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首页> 外文期刊>BMC Psychiatry >Study of user experience of an objective test (QbTest) to aid ADHD assessment and medication management: a multi-methods approach
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Study of user experience of an objective test (QbTest) to aid ADHD assessment and medication management: a multi-methods approach

机译：研究客观测试（QbTest）的用户体验，以帮助ADHD评估和药物管理：一种多方法方法

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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. Trial registration The findings form the implementation component of the Assessing QbTest Utility in ADHD (AQUA) Trial which is registered with the ISRCTN registry ( ISRCTN11727351 , retrospectively registered 04 July 2016) and clinicaltrials.gov ( NCT02209116 , registered 04 August 2014).
机译：背景技术注意缺陷多动障碍（ADHD）的诊断和监测通常依赖于主观报告和观察结果。客观连续性能测试（CPT）已被合并到某些服务中，以支持临床决策。但是，将这种测试添加到常规实践中的可行性和可接受性尚不清楚。该研究旨在调查在客观评估和监测注意缺陷多动障碍（ADHD）的常规评估中添加客观的计算机测试的可行性和可接受性。方法对参加随机对照试验的临床医生（n = 10）和家庭（父母/年轻人，n = 20）进行半结构式访谈。此外，相同的临床医生（n =？10）和家庭（n =？76）完成了一项评估其QbTest经验的调查。该研究在英国各地的儿童和青少年心理健康以及社区儿科诊所进行。访谈笔录经过专题分析。结果接受访谈的临床医生和家庭对QbTest的评价是对客观，有效的症状评估非常重视。注意到QbTest可以促进临床医生，家庭和学校之间的交流。但是，尽管临床医生对QbTest的有效性更加一致，但调查结果显示，尽管大多数家庭认为该测试有用，但不到一半的人认为QbTest帮助他们了解了临床医生围绕诊断和药物治疗的决策。 QbTest被认为是潜在的有价值的工具，可在评估过程的早期使用，以简化护理途径。尽管临床医生意识到额外的费用，但可以通过减少诊断时间和由医疗助理提供检查来抵消这些费用。结论研究结果表明QbTest是在常规临床环境中实施的可接受且可行的工具。临床医生应谨慎与家人讨论QbTest结果，以使他们理解和参与该过程。为了了解成本/收益，需要从最终试验中获得进一步的发现;然而，这项研究的结果支持将QbTest纳入ADHD护理途径的可行性和可接受性。试验注册该发现构成了ADHD（AQUA）试验中评估QbTest实用程序的实施组件，该实用程序已在ISRCTN注册中心（ISRCTN11727351，回顾性注册于2016年7月4日）和Clinicaltrials.gov（NCT02209116，2014年8月4日注册）中进行了注册。

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