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Adolescent-Reported Changes in Provider Behavior Following Pediatrician Training in Stimulant Diversion Prevention: Results from a Cluster Randomized Controlled Trial

Title: Adolescent-Reported Changes in Provider Behavior Following Pediatrician Training in Stimulant Diversion Prevention: Results from a Cluster Randomized Controlled Trial
Language: English
Authors: Brooke S. G. Molina (ORCID 0000-0001-7574-3755); Heather M. Joseph (ORCID 0000-0002-3352-8835); Heidi L. Kipp; Sarah L. Pedersen; David J. Kolko; Rachel A. Lindstrom; Daniel J. Bauer; Geetha A. Subramaniam
Source: Journal of Attention Disorders. 2025 29(2):107-119.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 13
Publication Date: 2025
Sponsoring Agency: National Institute on Drug Abuse (NIDA) (DHHS/PHS)
Contract Number: DA040213; DA049721; DA035464; MH018951; TR001857; MH121585
Document Type: Journal Articles; Reports - Research
Descriptors: Pediatrics; Physicians; Adolescents; Stimulants; Outcomes of Treatment; Workshops; Inservice Education; Behavior Change; Health Behavior; Health Promotion
Geographic Terms: Pennsylvania
DOI: 10.1177/10870547241288744
ISSN: 1087-0547; 1557-1246
Abstract: Objective: To test whether pediatrician training leads to provider utilization of stimulant diversion prevention strategies as reported by adolescent patients with ADHD. Methods: Pediatric practices received a stimulant diversion prevention workshop (SDP) or continued treatment-as-usual (TAU) in a cluster-randomized controlled trial. Surveys were completed by 341 stimulant-treated patients at baseline and three follow-up assessments. Results: In intent-to-treat analyses of patient reports, SDP adolescents reported more provider use of diversion prevention strategies compared to TAU. They also reported more parent-patient communication about diversion. Provider satisfaction with the training was strong. Conclusions: Pediatricians can make use of clinical practice strategies for the prevention of stimulant diversion following a 1-hr training; findings are novel given their reliance on confidential patient report of provider behavior and increase confidence in the results. Coupled with the positive provider satisfaction ratings, results suggest that this brief workshop may be an option for concerned providers that also has the effect of increasing discussion at home about safe use of stimulants.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1450760
Database: ERIC