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Open AccessFeature PaperArticle

Timely Interventions for Children with ADHD through Web-Based Monitoring Algorithms

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Department of Neurology, Boston Children’s Hospital, Boston, MA 02115, USA
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Division of Developmental Medicine, Boston Children’s Hospital, Boston, MA 02115, USA
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Division of Emergency Medicine, Boston Children’s Hospital, Boston, MA 02115, USA
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Harvard Medical School, Boston, MA 02115, USA
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Author to whom correspondence should be addressed.
Diseases 2019, 7(1), 20; https://doi.org/10.3390/diseases7010020
Received: 20 December 2018 / Revised: 30 January 2019 / Accepted: 1 February 2019 / Published: 7 February 2019
(This article belongs to the Special Issue Attention Deficit Hyperactivity Disorder (ADHD))
The aim of this study was to evaluate an automated trigger algorithm designed to detect potentially adverse events in children with Attention-Deficit/Hyperactivity Disorder (ADHD), who were monitored remotely between visits. We embedded a trigger algorithm derived from parent-reported ADHD rating scales within an electronic patient monitoring system. We categorized clinicians’ alert resolution outcomes and compared Vanderbilt ADHD rating scale scores between patients who did or did not have triggered alerts. A total of 146 out of 1738 parent reports (8%) triggered alerts for 98 patients. One hundred and eleven alerts (76%) required immediate clinician review. Nurses successfully contacted parents for 68 (61%) of actionable alerts; 46% (31/68) led to a change in care plan prior to the next scheduled appointment. Compared to patients without alerts, patients with alerts demonstrated worsened ADHD severity (β = 5.8, 95% CI: 3.5–8.1 [p < 0.001] within 90 days prior to an alert. The trigger algorithm facilitated timely changes in the care plan in between face-to-face visits. View Full-Text
Keywords: trigger; algorithm; alerts; ADHD; Vanderbilt rating scale; parent reports; care plan trigger; algorithm; alerts; ADHD; Vanderbilt rating scale; parent reports; care plan
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Oppenheimer, J.; Ojo, O.; Antonetty, A.; Chiujdea, M.; Garcia, S.; Weas, S.; Loddenkemper, T.; Fleegler, E.; Chan, E. Timely Interventions for Children with ADHD through Web-Based Monitoring Algorithms. Diseases 2019, 7, 20.

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