Ambulatory Pediatrics
Volume 4, Issue 5 , Pages 436-441 , September 2004

Improving Care for Children With Attention Deficit Hyperactivity Disorder: Assessing the Impact of Self-Assessment and Targeted Training on Practice Performance

  • Charles J. Homer, MD, MPH

      Affiliations

    • Corresponding Author InformationAddress correspondence to Charles J. Homer, National Initiative for Children's Healthcare Quality, 375 Longwood Ave, 3rd Floor, Boston, MA 02215
  • ,
  • Lisa Horvitz, SM

      Affiliations

    • From the National Initiative for Children's Healthcare Quality, (Dr Homer, Ms Horvitz, Ms Heinrich) Boston, Mass; Children's Hospital, (Dr Homer, Mr Forbes), Boston, Mass; the Harvard Medical School (Dr Homer), Boston, Mass; and the NC Center for Children's Healthcare Improvement, University of North Carolina (Ms Lesneski, Dr Phillips), Chapel Hill, NC
  • ,
  • Patricia Heinrich, RN, BSN

      Affiliations

    • From the National Initiative for Children's Healthcare Quality, (Dr Homer, Ms Horvitz, Ms Heinrich) Boston, Mass; Children's Hospital, (Dr Homer, Mr Forbes), Boston, Mass; the Harvard Medical School (Dr Homer), Boston, Mass; and the NC Center for Children's Healthcare Improvement, University of North Carolina (Ms Lesneski, Dr Phillips), Chapel Hill, NC
  • ,
  • Peter Forbes, MA

      Affiliations

    • From the National Initiative for Children's Healthcare Quality, (Dr Homer, Ms Horvitz, Ms Heinrich) Boston, Mass; Children's Hospital, (Dr Homer, Mr Forbes), Boston, Mass; the Harvard Medical School (Dr Homer), Boston, Mass; and the NC Center for Children's Healthcare Improvement, University of North Carolina (Ms Lesneski, Dr Phillips), Chapel Hill, NC
  • ,
  • Cheryll Lesneski, MA

      Affiliations

    • From the National Initiative for Children's Healthcare Quality, (Dr Homer, Ms Horvitz, Ms Heinrich) Boston, Mass; Children's Hospital, (Dr Homer, Mr Forbes), Boston, Mass; the Harvard Medical School (Dr Homer), Boston, Mass; and the NC Center for Children's Healthcare Improvement, University of North Carolina (Ms Lesneski, Dr Phillips), Chapel Hill, NC
  • ,
  • Jim Phillips, DrPH

      Affiliations

    • From the National Initiative for Children's Healthcare Quality, (Dr Homer, Ms Horvitz, Ms Heinrich) Boston, Mass; Children's Hospital, (Dr Homer, Mr Forbes), Boston, Mass; the Harvard Medical School (Dr Homer), Boston, Mass; and the NC Center for Children's Healthcare Improvement, University of North Carolina (Ms Lesneski, Dr Phillips), Chapel Hill, NC

Received 28 July 2003 ,Accepted 27 May 2004.

REFERENCES 

  1. American Academy of Pediatrics. . Clinical practice guideline: diagnosis and evaluation of the child with attention-deficit/hyperactivity disorder . Pediatrics . 2000;105:1158–1170
  2. American Academy of Pediatrics. . Clinical practice guideline: treatment of the school-aged child with attention-deficit/hyperactivity disorder . Pediatrics . 2001;108:1033–1044
  3. Chan E, Hopkins M, Perrin JM, et al. Variations in diagnostic practices for attention deficit hyperactivity disorder: a national survey of primary care physicians Paper presented at: Pediatric Academic Societies Meeting; May 4–7, 2002; Baltimore, Md
  4. Chan E, Hopkins M, Perrin JM, et al. Variations in treatment diagnostic practices for attention deficit hyperactivity disorder: a national survey of primary care physicians Paper presented at: Pediatric Academic Societies Meeting; May 4–7, 2002; Baltimore, Md
  5. Mazmanian PE , Davis DA . Continuing medical education and the physician as a learner: guide to the evidence . JAMA . 2002;228:1057–1060
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  7. Flores G , Lee M , Bauchner H , Kastner B . Pediatricians' attitudes, beliefs, and practices regarding clinical practice guidelines: a national survey . Pediatrics . 2000;105:496–501
  8. Cabana MD , Rand CS , Powe NR , et al.   Why don't physicians follow clinical practice guidelines? A framework for improvement . JAMA . 1999;282:1458–1465
  9. Greco PJ , Eisenberg JM . Changing physicians' practices . N Engl J Med . 1993;329:1271–1273
  10. Leape LL , Kabcenell AI , Gandhi TK , et al.   Reducing adverse drug events: lessons from a breakthrough series collaborative . Jt Comm J Qual Improv . 2000;26:321–331
  11. Bodenheimer T , Wagner EH , Grumbach K . Improving primary care for patients with chronic illness . JAMA . 2002;288:1775–1779
  12. Bodenheimer T , Wagner EH , Grumbach K . Improving primary care for patients with chronic illness: the chronic care model, part 2 . JAMA . 2002;288:1909–1914
  13. Leslie LK , Weckerly J , Plemmons D , et al.   Implementing the AAP ADHD Diagnostic Guidelines in primary care settings . Pediatrics . 2004;114:129–140
  14. Zeger S , Liang KY . Longitudinal data analysis for discrete and continuous outcomes . Biometrics . 1986;42:121–130
  15. SAS Institute. PROC GENMOD Cary, NC; 1996
  16. Grimshaw JM , Shirran L , Thomas R , et al.   Changing provider behavior: an overview of systematic reviews of interventions . Med Care . 2001;39(8 suppl 2):2–45

PII: S1530-1567(05)60338-3

doi: 10.1367/A03-116R.1

Ambulatory Pediatrics
Volume 4, Issue 5 , Pages 436-441 , September 2004