%0 Journal Article
%T Timely Interventions for Children with ADHD through Web-Based Monitoring Algorithms
%J Diseases | An Open Access Journal from MDPI
%D 2019
%R https://doi.org/10.3390/diseases7010020
%X 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 (¦Â = 5.8, 95% CI: 3.5¨C8.1 [ 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-Tex
%U https://www.mdpi.com/2079-9721/7/1/20