Delphi Consensus on Attention Deficit Hyperactivity Disorder (ADHD): evaluation by a panel of experts

Area of Science:

• Neurodevelopmental Disorders
• Clinical Psychology
• Psychiatry

Background:

• Attention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder with significant heterogeneity.
• While pharmacotherapy is effective, a multidisciplinary approach tailored to individual needs is crucial for managing ADHD.
• Diverse opinions exist regarding the optimal treatment strategies for ADHD.

Purpose of the Study:

• To survey an expert clinical panel on ADHD management in Spain.
• To establish professional criteria for defining ADHD concepts and therapeutic guidelines.
• To understand expert consensus on ADHD clinical practice.

Main Methods:

• A Scientific Committee conducted a literature review and developed a questionnaire.
• An expert panel of ADHD specialists was selected.
• A two-round online survey using a Likert scale was administered.

Main Results:

• The expert panel achieved consensus on 55 out of 58 questionnaire items.
• High agreement was observed on proposed criteria for ADHD management.
• Consensus was not reached on 3 items, indicating areas for further discussion.

Conclusions:

• Experts reached a high level of agreement, suggesting generalizable clinical practice guidelines for ADHD.
• The findings provide a basis for standardized ADHD management in Spain.
• Areas of disagreement highlight ongoing discussions and the need for further research in ADHD treatment.