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: 6658945
• 负责人: Laurel K. Leslie
• 金额: $ 17.94万
• 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/6658945
• 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展儿科医生，要求通过指导临床科学家发展奖（K08）计划获得五年的资助。她的最终目标是开展高质量的研究，将循证精神卫生保健转化为儿科初级保健环境，这是《卫生部长儿童精神卫生会议报告：国家行动议程》所要求的。该应用程序特别关注注意力缺陷多动障碍（ADHD），这是儿童最常见的五种疾病之一，最近发布了识别和治疗指南（American Academy of Pediatrics, 2002,2001）。申请人强大的学术和临床背景，以及她在未来儿科教育和实践方面的国家政策努力，为本研究提供了良好的基础。该申请提出了四个主要关注领域：1)全面的研究方法培训；2)对翻译研究的各种概念和方法方法的检查；3)与本应用程序中命名的丰富的顾问骨干进行互动，他们的专长在于转化研究，多动症和初级保健和学校环境中的儿童心理健康服务；4)将ADHD循证护理转化为初级保健的发展研究工作。这一培训将为她提供开展创新转化研究的工具，弥合以证据为基础的精神卫生保健与初级保健机构之间的差距。