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: 6792159
• 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/6792159
• 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，正在通过指导临床科学家发展奖（K 08）计划申请五年的资金。她的最终目标是进行高质量的研究，将循证精神卫生保健转化为儿科初级保健环境，正如外科医生大会关于儿童心理健康的报告所呼吁的那样：国家行动议程。该应用程序特别关注注意缺陷多动障碍（ADHD），这是儿童五种最常见的疾病之一，最近发表了识别和治疗指南（美国儿科学会，2000年，2001年）。申请人强大的学术和临床背景以及她在国家政策方面的工作，为儿科教育和实践的未来提供了良好的基础。该申请提出了四个主要的重点领域：1）在一般研究方法中进行彻底的方法论培训; 2）对转化研究的各种概念和方法论方法进行检查; 3）与本申请中提到的丰富的顾问干部进行互动，他们的专业知识在于转化研究，ADHD以及初级保健和学校环境中的儿童心理健康服务;以及4）将ADHD的循证护理转化为初级保健环境的发展研究工作。这项培训将为她提供工具，以开展创新的转化研究，弥合循证精神卫生保健和初级保健环境之间的差距。 本申请中的发展研究计划建议在圣地亚哥县4个网络所属的10个初级保健诊所进行试点测试模型，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）检查对方案的忠诚度，3）确定影响循证ADHD护理在初级保健环境中转化的因素，以及4）在部署识别和治疗干预措施后，在与提供者的自然发生的互动中，生成有关向儿童和家庭提供治疗的初步数据。收集的数据将成为未来R 01应用的基础，以测试旨在将儿童循证ADHD护理转化为实践的策略的有效性。