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Does provision of brief physician training and computer-assisted medicine management improve symptoms in children with attention-deficit hyperactivity disorder (ADHD) compared with treatment as usual (TAU)?
270 children (77% boys; age range 5.9–11.11 years; mean age 8.2 years) with ADHD diagnosed according to DSM-V criteria (combined type: 49%, hyperactive/impulsive type: 9.8% and inattentive type: 41.2%) and attending participating paediatric practices. Main exclusions: taking an antipsychotic or medication for ADHD in the previous 2 months; intolerance to stimulants or taking medication not compatible with stimulants; not living with their primary care giver for the previous 6 months; an IQ<70 or attending classes for children with intellectual disabilities; an autistic spectrum disorder, chronic tics or Tourette syndrome; suicidal ideation; or any major illness.
24 paediatric practices in Chicago (21 private practices and 3 practices serving low-income families); 2003–2009.
Specialised care (SC) (n=137) or TAU (n=133). SC included 2 h of physician training in a guideline-based ADHD medication management protocol for stimulant medications and atomoxetine and 1 h training for office staff on using an ADHD medication management computer program (the Focus program) for monitoring and guiding medication titration. The SC package also …
Sources of funding National Institutes of Health.
Competing interests MJT has been supported with an education sponsorship from Eli Lilley, Janssen Cilag and SHIRE, and has received research funding from Janssen Cilag and SHIRE. She is also a consultant to SHIRE.
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