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Improving patient care for attention deficit hyperactivity disorder in children by organizational redesign (Tornado program) and enhanced collaboration between psychiatry and general practice: a…

Overview of attention for article published in Implementation Science, October 2014
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Title
Improving patient care for attention deficit hyperactivity disorder in children by organizational redesign (Tornado program) and enhanced collaboration between psychiatry and general practice: a controlled before and after study
Published in
Implementation Science, October 2014
DOI 10.1186/s13012-014-0155-3
Pubmed ID
Authors

Mijnke Janssen, Michel Wensing, Rutger Jan van der Gaag, Ineke Cornelissen, Patricia van Deurzen, Jan Buitelaar

Abstract

BackgroundImplementation of clinical guidelines for diagnosis and treatment of attention deficit hyperactivity disorder (ADHD) in children and adolescents is a challenge in practice due to insufficient availability of mental health specialists and lack of effective cooperation with primary care physicians. The Tornado program aims to reduce time between referral and start of treatment in eligible patients. This study aims to assess the effectiveness and efficiency of this program.Methods/designThis is a non-randomized controlled before-after study involving 90 outpatients (6¿18 years old) suspected of uncomplicated ADHD, which were recruited by ten mental health teams. The Tornado program, provided by three teams, combines accelerated-track diagnosis and treatment planning. This is followed by psychoeducation at a mental health center and pharmacological treatment by primary care physicians, who received an online e-learning module for this purpose. The control group consists of patients of seven other teams, who receive care as usual. Primary outcome is the patients¿ time between referral to the mental health or pediatric center and start of treatment. Secondary outcomes include severity of ADHD symptoms; functional status; health-related quality of life; treatment adherence; indicators of diagnostic procedures and treatments; patient, parent, and professional experiences and satisfaction with care; and an economic evaluation. The study is powered to detect a difference of 36 days.DiscussionThis study will provide insight into the effectiveness and efficiency of the Tornado program, an accelerated-track program in mental healthcare.Trial registrationNetherlands Trial Register NTR2505. Trial status: active data collection.

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The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 169 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 169 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 16 9%
Student > Master 16 9%
Student > Ph. D. Student 15 9%
Student > Doctoral Student 12 7%
Student > Bachelor 12 7%
Other 36 21%
Unknown 62 37%
Readers by discipline Count As %
Psychology 32 19%
Medicine and Dentistry 21 12%
Nursing and Health Professions 16 9%
Social Sciences 10 6%
Economics, Econometrics and Finance 4 2%
Other 16 9%
Unknown 70 41%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 November 2014.
All research outputs
#14,203,791
of 22,769,322 outputs
Outputs from Implementation Science
#1,486
of 1,721 outputs
Outputs of similar age
#135,071
of 260,456 outputs
Outputs of similar age from Implementation Science
#53
of 63 outputs
Altmetric has tracked 22,769,322 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,721 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.7. This one is in the 11th percentile – i.e., 11% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 260,456 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 45th percentile – i.e., 45% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 63 others from the same source and published within six weeks on either side of this one. This one is in the 9th percentile – i.e., 9% of its contemporaries scored the same or lower than it.