Children's Attention Deficit Disorder With Hyperactivity (ADHD) Telemental Health Treatment Study
| Status: | Completed |
|---|---|
| Conditions: | Neurology, Psychiatric |
| Therapuetic Areas: | Neurology, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 5 - 12 |
| Updated: | 3/1/2014 |
| Start Date: | September 2009 |
| End Date: | May 2013 |
| Contact: | Kathleen M Myers, MD, MPH, MS |
| Email: | kathleen.myers@seattlechildrens.org |
| Phone: | 206-987-1663 |
Telemental Health to Improve Mental Health Care and Outcomes for Children in Underserved Areas
While telemental health (TMH) programs are increasing nationally to address the inequity of
access to psychiatric services, there are few reports of their efficacy, particularly with
children. The current proposal will complete the second stage of our program development. In
the first stage, we established the feasibility of a TMH service and its acceptability to
families and PCPs. In the second stage of program development we will conduct a randomized
clinical trial (RCT) that will determine whether it is possible to use technological
advances to: 1) improve clinical outcomes for children with ADHD over outcomes achieved in
usual PC; and 2) adhere to an EBT protocol implemented through TMH. Future studies will
examine whether other types of complicated psychiatric disorders and EBTs are amenable to
delivery via TMH.
The overall goal of this study is to determine whether an evidence-based model of care can
be faithfully implemented when delivered using TMH to children with ADHD living in rural
areas and can improve outcomes over treatment as usual (TAU) in PC. ADHD is an excellent
focus for assessment of TMH, as PCPs encounter this disorder frequently, EBT guidelines are
available, pharmacotherapy is the core treatment and is easily delivered in PC through
videoconferencing, and stabilization may be readily achieved for most youth.
access to psychiatric services, there are few reports of their efficacy, particularly with
children. The current proposal will complete the second stage of our program development. In
the first stage, we established the feasibility of a TMH service and its acceptability to
families and PCPs. In the second stage of program development we will conduct a randomized
clinical trial (RCT) that will determine whether it is possible to use technological
advances to: 1) improve clinical outcomes for children with ADHD over outcomes achieved in
usual PC; and 2) adhere to an EBT protocol implemented through TMH. Future studies will
examine whether other types of complicated psychiatric disorders and EBTs are amenable to
delivery via TMH.
The overall goal of this study is to determine whether an evidence-based model of care can
be faithfully implemented when delivered using TMH to children with ADHD living in rural
areas and can improve outcomes over treatment as usual (TAU) in PC. ADHD is an excellent
focus for assessment of TMH, as PCPs encounter this disorder frequently, EBT guidelines are
available, pharmacotherapy is the core treatment and is easily delivered in PC through
videoconferencing, and stabilization may be readily achieved for most youth.
Inclusion Criteria:
- is 5.5 - 12 years of age
- resides at home with parents/relatives
- has a dx of ADHD (CBCL DSM-oriented elevation or previous diagnosis of ADHD; C-DISC
diagnosis)
- attends school 80% of time or more (including home-schooled children)
- speaks English or Spanish and parent speaks English or Spanish
Exclusion Criteria:
- child has a diagnosis of: CD, OCD, psychosis, BPD, Autism, mental retardation, major
medical illness
- resident parent has a drug use problem
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