Digital assessments for children and adolescents with ADHD: a scoping review.

IF 3.2 Q1 HEALTH CARE SCIENCES & SERVICES Frontiers in digital health Pub Date : 2024-10-08 eCollection Date: 2024-01-01 DOI:10.3389/fdgth.2024.1440701
Franceli L Cibrian, Elissa M Monteiro, Kimbelery D Lakes
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Abstract

Introduction: In spite of rapid advances in evidence-based treatments for attention deficit hyperactivity disorder (ADHD), community access to rigorous gold-standard diagnostic assessments has lagged far behind due to barriers such as the costs and limited availability of comprehensive diagnostic evaluations. Digital assessment of attention and behavior has the potential to lead to scalable approaches that could be used to screen large numbers of children and/or increase access to high-quality, scalable diagnostic evaluations, especially if designed using user-centered participatory and ability-based frameworks. Current research on assessment has begun to take a user-centered approach by actively involving participants to ensure the development of assessments that meet the needs of users (e.g., clinicians, teachers, patients).

Methods: The objective of this mapping review was to identify and categorize digital mental health assessments designed to aid in the initial diagnosis of ADHD as well as ongoing monitoring of symptoms following diagnosis.

Results: Results suggested that the assessment tools currently described in the literature target both cognition and motor behaviors. These assessments were conducted using a variety of technological platforms, including telemedicine, wearables/sensors, the web, virtual reality, serious games, robots, and computer applications/software.

Discussion: Although it is evident that there is growing interest in the design of digital assessment tools, research involving tools with the potential for widespread deployment is still in the early stages of development. As these and other tools are developed and evaluated, it is critical that researchers engage patients and key stakeholders early in the design process.

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针对多动症儿童和青少年的数字评估:范围界定综述。
导言:尽管以证据为基础的注意力缺陷多动障碍(ADHD)治疗方法取得了飞速发展,但由于综合诊断评估的成本和可用性有限等障碍,社区对严格的黄金标准诊断评估的获取却远远落后。注意力和行为的数字化评估有可能带来可扩展的方法,可用于筛查大量儿童和/或增加获得高质量、可扩展的诊断评估的机会,尤其是在采用以用户为中心的参与式和基于能力的框架设计的情况下。目前的评估研究已开始采用以用户为中心的方法,让参与者积极参与,以确保评估的开发能满足用户(如临床医生、教师、患者)的需求:本次图谱审查的目的是对数字心理健康评估进行识别和分类,这些评估旨在帮助对多动症进行初步诊断,并在诊断后对症状进行持续监测:结果表明,目前文献中描述的评估工具既针对认知,也针对运动行为。这些评估使用各种技术平台进行,包括远程医疗、可穿戴设备/传感器、网络、虚拟现实、严肃游戏、机器人和计算机应用程序/软件:虽然人们对设计数字评估工具的兴趣显然越来越大,但涉及有可能广泛应用的工具的研究仍处于早期开发阶段。随着这些工具和其他工具的开发和评估,研究人员在设计过程中尽早让患者和主要利益相关者参与进来至关重要。
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CiteScore
4.20
自引率
0.00%
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0
审稿时长
13 weeks
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