TY - JOUR
T1 - School-based screening to identify children at risk for attention-deficit/hyperactivity disorder
T2 - Barriers and implications
AU - Barry, Tammy D.
AU - Sturner, Raymond
AU - Seymour, Karen
AU - Howard, Barbara
AU - McGoron, Lucy
AU - Bergmann, Paul
AU - Kent, Ronald
AU - Sullivan, Casey
AU - Tomeny, Theodore S.
AU - Pierce, Jessica S.
AU - Coln, Kristen L.
AU - Goodlad, James K.
AU - Werle, Nichole
N1 - Publisher Copyright:
© 2016 Taylor & Francis.
PY - 2016/7/2
Y1 - 2016/7/2
N2 - This report describes a school-based screening project to improve early identification of children at risk for attention-deficit/hyperactivity disorder (ADHD) and communicate these concerns to parents, recommending that they contact their child’s primary care provider (PCP). Of 17,440 eligible children in first through fifth grades in five school districts, 47.0% of parents provided required written consent, and teachers completed 70.4% of the online screeners (using the Vanderbilt AD/HD Diagnostic Teacher Rating Scale). Of 5,772 screeners completed, 18.1% of children (n = 1,044) were identified as at risk. Parents of at-risk children were contacted to explain risk status and recommended to visit their child’s PCP for further evaluation. It was not possible to contact 39.1% of parents of at-risk children. Of the 636 parents of at-risk children who could be contacted, 53.1% (n = 338) verbally accepted the recommendation to follow-up with their PCP, which was not related to ADHD symptom severity. Parents of children with IEPs or related services were more likely to accept the recommendation to visit the PCP. Our exploration of the potential for school-based screening for ADHD identified a number of barriers to successful execution, but the data also indicated that this is an important problem to address.
AB - This report describes a school-based screening project to improve early identification of children at risk for attention-deficit/hyperactivity disorder (ADHD) and communicate these concerns to parents, recommending that they contact their child’s primary care provider (PCP). Of 17,440 eligible children in first through fifth grades in five school districts, 47.0% of parents provided required written consent, and teachers completed 70.4% of the online screeners (using the Vanderbilt AD/HD Diagnostic Teacher Rating Scale). Of 5,772 screeners completed, 18.1% of children (n = 1,044) were identified as at risk. Parents of at-risk children were contacted to explain risk status and recommended to visit their child’s PCP for further evaluation. It was not possible to contact 39.1% of parents of at-risk children. Of the 636 parents of at-risk children who could be contacted, 53.1% (n = 338) verbally accepted the recommendation to follow-up with their PCP, which was not related to ADHD symptom severity. Parents of children with IEPs or related services were more likely to accept the recommendation to visit the PCP. Our exploration of the potential for school-based screening for ADHD identified a number of barriers to successful execution, but the data also indicated that this is an important problem to address.
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U2 - 10.1080/02739615.2014.948160
DO - 10.1080/02739615.2014.948160
M3 - Article
C2 - 27642209
AN - SCOPUS:84976312740
SN - 0273-9615
VL - 45
SP - 241
EP - 265
JO - Children's Health Care
JF - Children's Health Care
IS - 3
ER -