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Attitudes and practices in the management of ADHD among healthcare professionals who responded to a European survey

  • M. Fitzgerald (a1) and F. McNicholas (a2)
Abstract
Objectives

To examine attitudes and practices in the management of attention-deficit/hyperactivity disorder (ADHD) among health professionals across seven European countries.

Methods

The web-based survey was developed by an international steering committee of ADHD experts and consisted of 64 multiple-choice questions relating to ADHD, covering the following topics: attitudes, diagnosis, referral, treatment and improving care. Health professionals working with ADHD were identified using a medical marketing database (Medical Marketing Service Inc., IL, USA) and invited via email to participate in the survey. No incentive was offered for participation and the survey was only available in English.

Results

Over 22 000 emails and postal invitations were sent. One hundred and thirty-four (0.6%) health professionals completed the survey. Results highlighted significant differences by profession and country. In general, ADHD is considered a clinically important and valid disorder (n = 111, 84%), with biological underpinnings (n = 82, 62%), continuing into adulthood (n = 123, 93%) and responsive to treatment. Respondents from France were less likely to be convinced about biological validity (n = 4, 27%) and those from Italy and France were more likely to be concerned about the risk of underdiagnosis (n = 9, 64% and n = 9, 60%, respectively). Psychologists were the specialty who most frequently reported not believing in the diagnostic validity of ADHD (n = 4, 19%). One-third (n = 25, 35%) of respondents recommended medical tests before prescribing medication, with differences emerging by country despite the lack of support for such routine assessments in the guidelines.

Conclusions

Despite the very low response rate, intriguing country- and profession-specific differences emerged in this study and warrant further exploration.

Copyright
Corresponding author
*Address for correspondence: Professor M. Fitzgerald, Department of Psychiatry, Trinity College Dublin, College Green, Dublin 2, Ireland. (Email profmichaelfitzgerald@gmail.com)
Linked references
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M Atkinson , C Hollis (2010). NICE guideline: attention deficit hyperactivity disorder. Archives of Disease in Childhood. Education and Practice Edition 95, 2427.

G Eysenbach , J Wyatt (2002). Using the internet for surveys and health research. Journal of Medical Internet Research 4(2), e13.

PS Jensen , LE Arnold , JM Swanson , B Vitiello , HB Abikoff , LL Greenhill , L Hechtman , SP Hinshaw , WE Pelham , KC Wells , CK Conners , GR Elliott , JN Epstein , B Hoza , JS March , BS Molina , JH Newcorn , JB Severe , T Wigal , RD Gibbons , K Hur (2007). 3-year follow-up of the NIMH MTA study. Journal of the American Academy of Child and Adolescent Psychiatry 46, 9891002.

R Jones , N Pitt (1999). Health surveys in the workplace: comparison of postal, e-mail and World Wide Web methods. Occupational Medicine (London) 49, 556558.

SJ Kooij , S Bejerot , A Blackwell , H Caci , M Casas-Brugue , PJ Carpentier , D Edvinsson , J Fayyad , K Foeken , M Fitzgerald , V Gaillac , Y Ginsberg , C Henry , J Krause , MB Lensing , I Manor , H Niederhofer , C Nunes-Filipe , MD Ohlmeier , P Oswald , S Pallanti , A Pehlivanidis , JA Ramos-Quiroga , M Rastam , D Ryffel-Rawak , S Stes , P Asherson (2010). European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD. BMC Psychiatry 10, 67.

R Mises , N Quemada , M Botbol , C Burzsteijn , J Garrabe , B Golse , P Jeammet , A Plantade , C Portelli , JP Thevenot (2002). French classification for child and adolescent mental disorders. Psychopathology 35, 176180.

BS Molina , SP Hinshaw , JM Swanson , LE Arnold , B Vitiello , PS Jensen , JN Epstein , B Hoza , L Hechtman , HB Abikoff , GR Elliott , LL Greenhill , JH Newcorn , KC Wells , T Wigal , RD Gibbons , K Hur , PR Houck , MTA Cooperative Group (2009). The MTA at 8 years: prospective follow-up of children treated for combined-type ADHD in a multisite study. Journal of the American Academy of Child and Adolescent Psychiatry 48, 484500.

MTA (Multimodal Treatment Study of Children with ADHD) Cooperative Group (1999). A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Archives of General Psychiatry 56, 10731086.

S Pliszka (2007). Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry 46, 894921.

U Preuss , SJ Ralston , G Baldursson , B Falissard , MJ Lorenzo , R Rodrigues Pereira , L Vlasveld , D Coghill , ADORE Study Group (2006). Study design, baseline patient characteristics and intervention in a cross-cultural framework: results from the ADORE study. European Child and Adolescent Psychiatry 15, Suppl. 1. I4I14.

M Shaw , P Hodgkins , H Caci , S Young , J Kahle , AG Woods , LE Arnold (2012). A systematic review and analysis of long-term outcomes in attention deficit hyperactivity disorder: effects of treatment and non-treatment. BMC Medicine 10, 99.

JC Wyatt (2000). When to use web-based surveys. Journal of the American Medical Informatics Association 7, 426429.

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Irish Journal of Psychological Medicine
  • ISSN: 0790-9667
  • EISSN: 2051-6967
  • URL: /core/journals/irish-journal-of-psychological-medicine
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