Arch Pediat Adol Med
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Arch Pediat Adol Med · Sep 2004
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialA multisite randomized trial of the effects of physician education and organizational change in chronic-asthma care: health outcomes of the Pediatric Asthma Care Patient Outcomes Research Team II Study.
Traditional primary care practice change approaches have not led to full implementation of national asthma guidelines. ⋯ Planned care (nurse-mediated organizational change plus peer leader education) is an effective model for improving asthma care in the primary care setting. Peer leader education on its own may also serve as a useful model for improving asthma care, although it is less comprehensive and the treatment effect less pronounced.
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Arch Pediat Adol Med · Sep 2004
Comparative StudyThe quality of highly regarded adolescent substance abuse treatment programs: results of an in-depth national survey.
Drug and alcohol abuse and dependence are the most prevalent causes of adolescent morbidity and mortality in the United States. Effective, accessible treatment for adolescents with substance abuse problems is urgently needed. ⋯ Most of the highly regarded programs we surveyed are not adequately addressing the key elements of effective adolescent substance abuse treatment. Expanded use of standardized assessment instruments, improved ability to engage and retain youths, greater attention to gender and cultural competence, and greater investment in scientific evaluation of treatment outcomes are among the most critical needs. Expanding awareness of effective elements in treating adolescents will lead the way to program improvement.