Winter 2019 Issue |
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By Adarsha Shivakumar, MS2
Eastern Virginia Medical School
Adarsha Shivakumar (MS2) presented his poster, The Utility Of Random Drug Screens In Pediatric ADHD Patients to Assess Compliance at the Psychiatric Society of Virginia’s 2019 Fall Meeting in Virginia Beach, Virginia. In the General Academic Pediatrics (GAP) Clinic in Norfolk, Virginia, there is a growing cohort of school-aged patients being diagnosed with Attention Deficit Hyperactivity Disorder (ADHD). Compliance with medication is a significant barrier to medication efficacy, and there is comparatively little research on the topic of pediatric compliance with ADHD medication. The study aimed to quantify compliance through random urine drug screens (UDS). A positive UDS was observed in 30% of participants overall who consented to urinalysis and stated they had taken their medication that day. There was no statistically significant correlation between group assignment and teacher, Vanderbilt screening scores, academic performance, the length of time a patient was prescribed their medication or age. Broadening this study into a quality improvement project to achieve a greater number of patients for baseline compliance and then to further address reasons for possible non-compliance will be an upcoming endeavor. This research was done with Wihan du Plessis, MS2 and was developed and executed with the supervision and help of Dr. Stephen Restaino, Dr. Leonard Emuren and Dr. John W. Harrington.
March 20-21, 2020
Hilton Richmond Downtown
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