code ICD-10-CM F90.9 or F90.0, listed in the problem list or recorded at an ambulatory visit in the past year.
- Parental/guardian permission (informed consent) and if appropriate, child assent.
Exclusion Criteria
- Autism spectrum disorder, ICD-10-CM F84.0
- Conduct disorder, ICD-10-CM F91.1
- Psychosis, ICD-10-CM F29
- Bipolar disorder, ICD-10-CM F31.9
- Suicide attempt, ICD-10-CM T14.91, or suicide ideation, ICD-10-CM R45.85
- Children and/or their parents/caregivers non-English speaking
Data sourced from ClinicalTrials.gov (NCT02716324). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.