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The Children’s Attention-Deficit Hyperactivity Disorder Telemental Health Treatment Study: Caregiver Outcomes
- Source :
- Journal of Abnormal Child Psychology. 45:27-43
- Publication Year :
- 2016
- Publisher :
- Springer Science and Business Media LLC, 2016.
-
Abstract
- The Children’s Attention-deficit Hyperactivity Disorder (ADHD) Telemental Health Treatment Study (CATTS) tested the hypotheses that children and caregivers who received guideline-based treatment delivered through a hybrid telehealth service delivery model would experience greater improvements in outcomes than children and caregivers receiving treatment via a comparison delivery model. Here, we present caregiver outcomes. 88 primary care providers (PCPs) in seven geographically underserved communities referred 223 children (ages 5.5 − 12.9 years) to the randomized controlled trial. Over 22 weeks, children randomized to the CATTS service delivery model received six sessions of telepsychiatry and six sessions of caregiver behavior management training provided in person by community therapists who were trained and supervised remotely. Children randomized to the comparison Augmented Primary Care (APC) service model received management in primary care augmented by a single telepsychiatry consultation. Caregiver outcomes included changes in distress, as measured by the Patient Health Questionnaire (PHQ-9), Parenting Stress Index (PSI), Caregiver Strain Questionnaire (CSQ) and Family Empowerment Scale (FES). Caregivers completed five assessments. Multilevel mixed effects regression modeling tested for differences between the two service delivery models in caregiver outcomes from baseline to 25 weeks. Compared to caregivers of children in the APC model, caregivers of children in the CATTS service model showed statistically significantly greater improvements on the PHQ-9 (β = -1.41, 95 % CI = [−2.74, −0.08], p
- Subjects :
- Adult
Male
medicine.medical_specialty
Service delivery framework
Telehealth
Article
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Behavior Therapy
law
Outcome Assessment, Health Care
Developmental and Educational Psychology
medicine
Humans
Attention deficit hyperactivity disorder
Family
0501 psychology and cognitive sciences
Child
Telemental health
business.industry
05 social sciences
Telepsychiatry
medicine.disease
Telemedicine
030227 psychiatry
Patient Health Questionnaire
Psychiatry and Mental health
Distress
Caregivers
Attention Deficit Disorder with Hyperactivity
Child, Preschool
Physical therapy
Family Therapy
Female
business
050104 developmental & child psychology
Clinical psychology
Subjects
Details
- ISSN :
- 15732835 and 00910627
- Volume :
- 45
- Database :
- OpenAIRE
- Journal :
- Journal of Abnormal Child Psychology
- Accession number :
- edsair.doi.dedup.....f9fcf1d92e76ba62a563d52b568f0d28
- Full Text :
- https://doi.org/10.1007/s10802-016-0155-7