Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Physicians' Shared Decision-Making Behaviors in Attention-Deficit/Hyperactivity Disorder Care

Physicians' Shared Decision-Making Behaviors in Attention-Deficit/Hyperactivity Disorder Care ARTICLE Physicians’ Shared Decision-Making Behaviors in Attention-Deficit/Hyperactivity Disorder Care William B. Brinkman, MD, MEd; Jessica Hartl, BA; Lauren M. Rawe, BA; Heidi Sucharew, PhD; Maria T. Britto, MD, MPH; Jeffery N. Epstein, PhD Objectives: To describe the amount of shared decision- ing from 0 (no parental involvement) to 100 (maximal making (SDM) behavior exhibited during treatment- parental involvement). planning encounters for children newly diagnosed as hav- Results: Treatmentdecisionsfocusedoninitiationofmedi- ing attention-deficit/hyperactivity disorder and to explore cation treatment. The mean (SD) total OPTION score was relationships between participant characteristics and the 28.5(11.7).MoreSDMwasobservedduringencountersin- amount of SDM. volving families with white vs nonwhite children (adjusted mean difference score, 14.9; 95% confidence interval [CI], Design: Prospective cohort study. 10.2-19.6;P.001),privatevspublichealthinsurancecov- erage (adjusted mean difference score, 15.1; 11.2-19.0; Setting: Seven community-based primary care pediat- P.001), mothers with at least some college education vs ric practices in the Cincinnati, Ohio; northern Ken- highschoolgraduateorless(adjustedmeandifferencescore, tucky; and southeast Indiana regions from October 5, 12.3; 7.2-17.4; P.001), and parents who did not screen 2009, through August 9, 2010. positiveforseriousmentalillnessvsthosewhodid(adjusted mean difference score, 15.0; 11.9-18.1; P.001). Participants: Ten pediatricians and 26 families with a 6- to 10-year-old child newly diagnosed as having atten- Conclusions: Low levels of SDM were observed. Ex- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Pediatrics American Medical Association

Physicians' Shared Decision-Making Behaviors in Attention-Deficit/Hyperactivity Disorder Care

Loading next page...
 
/lp/american-medical-association/physicians-shared-decision-making-behaviors-in-attention-deficit-zZicWq1C0U
Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6203
eISSN
2168-6211
DOI
10.1001/archpediatrics.2011.154
pmid
22065181
Publisher site
See Article on Publisher Site

Abstract

ARTICLE Physicians’ Shared Decision-Making Behaviors in Attention-Deficit/Hyperactivity Disorder Care William B. Brinkman, MD, MEd; Jessica Hartl, BA; Lauren M. Rawe, BA; Heidi Sucharew, PhD; Maria T. Britto, MD, MPH; Jeffery N. Epstein, PhD Objectives: To describe the amount of shared decision- ing from 0 (no parental involvement) to 100 (maximal making (SDM) behavior exhibited during treatment- parental involvement). planning encounters for children newly diagnosed as hav- Results: Treatmentdecisionsfocusedoninitiationofmedi- ing attention-deficit/hyperactivity disorder and to explore cation treatment. The mean (SD) total OPTION score was relationships between participant characteristics and the 28.5(11.7).MoreSDMwasobservedduringencountersin- amount of SDM. volving families with white vs nonwhite children (adjusted mean difference score, 14.9; 95% confidence interval [CI], Design: Prospective cohort study. 10.2-19.6;P.001),privatevspublichealthinsurancecov- erage (adjusted mean difference score, 15.1; 11.2-19.0; Setting: Seven community-based primary care pediat- P.001), mothers with at least some college education vs ric practices in the Cincinnati, Ohio; northern Ken- highschoolgraduateorless(adjustedmeandifferencescore, tucky; and southeast Indiana regions from October 5, 12.3; 7.2-17.4; P.001), and parents who did not screen 2009, through August 9, 2010. positiveforseriousmentalillnessvsthosewhodid(adjusted mean difference score, 15.0; 11.9-18.1; P.001). Participants: Ten pediatricians and 26 families with a 6- to 10-year-old child newly diagnosed as having atten- Conclusions: Low levels of SDM were observed. Ex-

Journal

JAMA PediatricsAmerican Medical Association

Published: Nov 1, 2011

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month