Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2008 Jan-Feb;8(1):18-24.
doi: 10.1016/j.ambp.2007.10.002.

Development and psychometric assessment of the collaborative care for attention-deficit disorders scale

James P Guevara  1 , Paul E Greenbaum, David Shera, Judy A Shea, Laura Bauer, Donald F Schwarz
Affiliations

Development and psychometric assessment of the collaborative care for attention-deficit disorders scale

James P Guevara et al. Ambul Pediatr. 2008 Jan-Feb.

Abstract

Objective: To describe the development and assess the validity and reliability of the Collaborative Care for Attention-Deficit Disorders Scale (CCADDS), a measure of collaborative care processes for children with attention-deficit/hyperactivity disorder who attend primary care practices.

Methods: Collaborative care was conceptualized as a multidimensional construct. The 41-item CCADDS was developed from an existing instrument, review of the literature, focus groups, and an expert panel. The CCADDS was field tested in a national mail survey of 600 stratified and randomly selected practicing general pediatricians. Psychometric analysis included assessments of factor structure, construct validity, and internal consistency.

Results: The overall response rate was 51%. Most respondents were male (56%), 46 years old or older (59%), and white (69%). Common factor analysis identified 3 subscales: beliefs, collaborative activities, and connectedness. Internal consistency reliability (coefficient alpha) for the overall scale was .91, and subscale scores ranged from .80 to .89. The CCADDS correlated with a validated measure of provider psychosocial orientation (r = -.36, P < .001) and with self-reported frequency of mental health referrals or consultations (r = -.24 to -.42, P < .001). CCADDS scores were similar among physicians by race/ethnicity, gender, age group, and practice location.

Conclusions: Scores on the CCADDS were reliable for measuring collaborative care processes in this sample of primary care clinicians who provide treatment for children with attention-deficit/hyperactivity disorder. Evidence for validity of scores was limited. Future research is needed to confirm its psychometric properties and factor structure and provide guidance on score interpretation.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Flow diagram of mail survey
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. U.S. Public Health Service. Report of the Surgeon General's Conference on Children's Mental Health: a national action agenda. Washington, D.C.: 2000. - PubMed
    1. Anonymous. New Freedom Commission on Mental Health, achieving the promise: transforming mental health care in America. [Accessed May 1, 2006]. http://www.mentalhealthcommission.gov/
    1. Katon W, Von Korff M, Lin E, Simon G. Rethinking practitioner roles in chronic illness: the specialist, primary care physician, and the practice nurse. Gen Hosp Psychiatry. 2001;23:138–144. - PubMed
    1. American Academy of Pediatrics. Care coordination: integrating health and related systems of care for children with special health care needs. Pediatrics. 1999;104(4):978–981. - PubMed
    1. Greenbaum PE, Lipien L, Dedrick RF. An instrument to measure interagency collaboration among child-serving organizations. Paper presented at: American Psychological Association; Honolulu, HI. 2004.

Publication types