Cited by 52Mobile Health and mHealth ApplicationsTelemedicine and Telehealth ImplementationAttention Deficit Hyperactivity Disorder

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

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Simons, Lucy, Valentine, Althea Z, Falconer, Caroline J, Groom, Madeleine, Daley, David, Craven, Michael P, Young, Zoe, Hall, Charlotte +1 more·2016·JMIR mHealth and uHealth

Abstract

BACKGROUND: Guidelines 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. OBJECTIVE: To explore patients', parents', and health care professionals' views and attitudes toward using digital technology for remote monitoring during titration for ADHD. METHODS: This 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). RESULTS: All 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. CONCLUSIONS: RMT 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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  • Adoption of an intervention as part of therapy depended on the therapist's digital literacy skills, past experience with mental health technology, and ability to easily integrate its use into their practice.

    “The adoption of an intervention as part of therapy depended on the therapist’s digital literacy skills [244,245], their past experience with mental health technology [120], and the ability to easily integrate its use into their practice as a provider [132,195,205,211,224,226,246].”

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  1. [3]National Collaborating Centre for Mental Health London; National Collaborating Centre for Mental Health 2014 2016-03-08 E-therapies systematic review for children and young people with mental health problems https://www.minded.org.uk/course/view.php?id=122
  2. [30]Hall C Moldavsky M Taylor J Sayal K Marriott M Batty MJ Pass S Hollis C Implementation of routine outcome measurement in child and adolescent mental health services in the United Kingdom: A critical perspective Eur Child Adolesc Psychiatry 2013 07 30 10.1007/s00787-013-0454-2 23896764 PMC3973864 23896764 · DOI

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Authors
Simons, L., Valentine, A. Z., Falconer, C. J., Groom, M., Daley, D., Craven, M. P., Young, Z., Hall, C., & Hollis, C.
Affiliations
University of Nottingham (GB)
Corresponding author
Hollis, Chris
Venue
JMIR mHealth and uHealth
Published
2016-03-23
Volume
4
Issue
1
Pages
e31
ISSN
2291-5222 (ISSN-L)
OpenAlex
W2304011350
Cited by
52
References
32
Citations by year
2026: 5 · 2025: 3 · 2024: 7 · 2023: 4 · 2022: 5 · 2021: 6 · 2020: 7 · 2019: 2 · 2018: 6 · 2017: 4 · 2016: 3
FWCI
9.31
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • JMIR mhealth and uhealth (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Repository@Nottingham (University of Nottingham) (publishedVersion, cc-by)
  • Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Nottingham ePrints (University of Nottingham) (submittedVersion, cc-by)
Funders
National Institute for Health and Care Research (NF-SI-0514-10119)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
Keywords
attention deficit hyperactivity disorder, remote monitoring, mobile health, dose titration, patient and parent perspectives, clinician attitudes, technology adoption barriers

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