Improving Care for ADHD in Primary Care Pediatrics

改善初级保健儿科对多动症的护理

• 批准号: 6542041
• 负责人: Laurel K. Leslie
• 金额: $ 17.75万
• 依托单位: RADY CHILDREN'S HOSPITAL - SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-11 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6542041
• 关键词: age difference; attention deficit disorder; attitude; clinical research; continuing education; diagnosis design /evaluation; gender difference; health care quality; health education; human subject; mental disorder chemotherapy; middle childhood (6-11); patient care management; pediatrics; primary care physician; questionnaires; satisfaction; technology /technique development

DESCRIPTION (provided by applicant): The applicant, a behavioral-developmental pediatrician, is requesting five years of funding through the Mentored Clinical Scientist Development Award (K08) program. Her ultimate goal is to conduct high quality research on the translation of evidence-based mental health care into pediatric primary care settings as called for by the Report of the Surgeon General's Conference on Children's Mental Health: A National Action Agenda. The application focuses specifically on Attention Deficit Hyperactivity Disorder (ADHD), one of the five most common morbidities of childhood, with recently published guidelines for identification and treatment (American Academy of Pediatrics, 2000, 2001). The applicant's strong academic and clinical background and her work on national policy efforts regarding the future of pediatric education and practice provide an excellent foundation for this research. The application proposes four main areas of focus: 1) thorough methodological training in research methodologies in general; 2) examination of diverse conceptual and methodological approaches to translational research; 3) interactions with the rich cadre of consultants named in this application whose expertise lies in translational research, ADHD, and children's mental health services in primary care and school settings; and 4) developmental research work on the translation of evidence-based care for ADHD into primary care settings. This training will give her the tools to mount innovative translational research bridging the gap between evidence-based mental health care and primary care settings. The developmental research plan in this application proposes to pilot test models to improve the identification and treatment of ADHD in 10 primary care clinics affiliated with 4 networks in San Diego County. Research goals include: 1) determining the acceptability of a protocol for the identification and treatment of ADHD, 2) examining fidelity to the protocol, 3) identifying factors that impact the translation of evidence-based ADHD care in primary care settings, and 4) generating preliminary data regarding treatments offered to children and families in naturally occurring interactions with providers following deployment of an identification and treatment intervention. The data collected will form the basis for future R01 application(s) to test the effectiveness of strategies designed to translate children's evidence-based ADHD care into practice.

描述（由申请人提供）：申请人是一名行为发育儿科医生，正在请求通过指导临床科学家发展奖（K08）计划提供五年的资金。她的最终目标是按照《儿童心理健康外科医生会议报告：国家行动议程》的要求，开展高质量的研究，将循证心理健康保健转化为儿科初级保健环境。该应用程序特别关注注意力缺陷多动障碍（ADHD），这是五种最常见的儿童疾病之一，最近发布了识别和治疗指南（美国儿科学会，2000 年，2001 年）。申请人深厚的学术和临床背景以及她在有关儿科教育和实践未来的国家政策努力方面的工作为本研究奠定了良好的基础。该申请提出了四个主要关注领域：1）一般研究方法的彻底方法培训； 2）检查转化研究的不同概念和方法论方法； 3) 与本申请中指定的丰富顾问队伍进行互动，他们的专长在于转化研究、多动症以及初级保健和学校环境中的儿童心理健康服务； 4) 将多动症循证护理转化为初级保健机构的发展研究工作。这次培训将为她提供开展创新转化研究的工具，以弥合循证精神卫生保健和初级保健机构之间的差距。 本申请中的开发研究计划建议在圣地亚哥县 4 个网络附属的 10 个初级保健诊所中试点测试模型，以改善 ADHD 的识别和治疗。研究目标包括：1) 确定 ADHD 识别和治疗方案的可接受性，2) 检查方案的忠实度，3) 确定影响初级保健机构中基于证据的 ADHD 护理转化的因素，以及 4) 在部署识别和治疗干预措施后，在与提供者自然发生的互动中生成有关向儿童和家庭提供的治疗的初步数据。收集的数据将构成未来 R01 应用的基础，以测试旨在将儿童循证多动症护理转化为实践的策略的有效性。