Comparison of Performance on ADHD Quality of Care Indicators: Practitioner Self-Report Versus Chart Review

Gordon, Megan Kathleen; Baum, Rebecca; Gardner, William; Kelleher, Kelly J.; Langberg, Joshua M.; Brinkman, William B.; Epstein, Jeffery N.

doi:10.1177/1087054715624227

Cited by 15 publications

(13 citation statements)

References 17 publications

(20 reference statements)

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“…Banaschewski et al 2006; AAP Subcommittee on Attention-Deficit/Hyperactivity et al 2011; Bolea-Alamanac et al 2014) although evidence for pharmacological treatments is somewhat stronger than that for non-pharmacological approaches (Sonuga-Barke et al 2013). However, evidence for implementation of the available guidelines is generally not great (Leslie et al 2004; Langberg et al 2009; Gordon et al 2016) and highly variable (NHS Quality Improvement Scotland, 2008). Also the quality of outcome of cases treated under regular community settings reported in the literature is disappointing (Langley et al 2010; Setyawan et al 2013) and it appears to be difficult to maintain the positive impacts of clinical trials beyond the end of the study intervention (Molina et al 2009).…”

Section: Managing the Treatment Of Adhd: A Condition That Is Easy To mentioning

confidence: 99%

Organisation of services for managing ADHD

Coghill

2016

Epidemiol Psychiatr Sci

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There is considerable variation in practice, both between and with different countries in the management of attention deficit hyperactivity disorder (ADHD). Whilst there is no one optimal model of service organisation there are general principles of care that can be introduced to reduce this variability. There are frequent debates and discussions about which professional group is best placed to manage ADHD at different points in the life cycle. Who delivers care is however less important than ensuring that training schemes provide adequate exposure, training and experience to both the core and non-core skills required to provide a comprehensive package of care. Most evidence-based guidelines recommend a multi-modal, multi-professional and multi-agency approach. Many also promote the use of both stepped care and shared care approaches for the management of ADHD. As most of those with ADHD continue to have ADHD-related problems into adulthood, it is important to consider how best to transition care into adulthood and think about who should deliver care to adults with ADHD. Young people with ADHD should generally be transferred to adult mental health services if they continue to have significant symptoms of ADHD or other coexisting conditions that require treatment. Unfortunately services for adults with ADHD remain relatively scarce across much of the world and some adult psychiatrists remain unsure of the diagnosis and uncertain about the appropriate use of ADHD medications in adults, but there is a strong case for increased services for adults. ADHD is on the one hand easy to treat; it is much more difficult to treat well. Although optimised care for ADHD requires routine measurement of outcomes, this often does not happen in routine clinical practice. Focusing on optimising symptoms and minimising adverse effects can significantly improve both short- and long-term outcomes.

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Section: Managing the Treatment Of Adhd: A Condition That Is Easy To mentioning

confidence: 99%

Organisation of services for managing ADHD

Coghill

2016

Epidemiol Psychiatr Sci

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“…Chart audits are labor intensive, but give access to data not otherwise easily available [74,75]. Since health care providers frequently over-report behaviors on self-report surveys [76], chart audits can provide more realistic patient data. Unfortunately, missing data in the chart will be a limitation which we will be unable to overcome.…”

Section: Discussionmentioning

confidence: 99%

Health TAPESTRY Ontario: protocol for a randomized controlled trial to test reproducibility and implementation

Mangin

Lamarche

Oliver

et al. 2020

Trials

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Background: Health TAPESTRY (Health Teams Advancing Patient Experience: STRengthening qualitY) aims to help people stay healthier for longer where they live by providing person-focused care through the integration of four key program components: (1) trained volunteers who visit clients in their homes, (2) an interprofessional primary health care team, (3) use of technology to collect and share information, and (4) improved connections to community health and social services. The initial randomized controlled trial of Health TAPESTRY found promising results in terms of health care use and patient outcomes, indicating a shift from reactive to preventive care. The trial was based on one clinical academic center, thus limiting generalizability. The study objectives are (1) to test reproducibility of the established effectiveness of Health TAPESTRY on physical activity and hospitalizations, (2) to test the feasibility of, and understand the contributing factors to, the implementation of Health TAPESTRY in six diverse communities across Ontario, Canada, and (3) to determine the value for money of implementing Health TAPESTRY. Methods: This planned study is a pragmatic parallel randomized controlled trial with a delayed intervention for control participants at 6 months. This trial will simultaneously assess effectiveness and implementation in a real-world setting (type II hybrid) in six diverse communities across Ontario. Participants 70 years of age and older will be randomized into the Health TAPESTRY intervention or the control group (usual care). Intervention clients will receive an individualized plan of care from an interprofessional care team. The plan will be based on a client's goals and current health risks identified through volunteer visits. The study's outcomes are mapped onto the RE-AIM framework, with levels of physical activity and number of hospitalizations as the co-primary outcomes. The main analysis will be a comparison at 6 months.

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“…Chart audits are labor intensive, but give access to data not otherwise easily available (74,75). Since health care providers frequently over-report behaviours on self-report surveys (76), chart audits can provide more realistic patient data. Unfortunately, missing data in the chart will be a limitation which we will be unable to overcome.…”

Section: Discussionmentioning

confidence: 99%

Health TAPESTRY Ontario: Protocol for a Randomized Controlled Trial to Test Reproducibility and Implementation

Mangin

Lamarche

Bomze

et al. 2020

Preprint

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Background: Health TAPESTRY (Health Teams Advancing Patient Experience: STRengthening qualitY) aims to help people stay healthier for longer where they live by providing person-focused care through the integration of four key program components: 1) trained volunteers who visit clients in their homes, 2) an interprofessional primary health care team, 3) use of technology to collect and share information, and 4) improved connections to community health and social services. The initial randomized controlled trial of Health TAPESTRY found promising results in terms of health care use and patient outcomes, indicating a shift from reactive to preventive care. The trial was based on one clinical academic centre, thus limiting generalizability. The study objectives are: 1) to test reproducibility of the established effectiveness of Health TAPESTRY on physical activity and hospitalizations, 2) to test the feasibility of, and understand the contributing factors to, the implementation of Health TAPESTRY in six diverse communities across Ontario, Canada, and 3) to determine the value for money of implementing Health TAPESTRY.Methods: This planned study is a pragmatic parallel randomized controlled trial with a delayed intervention for control participants at six months. This trial will simultaneously assess effectiveness and implementation in a real world setting (Type II hybrid) in six diverse communities across Ontario. Participants 70 years of age and older will be randomized into the Health TAPESTRY intervention or the control group (usual care). Intervention clients will receive an individualized plan of care from an interprofessional care team. The plan will be based on a client’s goals and current health risks identified through volunteer visits. The study’s outcomes are mapped onto the RE-AIM framework, with levels of physical activity and number of hospitalizations as the co-primary outcomes. The main analysis will be a comparison at six months.Discussion: It is important to evaluate the effectiveness and implementation of Health TAPESTRY in multiple communities prior to scaling or widespread adoption.Trial registration: ClinicalTrials.gov: NCT03397836 (posted January 12, 2018).

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Comparison of Performance on ADHD Quality of Care Indicators: Practitioner Self-Report Versus Chart Review

Cited by 15 publications

References 17 publications

Organisation of services for managing ADHD

Organisation of services for managing ADHD

Health TAPESTRY Ontario: protocol for a randomized controlled trial to test reproducibility and implementation

Health TAPESTRY Ontario: Protocol for a Randomized Controlled Trial to Test Reproducibility and Implementation

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