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INCLEN diagnostic tool for attention deficit hyperactivity disorder (INDT-ADHD): development and validation.

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The INCLEN Diagnostic Tool for Attention Deficit Hyperactivity Disorder (INDT-ADHD) effectively diagnoses ADHD in Indian children aged 6-9 years. This validated tool demonstrates high sensitivity and specificity, aiding in accurate identification of the disorder.

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Area of Science:

  • Pediatric Psychology
  • Neurodevelopmental Disorders
  • Psychometric Evaluation

Background:

  • Attention Deficit Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder requiring accurate diagnostic tools.
  • Existing diagnostic measures may have limitations in specific populations, necessitating culturally relevant instruments.
  • The development of a validated diagnostic tool is crucial for early and accurate identification of ADHD in children.

Purpose of the Study:

  • To develop and validate the INCLEN Diagnostic Tool for Attention Deficit Hyperactivity Disorder (INDT-ADHD).
  • To assess the psychometric properties, including diagnostic accuracy, validity, and internal consistency, of the INDT-ADHD.
  • To establish the suitability of the INDT-ADHD for diagnosing ADHD in Indian children.

Main Methods:

  • A cross-sectional diagnostic test evaluation design was employed.
  • 156 children aged 65-117 months were recruited from tertiary care pediatric centers.
  • The INDT-ADHD and Connors 3 Parent Rating Scale (C3PS) were administered post-randomization, followed by expert evaluation using DSM-IV-TR criteria.

Main Results:

  • The INDT-ADHD, comprising 18 items, demonstrated high diagnostic accuracy: sensitivity 87.7%, specificity 97.2% for differentiating ADHD from normal children.
  • Internal consistency was high (0.91), and the tool exhibited a moderate convergent validity with the C3PS (r=0.73, P=0.001).
  • The tool showed a 4-factor structure, explaining 60.4% of the variance, and performed well in differentiating ADHD from other neurodevelopmental disorders.

Conclusions:

  • The INDT-ADHD is a psychometrically sound and validated tool suitable for diagnosing ADHD in Indian children aged 6 to 9 years.
  • The tool's high accuracy and reliability support its use in clinical settings for improved ADHD diagnosis.
  • INDT-ADHD offers a valuable resource for identifying ADHD, potentially leading to timely interventions and better outcomes.