2006
DOI: 10.1353/hpu.2006.0064
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Implementing ADHD Guidelines in Primary Care: Does One Size Fit All?

Abstract: To determine if the American Academy of Pediatrics Attention-Deficit/Hyperactivity Disorder (ADHD) guidelines require tailoring for different settings, the researchers used a mixed-method research design to review an ADHD quality improvement effort in community clinics and private offices in San Diego County. Clinically, no differences were noted in rates of ADHD in the two settings. Children in community clinics (58.3%) were more likely to report public insurance (p<.001), diverse ethnic backgrounds (p=.003),… Show more

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Cited by 41 publications
(42 citation statements)
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“…The children in the general pediatric clinic at the public hospital had a very similar profile to those in the public psychiatric clinic. These findings are consistent with those of other studies that compared public with private clinic samples [36]. Similar to another study, the current findings raise questions as to whether children with more socioeconomic disadvantage are at a higher risk of long-term negative outcomes of ADHD [37].…”
Section: Discussionsupporting
confidence: 92%
“…The children in the general pediatric clinic at the public hospital had a very similar profile to those in the public psychiatric clinic. These findings are consistent with those of other studies that compared public with private clinic samples [36]. Similar to another study, the current findings raise questions as to whether children with more socioeconomic disadvantage are at a higher risk of long-term negative outcomes of ADHD [37].…”
Section: Discussionsupporting
confidence: 92%
“…The low rates of evidence-based ADHD treatment practices have repeatedly been found to be resistant to reliable implementation. 5,7 Additional intervention components (eg, community collaborations 20 or assignment of case managers [21][22][23] ) might possibly help parents and teachers to improve adherence to prescribed practices.…”
Section: Discussionmentioning
confidence: 99%
“…For example, it is likely that barriers at the patient level (eg, poverty and parents' drug use 21,26 ) and physician level (eg, computer access in patient rooms and attitudes regarding change 27 ) prevent uniform adoption of this study's intervention. Furthermore, the Internetbased portal presented additional technological challenges to parents in the form of the need for Internet access 21 and to physicians in terms of adding another electronic patient medical record. Identifying and addressing these barriers may facilitate consistent implementation and widespread dissemination of this intervention.…”
Section: Discussionmentioning
confidence: 99%
“…At least half of individuals with ADHD are identified and treated within primary care settings, rather than by a mental health professional (Epstein et al 2008;Leslie et al 2006;Leslie et al 2004). For most children, pediatricians or family physicians provide primary care.…”
Section: The Diagnosis Of Adhd Within Primary Care Settingsmentioning
confidence: 99%