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Referring Attention-Deficit/Hyperactivity Disorder: Gaining Perspective From Advanced Practice Providers in Primary

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Summary
This summary is machine-generated.

Pediatric advanced practice providers (APPs) generally feel comfortable diagnosing and managing attention-deficit/hyperactivity disorder (ADHD). However, those in suburban settings reported lower comfort levels, highlighting a need for targeted support.

Keywords:
Advanced Practice Provider (APP)Attention Deficit Hyperactivity Disorder (ADHD)

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Area of Science:

  • Pediatric Healthcare
  • Mental Health Services
  • Advanced Practice Providers

Background:

  • Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder in children.
  • Advanced Practice Providers (APPs) play an increasing role in primary pediatric care, including behavioral health.
  • Understanding factors influencing APP referral decisions for ADHD is crucial for optimizing care pathways.

Purpose of the Study:

  • To identify provider, patient, and family characteristics associated with pediatric APP referral decisions for ADHD.
  • To assess the comfort levels of pediatric APPs in diagnosing and managing ADHD.
  • To explore variations in referral likelihood based on APP practice setting and role.

Main Methods:

  • A cross-sectional electronic survey was administered to pediatric primary care APPs.
  • Data were analyzed using t tests and chi-square analysis to compare groups.
  • The survey assessed comfort levels and likelihood to refer for ADHD diagnosis and management.

Main Results:

  • Most surveyed APPs reported comfort in diagnosing and managing ADHD.
  • APPs in suburban settings reported significantly lower comfort levels compared to other settings.
  • APPs identifying as the primary behavioral/mental health provider showed higher comfort and lower referral rates.

Conclusions:

  • Pediatric APPs generally feel equipped to manage ADHD, but practice setting influences comfort.
  • Targeted interventions may be needed to address knowledge or care gaps, particularly in suburban practices.
  • Leveraging APPs as primary behavioral health points of contact can improve ADHD care efficiency.