Use of a clinical decision support module results in higher quality of attention-deficit/hyperactivity disorder diagnosis, according to a study published online Aug. 19 in Pediatrics.
(HealthDay)—Use of a clinical decision support module results in higher quality of attention-deficit/hyperactivity disorder (ADHD) diagnosis, according to a study published online Aug. 19 in Pediatrics.
Aaron E. Carroll, M.D., from Indiana University in Indianapolis, and colleagues conducted a cluster randomized controlled trial in which the diagnosis and management of ADHD in 6- to 12-year-olds (84 children) were compared before and after implementation of a computer decision support system in four practices.
The researchers found that the use of structured diagnostic assessments dropped from 50 percent in the baseline period to 38 percent in the intervention period in the control group, while it rose in the intervention group from 60 to 81 percent. Even after controlling for age, gender, and race, the difference was statistically significant (odds ratio of structured diagnostic assessment in intervention group versus control group, 8.0). The number of ADHD core symptoms noted at the time of diagnosis was also significantly different between the groups. The percentage of patients who had documented medication adjustments, mental health referrals, and visits to mental health specialists was higher in the intervention group than the control group, although the study was not powered to detect changes in care and management.
"The introduction of a clinical decision support module resulted in higher quality of care with respect to ADHD diagnosis including a prospect for higher quality of ADHD management in children," the authors write.
Explore further: Can breastfeeding protect against ADHD?
More information: Abstract
Full Text (subscription or payment may be required)
Copyright © 2013 HealthDay. All rights reserved.
Medical Xpress on facebook
Related Stories
Can breastfeeding protect against ADHD?
May 14, 2013
Breastfeeding has a positive impact on the physical and mental development of infants. A new study suggests that breastfeeding may protect against the development of attention-deficit/hyperactivity disorder ...
FDA approves first brain wave test for ADHD
Jul 15, 2013
US regulators on Monday approved the first brain wave test for attention deficit hyperactivity disorder, saying it may improve the accuracy of diagnoses by medical experts.
ADHD and texting found to significantly impair teenage driving
Aug 12, 2013
ADHD and texting both significantly impair driving performance among teenagers, according to a study published online today in JAMA Pediatrics.
Study suggests increased diagnosis rate of attention deficit hyperactivity disorder at health plan
Jan 21, 2013
A study of medical records at the Kaiser Permanente Southern California health plan suggests the rate of attention deficit hyperactivity disorder (ADHD) diagnosis increased from 2001 to 2010, according to a report published ...
90 percent of pediatric specialists not following clinical guidelines when treating preschoolers with ADHD
May 04, 2013
A recent study by pediatricians from the Cohen Children's Medical Center of New York examined to what extent pediatric physicians adhere to American Academy of Pediatrics (AAP) clinical guidelines regarding pharmacotherapy ...
Recommended for you
ADHD and texting found to significantly impair teenage driving
Aug 12, 2013
ADHD and texting both significantly impair driving performance among teenagers, according to a study published online today in JAMA Pediatrics.
Wide treatment variances seen with ADHD drugs
Aug 10, 2013
(HealthDay)—There are wide variations in the use of stimulants to treat attention-deficit/hyperactivity disorder at both the state and the county level, according to research published online Aug. 2 in ...
Games' hidden purpose: Tracking, diagnosing ADHD
Aug 07, 2013
Noah Madson remembers being exhausted after hours of tests for his attention deficit hyperactivity disorder. "Boy, those were complicated," said his mother, Nancy. "He'd come out and say, 'My brain hurts.' "
Breastfed children are less likely to develop ADHD later in life, research finds
Jul 22, 2013
We know that breastfeeding has a positive impact on child development and health —including protection against illness. Now researchers from Tel Aviv University have shown that breastfeeding could also help protect against ...
Investigating ADHD in children born prematurely
Jul 19, 2013
Families from Nottingham are being invited to take part in a pioneering project to try to understand the links between being born very prematurely and the struggle to pay attention.
Single dose of ADHD drug can reduce fall risk in older adults
Jul 17, 2013
Ben-Gurion University of the Negev (BGU) researchers have discovered that a single dose of methylphenidate (MPH), used to treat Attention Deficit Hyperactivity Disorder (ADHD) and narcolepsy, helps to improve balance control ...
