Study of user-experience of an objective test (QbTest) to aid ADHD assessment and medication management: a multi-methods approach

Hall, Charlotte L. and Valentine, Althea and Walker, Gemma M. and Ball, Harriet M. and Cogger, Heather and Daley, David and Groom, Madeleine J. and Sayal, Kapil and Hollis, Chris (2017) Study of user-experience of an objective test (QbTest) to aid ADHD assessment and medication management: a multi-methods approach. BMC Psychiatry, 17 . 66/1-66/12. ISSN 1471-244X

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Abstract

Background

The diagnosis and monitoring of Attention deficit hyperactivity disorder (ADHD) typically relies on subjective reports and observations. Objective continuous performance tests (CPTs) have been incorporated into some services to support clinical decision making. However, the feasibility and acceptability of adding such a test into routine practice is unknown. The study aimed to investigate the feasibility and acceptability of adding an objective computerised test to the routine assessment and monitoring of attention deficit hyperactivity disorder (ADHD).

Methods

Semi-structured interviews were conducted with clinicians (n = 10) and families (parents/young people, n = 20) who participated in a randomised controlled trial. Additionally, the same clinicians (n = 10) and families (n = 76) completed a survey assessing their experience of the QbTest. The study took place in child and adolescent mental health and community paediatric clinics across the UK. Interview transcripts were thematically analysed.

Results

Interviewed clinicians and families valued the QbTest for providing an objective, valid assessment of symptoms. The QbTest was noted to facilitate communication between clinicians, families and schools. However, whereas clinicians were more unanimous on the usefulness of the QbTest, survey findings showed that, although the majority of families found the test useful, less than half felt the QbTest helped them understand the clinician’s decision making around diagnosis and medication. The QbTest was seen as a potentially valuable tool to use early in the assessment process to streamline the care pathway. Although clinicians were conscious of the additional costs, these could be offset by reductions in time to diagnosis and the delivery of the test by a Healthcare Assistant.

Conclusions

The findings indicate the QbTest is an acceptable and feasible tool to implement in routine clinical settings. Clinicians should be mindful to discuss the QbTest results with families to enable their understanding and engagement with the process. Further findings from definitive trials are required to understand the cost/benefit; however, the findings from this study support the feasibility and acceptability of integrating QbTest in the ADHD care pathway.

Item Type: Article
Keywords: Attention deficit hyperactivity disorder (ADHD), QbTest activity, Objective measures, Qualitative acceptability
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Psychiatry and Applied Psychology
Identification Number: 10.1186/s12888-017-1222-5
Depositing User: Hall, Charlotte
Date Deposited: 13 Feb 2017 12:58
Last Modified: 12 Oct 2017 19:50
URI: http://eprints.nottingham.ac.uk/id/eprint/40547

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