TY - JOUR
T1 - Receipt of Behavioral Therapy in Preschool-Age Children with ADHD and Coexisting Conditions
T2 - A DBPNet Study
AU - DBPNet Steering Committee
AU - Mittal, Shruti
AU - Bax, Ami
AU - Blum, Nathan J.
AU - Shults, Justine
AU - Barbaresi, William
AU - Cacia, Jaclyn
AU - Deavenport-Saman, Alexis
AU - Friedman, Sandra
AU - LaRosa, Angela
AU - Loe, Irene M.
AU - Tulio, Shelby
AU - Vanderbilt, Douglas
AU - Harstad, Elizabeth
AU - Stein, Ruth
AU - Voigt, Robert
AU - Jeon, Hyejin
AU - Augustyn, Marilyn
AU - Vanderveen, Gina
AU - Whyte, Rosalie
AU - Abila, Maria
AU - Stager, Kelli
AU - Wiley, Susan
AU - High, Pamela
AU - Nadler, Cy
AU - Feldman, Heidi M.
AU - Mendoza, Emily
AU - Mendelsohn, Alan
AU - Roizen, Nancy
AU - Fussell, Jill
AU - Hansen, Robin
AU - Wolraich, Mark
AU - Bliss, Isabella
N1 - Publisher Copyright:
© 2023 Lippincott Williams and Wilkins. All rights reserved.
PY - 2023/12/1
Y1 - 2023/12/1
N2 - Objective:Practice guidelines from the American Academy of Pediatrics and Society for Developmental and Behavioral Pediatrics recommend evidence-based behavioral therapy (BT) as first-line treatment for preschool-age children with ADHD, prior to medication initiation. Thus, this study's objective is to present the frequency of physician-documented receipt of BT in preschool-age children with ADHD prior to medication initiation and to determine factors associated with receipt BT receipt.Methods:This retrospective medical record review was conducted across 7 Developmental Behavioral Pediatrics Research Network (DBPNet) sites. Data were abstracted for children <72 months old seen by a DBP clinician and initiated on ADHD medication between 1/1/2013-7/1/2017. From narrative text of the medical records, BT receipt was coded as: parent training in behavior management (PTBM), Applied Behavior Analysis (ABA), other, or did not receive.Results:Of the 497 children in this study; 225 children (45%) had reported receipt of any BT prior to ADHD medication initiation, with 15.9% (n = 79) receiving PTBM. Children with co-existing diagnoses of ASD or disruptive behavior disorder were more likely to receive BT than children without co-existing conditions (59.3% vs 69.0% vs 30.6%). There was significant site variability in reported receipt of BT, ranging from 22.4% to 74.1%, and sex and insurance were not associated with BT rates.Conclusion:The percentage of children with documented receipt of any BT, and particularly PTBM, was low across all sites and co-existing conditions. These findings highlight the universal need to increase receipt of evidence-based BT for all young children with ADHD.
AB - Objective:Practice guidelines from the American Academy of Pediatrics and Society for Developmental and Behavioral Pediatrics recommend evidence-based behavioral therapy (BT) as first-line treatment for preschool-age children with ADHD, prior to medication initiation. Thus, this study's objective is to present the frequency of physician-documented receipt of BT in preschool-age children with ADHD prior to medication initiation and to determine factors associated with receipt BT receipt.Methods:This retrospective medical record review was conducted across 7 Developmental Behavioral Pediatrics Research Network (DBPNet) sites. Data were abstracted for children <72 months old seen by a DBP clinician and initiated on ADHD medication between 1/1/2013-7/1/2017. From narrative text of the medical records, BT receipt was coded as: parent training in behavior management (PTBM), Applied Behavior Analysis (ABA), other, or did not receive.Results:Of the 497 children in this study; 225 children (45%) had reported receipt of any BT prior to ADHD medication initiation, with 15.9% (n = 79) receiving PTBM. Children with co-existing diagnoses of ASD or disruptive behavior disorder were more likely to receive BT than children without co-existing conditions (59.3% vs 69.0% vs 30.6%). There was significant site variability in reported receipt of BT, ranging from 22.4% to 74.1%, and sex and insurance were not associated with BT rates.Conclusion:The percentage of children with documented receipt of any BT, and particularly PTBM, was low across all sites and co-existing conditions. These findings highlight the universal need to increase receipt of evidence-based BT for all young children with ADHD.
KW - ABA
KW - ADHD, preschoolers
KW - autism spectrum disorder
KW - behavioral therapy
KW - parent training in behavior management
KW - preschool-aged
UR - http://www.scopus.com/inward/record.url?scp=85178496416&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85178496416&partnerID=8YFLogxK
U2 - 10.1097/DBP.0000000000001216
DO - 10.1097/DBP.0000000000001216
M3 - Article
C2 - 37751569
AN - SCOPUS:85178496416
SN - 0196-206X
VL - 44
SP - E651-E656
JO - Journal of Developmental and Behavioral Pediatrics
JF - Journal of Developmental and Behavioral Pediatrics
IS - 9
ER -