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Consensus Statement of the Indian Academy of Pediatrics on Evaluation and Management of Attention Deficit
1From New Horizons Group, Mumbai; *Aster Medcity, Kochi; #Indraprastha Apollo Hospital, New Delhi; $Department of Pediatrics, PGIMER, Chandigarh; ‡Department of Pediatrics, Bharatiya Vidyapeeth Medical College and Hospital, Pune; and ^Kerala University, Thrissur; India. Correspondence to: Dr. Samir Dalwai, Director, New Horizons Child Development Centre, Mumbai, India. samyrdalwai@gmail.com.
Insights
National guidelines for Attention-Deficit/Hyperactivity Disorder (ADHD) in children were developed. Comprehensive management involves education, family involvement, and tailored interventions including behavioral, medical, and educational approaches.
Area of Science:
- Pediatrics
- Neurodevelopmental Disorders
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) is a common childhood disorder globally.
- Effective ADHD management necessitates evidence-based national guidelines for a systematic, multidisciplinary approach.
Purpose of the Study:
- To establish national consensus guidelines for the evaluation and management of ADHD in Indian children.
Main Methods:
- A consensus meeting was convened by the Indian Academy of Pediatrics in Mumbai, December 2015.
- Experts in pediatrics, developmental pediatrics, neurology, psychiatry, education, and psychology participated.
- Guidelines were formulated through extensive expert discussions.
Main Results:
- ADHD requires ongoing patient and family education regarding diagnosis and management.
- Collaborative goal-setting with child, parents, and school is crucial for effective outcomes.
- Concurrent treatment of coexisting conditions alongside ADHD is essential.
Conclusions:
- Management strategies for ADHD include behavioral, pharmacological, and educational interventions.
- These interventions can be applied individually or in combination.
- Integrated management involving the child, family, and school personnel is vital for addressing ADHD.
Justification:
Attention-Deficit/Hyperactivity Disorder (ADHD) is highly prevalent in children worldwide. Management of ADHD requires a systematic, multidisciplinary approach and therefore evidence-based, standardized national guidelines are essential.
Process:
A meeting for formulation of national consensus guidelines on neurodevelopmental disorders was organized by Indian Academy of Pediatrics in Mumbai, on 18th and 19th December, 2015. The invited experts included Pediatricians, Developmental Pediatricians, Pediatric Neurologists, Psychiatrists, Remedial Educators and Clinical Psychologists. The participants framed guidelines after extensive discussions.
Objective:
To provide consensus guidelines on evaluation and management of ADHD in children in India.
Recommendations:
ADHD is a chronic condition and thus education of patients, families, and teachers regarding the diagnosis is an integral part of management. Involvement of patient the and the family in the management program is extremely vital. Management of ADHD centers on the achievement of target outcomes, which are chosen in collaboration with the child, parents, and school personnel. Coexisting conditions must be treated concurrently with ADHD. Modalities of management of ADHD include behavioral interventions, medications, and educational interventions. These modalities can be implemented individually or in combination.