Using Computers to Assist in the Diagnosis and Treatment of Attention-deficit/Hyperactivity Disorder (ADHD)
Completed · Not applicable
Conditions studied: Attention Deficit Hyperactivity Disorder
In brief
Attention-deficit/hyperactivity disorder (ADHD) is the most commonly diagnosed behavioral disorder in children. Prevalence rates in the United States range from 2% to 18% depending on diagnostic criteria and population studied. Primary care physicians, especially pediatricians, have historically played a large role in the diagnosis and treatment of ADHD. Despite the existence of authoritative guidelines to assist primary care physicians, ample evidence demonstrates that they continue to diagnose and treat this disorder suboptimally. This is due, in part, to a lack of training and cumbersome delivery system designs. Modern computer decision support strategies offer the best hope of equipping general practitioners to deal with the mental health epidemic of ADHD. The investigators have developed a novel decision support system for implementing clinical guidelines in pediatric practice. CHICA (Child Health Improvement through Computer Automation) combines three elements: (1) pediatric guidelines encoded in Arden Syntax; (2) a dynamic, scannable paper user interface; and (3) an HL7-compliant interface to existing electronic medical record systems. The result is a system that both delivers "just-in-time" patient-relevant guidelines to physicians during the clinical encounter, and accurately captures structured data from all who interact with it. Preliminary work with CHICA has demonstrated the feasibility of using the system to implement and evaluate clinical guidelines. The investigators propose to expand CHICA to include ADHD diagnosis and treatment guidelines. The investigators hypothesize that implementation of the ADHD guidelines will result in better outcomes, including higher rates of adherence to recommendations and improved patient functioning.
Key facts
- Study ID
- NCT01351064
- Run by
- Indiana University
- People needed
- 84
- Starts
- 2010-07-01
- Expected to finish
- 2012-07-01
- Last updated by the study team
- 2016-01-25
Who can join
Age: 5 and older, up to 12. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- Child between age 5 and 12 years seen in one of our clinics
You may not qualify if…
- Child outside the age range or who is not seen in one of our clinics.
Where it is running
- Children's Health Services Research — Indianapolis, Indiana, United States
Full record on ClinicalTrials.gov
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