User comments
© Medical Xpress 2011-2013, Phys.org network
Use of a clinical decision support module results in higher quality of attention-deficit/hyperactivity disorder diagnosis, according to a study published online Aug. 19 in Pediatrics.
(HealthDay)—Use of a clinical decision support module results in higher quality of attention-deficit/hyperactivity disorder (ADHD) diagnosis, according to a study published online Aug. 19 in Pediatrics.
Aaron E. Carroll, M.D., from Indiana University in Indianapolis, and colleagues conducted a cluster randomized controlled trial in which the diagnosis and management of ADHD in 6- to 12-year-olds (84 children) were compared before and after implementation of a computer decision support system in four practices.
The researchers found that the use of structured diagnostic assessments dropped from 50 percent in the baseline period to 38 percent in the intervention period in the control group, while it rose in the intervention group from 60 to 81 percent. Even after controlling for age, gender, and race, the difference was statistically significant (odds ratio of structured diagnostic assessment in intervention group versus control group, 8.0). The number of ADHD core symptoms noted at the time of diagnosis was also significantly different between the groups. The percentage of patients who had documented medication adjustments, mental health referrals, and visits to mental health specialists was higher in the intervention group than the control group, although the study was not powered to detect changes in care and management.
"The introduction of a clinical decision support module resulted in higher quality of care with respect to ADHD diagnosis including a prospect for higher quality of ADHD management in children," the authors write.
Explore further: Can breastfeeding protect against ADHD?
More information: Abstract
Full Text (subscription or payment may be required)
Copyright © 2013 HealthDay. All rights reserved.
Medical Xpress on facebook
Related Stories
Can breastfeeding protect against ADHD?
May 14, 2013
Breastfeeding has a positive impact on the physical and mental development of infants. A new study suggests that breastfeeding may protect against the development of attention-deficit/hyperactivity disorder ...
FDA approves first brain wave test for ADHD
Jul 15, 2013
US regulators on Monday approved the first brain wave test for attention deficit hyperactivity disorder, saying it may improve the accuracy of diagnoses by medical experts.
ADHD and texting found to significantly impair teenage driving
Aug 12, 2013
ADHD and texting both significantly impair driving performance among teenagers, according to a study published online today in JAMA Pediatrics.
Study suggests increased diagnosis rate of attention deficit hyperactivity disorder at health plan
Jan 21, 2013
A study of medical records at the Kaiser Permanente Southern California health plan suggests the rate of attention deficit hyperactivity disorder (ADHD) diagnosis increased from 2001 to 2010, according to a report published ...
90 percent of pediatric specialists not following clinical guidelines when treating preschoolers with ADHD
May 04, 2013
A recent study by pediatricians from the Cohen Children's Medical Center of New York examined to what extent pediatric physicians adhere to American Academy of Pediatrics (AAP) clinical guidelines regarding pharmacotherapy ...
Recommended for you
ADHD and texting found to significantly impair teenage driving
Aug 12, 2013
ADHD and texting both significantly impair driving performance among teenagers, according to a study published online today in JAMA Pediatrics.
Wide treatment variances seen with ADHD drugs
Aug 10, 2013
(HealthDay)—There are wide variations in the use of stimulants to treat attention-deficit/hyperactivity disorder at both the state and the county level, according to research published online Aug. 2 in ...
Games' hidden purpose: Tracking, diagnosing ADHD
Aug 07, 2013
Noah Madson remembers being exhausted after hours of tests for his attention deficit hyperactivity disorder. "Boy, those were complicated," said his mother, Nancy. "He'd come out and say, 'My brain hurts.' "
Breastfed children are less likely to develop ADHD later in life, research finds
Jul 22, 2013
We know that breastfeeding has a positive impact on child development and health —including protection against illness. Now researchers from Tel Aviv University have shown that breastfeeding could also help protect against ...
Investigating ADHD in children born prematurely
Jul 19, 2013
Families from Nottingham are being invited to take part in a pioneering project to try to understand the links between being born very prematurely and the struggle to pay attention.
Single dose of ADHD drug can reduce fall risk in older adults
Jul 17, 2013
Ben-Gurion University of the Negev (BGU) researchers have discovered that a single dose of methylphenidate (MPH), used to treat Attention Deficit Hyperactivity Disorder (ADHD) and narcolepsy, helps to improve balance control ...
User comments
© Medical Xpress 2011-2013, Phys.org network
0 comments:
Post a Comment