New Study Aims to Improve ADHD Treatment by Community Physicians

Community-wide training for primary care physicians seems to improve diagnosis and treatment of ADHD.

Tuesday July 8th - 10:11am

Researchers from the University of Cincinnati College of Medicine and the Cincinnati Children's Hospital Medical Center, led by Dr. Jeffrey Epstein, recently implemented a training program for 19 primary care practices in a large urban area. The training program was designed to help physicians understand how to implement the American Academy of Pediatrics' (AAP) standardized, evidence-based diagnosis and treatment guidelines for ADHD.

Prior to the training, use of the AAP guidelines was low at all of the practices, which included a total of 84 physicians. After the training, there was uniform improvement. The use of parent and teacher rating scales increased from approximately 55 and 52 percent, respectively, to almost 100 percent for both types of ratings. Further, monitoring of response to medication treatment, including documentation of symptoms in the patient's medical records, increased from nine percent to 40 percent.

The present study indicates that, for primary care practices interested in providing higher quality diagnosis and treatment for ADHD, a community-wide training intervention can be effective.

This study was published in the July 2008 issue of Pediatrics.

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