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Candidate:
Pamela M. Radford
Degree of:
Doctor of Philosophy
Department: Psychology
Title: Documenting Lines of Communication Between School
Personnel and Physicians for Medication Evaluation Purposes for Students
with ADHD
Committee:
Dr. Ruth Ervin, Chair
Dr. John Austin
Dr. Alan Poling
Dr. Mark Sloane
Date: Thursday, March 21, 2002 7:30 a.m. - 9:30 a.m.
3715 Wood Hall
Abstract:
The purpose of this
study was to document current and desired lines of communication between
school personnel and physicians for the purpose of making medication
decisions for students with ADHD. School-physician communication practices
were assessed utilizing a national survey of primary care physicians
who are members of the American Medical Association (AMA) and school
psychologists who are members of the National Association of School
Psychologists (NASP). Specific information exchange practices that were
assessed included: (a) what student characteristics is information collected
on (e.g., academic performance, disruptive behavior, social interactions),
(b) how is school-based information collected (e.g., direct observations,
rating scales), (c) the format in which information is summarized and
presented (e.g., graphs, numerical summaries), (d) the mode of communication
(e.g., phone call, email, fax), (e) the person who communicates information
(e.g., school psychologist, teacher), and (f) the frequency of communication
(e.g., 2-3 times per month). Current information exchange practices
were documented
for three major decision-making periods during medication evaluations:
(a) before medication is initiated, (b) when mediation is evaluated,
and (c) when on-going treatment is monitored. Findings of this study
identified communication between schools and physicians to lack frequent
and direct contact. In addition, barriers to and suggestions for school-physician
communication were documented through the survey to assist in the facilitation
of more frequent and open lines of communication. Results of this study
extend previous research by pinpointing specific information exchange
practices (i.e., mode of communication, who communicates school-based
information, and the frequency of communication) that may be impeding
upon direct school-physician contact. This information is needed if
we hope to bridge the gap between research and school-based practices
in medication assessment.
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