Can Online CME Change Physician Practices on Counseling Patients on ADHD Drug Diversion and Misuse?

January 5, 2017

This poster was presented at the 29th Annual U.S. Psychiatric & Mental Health Congress, held October 21-24, 2016, in San Antonio, Texas.

Study objectives: Stimulant medications are effective for attention-deficit/hyperactivity disorder (ADHD) treatment, however, the recent increase in ADHD diagnosis has prompted concerns about diversion and misuse. This study examined whether continuing medical education (CME) can change physician behavior and performance in counseling patients about ADHD stimulant misuse and diversion.

Methods: A three-part CME program consisting of two articles and a video webcast on stimulant misuse and diversion in ADHD was made available on an online education portal. To measure effect of CME, an online survey in the form of intent-to-change questions with multiple choices for intended changes was administered immediately after CME, and again 8 weeks later, to assess intended and completed changes associated with preventing ADHD stimulant drug diversion and misuse. Survey data were collected August 4, 2015 and again 8 weeks later.

Results: A total of 1470 physician learners (US psychiatrists, primary care physicians, and pediatricians) completed the CME activity and survey questions. 90% of learners (N=1323) indicated intent to make 5612 changes (4.2 per participant) related to counseling patients about ADHD drug diversion and misuse. Follow-up 8 weeks later was performed on a smaller sample of 62 learners. Of those, 84% reported that they had made a total of 201 changes, or 3.9 changes per participant, indicating that intended changes post-CME were implemented into practice.  

Conclusions: Online CME and the survey assessment tool used were effective at prompting physicians to improve counseling practices regarding misuse and diversion of ADHD medications and implement changes to their practice.

Jovana Lubarda, PhD
Piyali Chatterjee, BA
Sponsoring Organization: 
Supported by an independent medical education grant from Shire
Presented By: 
Jovana Lubarda, PhD, Associate Director of Educational Strategy, Medscape, LLC, New York, NY
Child & Adolescent Psychiatry