Developing mHealth Remote Monitoring Technology for Attention Deficit Hyperactivity Disorder: A Qualitative Study Eliciting User Priorities and Needs

BackgroundGuidelines in the United Kingdom recommend that medication titration for attention deficit hyperactivity disorder (ADHD) should be completed within 4-6 weeks and include regular reviews. However, most clinicians think that weekly clinic contact is infeasible, and audits have shown that thi...

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Main Authors: Simons, Lucy, Valentine, Althea Z, Falconer, Caroline J, Groom, Madeleine, Daley, David, Craven, Michael P, Young, Zoe, Hall, Charlotte, Hollis, Chris
Format: Article
Language:English
Published: JMIR Publications 2016-03-01
Series:JMIR mHealth and uHealth
Online Access:http://mhealth.jmir.org/2016/1/e31/
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author Simons, Lucy
Valentine, Althea Z
Falconer, Caroline J
Groom, Madeleine
Daley, David
Craven, Michael P
Young, Zoe
Hall, Charlotte
Hollis, Chris
author_facet Simons, Lucy
Valentine, Althea Z
Falconer, Caroline J
Groom, Madeleine
Daley, David
Craven, Michael P
Young, Zoe
Hall, Charlotte
Hollis, Chris
author_sort Simons, Lucy
collection DOAJ
description BackgroundGuidelines in the United Kingdom recommend that medication titration for attention deficit hyperactivity disorder (ADHD) should be completed within 4-6 weeks and include regular reviews. However, most clinicians think that weekly clinic contact is infeasible, and audits have shown that this timeline is rarely achieved. Thus, a more effective monitoring and review system is needed; remote monitoring technology (RMT) may be one way to improve current practice. However, little is known about whether patients with ADHD, their families, and clinicians would be interested in using RMT. ObjectiveTo explore patients’, parents’, and health care professionals’ views and attitudes toward using digital technology for remote monitoring during titration for ADHD. MethodsThis was a qualitative study, and data were collected through 11 focus groups with adults and young people with ADHD, parents of children with ADHD, and health care professionals (N=59). ResultsAll participant groups were positive about using RMT in the treatment of ADHD, but they were also aware of barriers to its use, especially around access to technology and integrating RMT into clinical care. They identified that RMT had the most potential for use in the ongoing management and support of ADHD, rather than during the distinct titration period. Participants identified features of RMT that could improve the quality of consultations and support greater self-management. ConclusionsRMT has the potential to augment support and care for ADHD, but it needs to go beyond the titration period and offer more to patients and families than monitoring through outcome measures. Developing and evaluating an mHealth app that incorporates the key features identified by end users is required.
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spelling doaj.art-eabad72d34844cbc9956a05640b3eadf2022-12-21T17:23:01ZengJMIR PublicationsJMIR mHealth and uHealth2291-52222016-03-0141e3110.2196/mhealth.5009Developing mHealth Remote Monitoring Technology for Attention Deficit Hyperactivity Disorder: A Qualitative Study Eliciting User Priorities and NeedsSimons, LucyValentine, Althea ZFalconer, Caroline JGroom, MadeleineDaley, DavidCraven, Michael PYoung, ZoeHall, CharlotteHollis, ChrisBackgroundGuidelines in the United Kingdom recommend that medication titration for attention deficit hyperactivity disorder (ADHD) should be completed within 4-6 weeks and include regular reviews. However, most clinicians think that weekly clinic contact is infeasible, and audits have shown that this timeline is rarely achieved. Thus, a more effective monitoring and review system is needed; remote monitoring technology (RMT) may be one way to improve current practice. However, little is known about whether patients with ADHD, their families, and clinicians would be interested in using RMT. ObjectiveTo explore patients’, parents’, and health care professionals’ views and attitudes toward using digital technology for remote monitoring during titration for ADHD. MethodsThis was a qualitative study, and data were collected through 11 focus groups with adults and young people with ADHD, parents of children with ADHD, and health care professionals (N=59). ResultsAll participant groups were positive about using RMT in the treatment of ADHD, but they were also aware of barriers to its use, especially around access to technology and integrating RMT into clinical care. They identified that RMT had the most potential for use in the ongoing management and support of ADHD, rather than during the distinct titration period. Participants identified features of RMT that could improve the quality of consultations and support greater self-management. ConclusionsRMT has the potential to augment support and care for ADHD, but it needs to go beyond the titration period and offer more to patients and families than monitoring through outcome measures. Developing and evaluating an mHealth app that incorporates the key features identified by end users is required.http://mhealth.jmir.org/2016/1/e31/
spellingShingle Simons, Lucy
Valentine, Althea Z
Falconer, Caroline J
Groom, Madeleine
Daley, David
Craven, Michael P
Young, Zoe
Hall, Charlotte
Hollis, Chris
Developing mHealth Remote Monitoring Technology for Attention Deficit Hyperactivity Disorder: A Qualitative Study Eliciting User Priorities and Needs
JMIR mHealth and uHealth
title Developing mHealth Remote Monitoring Technology for Attention Deficit Hyperactivity Disorder: A Qualitative Study Eliciting User Priorities and Needs
title_full Developing mHealth Remote Monitoring Technology for Attention Deficit Hyperactivity Disorder: A Qualitative Study Eliciting User Priorities and Needs
title_fullStr Developing mHealth Remote Monitoring Technology for Attention Deficit Hyperactivity Disorder: A Qualitative Study Eliciting User Priorities and Needs
title_full_unstemmed Developing mHealth Remote Monitoring Technology for Attention Deficit Hyperactivity Disorder: A Qualitative Study Eliciting User Priorities and Needs
title_short Developing mHealth Remote Monitoring Technology for Attention Deficit Hyperactivity Disorder: A Qualitative Study Eliciting User Priorities and Needs
title_sort developing mhealth remote monitoring technology for attention deficit hyperactivity disorder a qualitative study eliciting user priorities and needs
url http://mhealth.jmir.org/2016/1/e31/
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