REACH INSTITUTE
Grant: $395,783 - National Institutes of Health - Sep. 29, 2009
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Award Description: Drawing upon behavioral change science and distance learning methods, this award Enhancing Pediatric Psychopharmacology in the Medical Home will test the relative impact of two interventions of differing intensity, both designed to increase primary care providers? (principally physicians?) use of expert-recommended ?best practices? in the assessment and treatment of children and adolescents with ADHD. This study of strategies to change physicians? ADHD practices addresses an area of urgent public health need and keen interest, given concerns about ADHD under- and over-treatment, potential side effects of the drugs used to treat ADHD, and the failure to employ other interventions that might be required to optimize child and family outcomes. Importantly, findings from the NIMH Multimodal Treatment of Children with ADHD (MTA) Study (1999) indicate that carefully medication management is significantly more effective and cost-effective than usual care, yet available evidence indicates that most ?real-world? primary care clinicians have not incorporated these findings into their ADHD management practices. This application capitalizes on these new findings to address this area of great public health impact. Moreover, because basic behavior change methods and learning theory are incorporated into the interventions, findings from this study will be of great interest to other scientists and policy-makers struggling to close the research-practice gap. The project address the following 3 aims: Aim 1. To evaluate the immediate, 3-month, and 12-month impact of a novel training methods in child psychopharmacology on the knowledge, attitudes, skills, self-efficacy, and clinical practice behaviors of 60 primary care clinicians (PCCs) and pediatric residents who treat ADHD and related problems. Aim 2. To gather pilot data and preliminary effect sizes comparing the impact of two randomly assigned intervention methods for encouraging PCCs to implement high quality assessment and treatment approaches in their practice settings with patients and families with ADHD, in preparation for a future R01. Aim 3. To conduct exploratory analyses of moderators and mediators of PCC behavior change, including age/year of training, pre-existing self-efficacy beliefs about ADHD management, previous experience treating ADHD, readiness for change as a function of initial training, and clinicians? satisfaction with the projects? sustained clinician support and educational methods.
Project Description: The project address the following 3 aims: Aim 1. To evaluate the immediate, 3-month, and 12-month impact of a novel training methods in child psychopharmacology on the knowledge, attitudes, skills, self-efficacy, and clinical practice behaviors of 60 primary care clinicians (PCCs) and pediatric residents who treat ADHD and related problems. Aim 2. To gather pilot data and preliminary effect sizes comparing the impact of two randomly assigned intervention methods for encouraging PCCs to implement high quality assessment and treatment approaches in their practice settings with patients and families with ADHD, in preparation for a future R01. Aim 3. To conduct exploratory analyses of moderators and mediators of PCC behavior change, including age/year of training, pre-existing self-efficacy beliefs about ADHD management, previous experience treating ADHD, readiness for change as a function of initial training, and clinicians? satisfaction with the projects? sustained clinician support and educational methods.
Jobs Summary: N/A (Total jobs reported: 0)
Project Status: Not Started
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