William B. Brinkman|Jessica Hartl Majcher|Lauren M. Poling|Shi Gaoyan|Mike Zender|Heidi Sucharew|Maria T. Britto|Jeffery N. Epstein
Shared decision-making to improve attention-deficit hyperactivity disorder care
Cincinnati Children's Hospital Medical Center|University of Cincinnati|Cincinnati Children's Hospital Medical Center|University of Cincinnati|Cincinnati Children's Hospital Medical Center|University of Cincinnati|University of Cincinnati Medical Center|University of Cincinnati Medical Center|Cincinnati Children's Hospital Medical Center|University of Cincinnati|Cincinnati Children's Hospital Medical Center|University of Cincinnati|Cincinnati Children's Hospital Medical Center|University of Cincinnati
examine effect shared decisionmaking intervention parents children newly diagnosed attentiondeficithyperactivity disorderseven pediatricians participated prepost open trial decision aids use office visit discuss diagnosis develop treatment plan encounters pre n21 control group postintervention implementation n33 intervention group compared videorecorded encounters surveyed parentscompared controls intervention group parents involved shared decisionmaking 312 vs 438 option score p001 knowledgeable 64 vs 81 questions correct p001 less conflicted treatment options 162 vs 107 decisional conflict total score p006 visit duration unchanged 410 vs 416min p075 significant differences median number followup visits 0 vs 1 visits p008 proportion children medication titration 62 vs 76 p028 parentcompleted behavior rating scale assess treatment response 24 vs 39 p036our intervention increased shared decisionmaking parents parents better informed treatment options without increasing visit durationinterventions available prepare parents visits enable physicians elicit parent preferences involvement decisionmaking