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The Children’s Attention-Deficit Hyperactivity Disorder Telemental Health Treatment Study: Caregiver Outcomes

Authors :
Carol M. Rockhill
Kathleen Myers
Ann Vander Stoep
Chuan Zhou
Erin N. Schoenfelder
Carolyn A. McCarty
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

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