Attention Deficit/Hyperactivity Disorder (ADHD)is one of the most common mental health disorders of childhood. Children with ADHD often have poor attention, are restless and hyperactive and show impulsive behaviour. It is important to detect ADHD so young people can have access to appropriate clinical interventions. One of the most common ways ADHD is assessed is through the clinician's opinion; however, this can vary between clinicians and is thought to be one reason why ADHD may be mis-diagnosed. Using a more objective computer tasks may help improve our understanding of ADHD. One computer task is the QbTest. The test presents different symbols to the child, and the child has to respond by pressing a button only when a target symbol appears. The test measures the child's attention, impulsivity and movement whilst doing this task. Although the test is thought to be a valid measure, more research needs to be conducted on this measure to see whether it helps clinicians decision making. To see whether this test helps clinicians make a diagnosis of ADHD and helps with medication decisions, children and young people will be asked to complete the task as part of their initial assessment for ADHD. Half the participants and their clinician will have access to the QbTest result; the other half will not have access to the QbTest result until the end of the study. Participant's parents, teachers and the clinician will also be asked to complete some questionnaires about the child's symptoms and behaviour. If the child is diagnosed with ADHD and is given medication they will be asked to complete the task again on medication. The same set of questionnaires will be completed by the parents/teachers/clinicians. The entire sample will be followed up at 6 months and asked to complete the questionnaires.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
SINGLE
Enrollment
267
Given to all participants but the results will be open or blind depending on arm allocation
Central Manchester University Hospitals NHS Foundation Trust
Manchester, Greater Manchester, United Kingdom
Medway NHS Foundation Trust
Gillingham, Kent, United Kingdom
Bridgewater Community Healthcare NHS Trust
Wigan, Lancashire, United Kingdom
Leicestershire Partnership Nhs Trust
Leicester, Leicestershire, United Kingdom
United Lincolnshire Hospitals NHS Trust
Lincoln, Lincolnshire, United Kingdom
Alder Hey Children's NHS Foundation Trust
Liverpool, Merseyside, United Kingdom
Nottinghamshire Healthcare Nhs Trust
Nottingham, Nottinghamshire, United Kingdom
Nottingham University Hospitals Nhs Trust
Nottingham, Nottinghamshire, United Kingdom
Sussex Partnership NHS Foundation Trust
Worthing, Sussex, United Kingdom
Number of clinic appointments until correct diagnosis confirmed
Number of clinic appointments until correct ADHD diagnosis is confirmed or excluded for the QBOpen (delivery of immediate QbTest feedback report) and QbBlind (delayed feedback of QbTest report) groups.
Time frame: By 6 months
Time to confirmation or exclusion of ADHD diagnosis (in days) and duration of clinic visits (in minutes).
Time to confirmation or exclusion of ADHD diagnosis (in days) and duration of clinic visits (in minutes). This will provide supporting evidence that a reduced number of clinic visits is associated with shorter overall time to diagnosis and reduced clinic time required for assessment.
Time frame: Up to 6 months
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