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Vreeman, R. C., Madsen, K. A., Vreeman, D. J., Carroll, A. E., & Downs, S. M. (2006). Compliance with guidelines for ADHD: A pilot study of an evaluation tool. Journal of Pediatrics, 149(4), 568-571. https://doi.org/10.1016/j.jpeds.2006.07.024
The investigators developed a 1-page chart abstraction tool to evaluate compliance with practice guidelines for attention deficit hyperactivity disorder. The tool had strong inter-rater reliability, with kappa of 0.81. Pilot testing for 57 children with attention deficit hyperactivity disorder showed only 12% documented full compliance with assessment guidelines and 44% with treatment guidelines.