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The Adult ADHD Quality Measures Initiative.

Stephen V Faraone1, Michael J Silverstein2, Kevin Antshel3

  • 11 State University of New York Upstate Medical University, Syracuse, NY, USA.

Journal of Attention Disorders
|December 5, 2018
PubMed
Summary
This summary is machine-generated.

This study developed and prioritized quality measures (QMs) for adult ADHD care, filling a crucial gap in adult mental health services. The findings pave the way for improved tracking of screening, diagnosis, and treatment for adults with ADHD.

Keywords:
ADD/ADHDADHDadult ADHDadult ADHD treatment

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Area of Science:

  • Healthcare Quality Improvement
  • Adult Psychiatry
  • Attention-Deficit/Hyperactivity Disorder (ADHD) Research

Background:

  • Quality Measures (QMs) are essential for assessing healthcare delivery but are lacking for adult Attention-Deficit/Hyperactivity Disorder (ADHD).
  • Existing QMs primarily focus on pediatric ADHD, leaving a significant gap in adult care standards.

Purpose of the Study:

  • To initiate the development and validation of QMs for tracking the screening, diagnosis, treatment, and follow-up of adults with ADHD.
  • To address the absence of standardized quality metrics in adult ADHD care.

Main Methods:

  • Conducted a literature search for existing adult ADHD QMs.
  • Convened a multidisciplinary expert panel to brainstorm potential QMs.
  • Compared brainstormed QMs with existing adult ADHD guidelines.
  • Surveyed 28 ADHD experts to rate the importance, reliability, validity, feasibility, and usability of candidate QMs.

Main Results:

  • The literature review identified no existing QMs for adult ADHD.
  • A multidisciplinary panel generated 52 potential QMs.
  • Expert survey indicated high ratings for all candidate QMs, with variability allowing for prioritization.
  • A prioritized list of QMs was established for further validation.

Conclusions:

  • This project successfully identified and prioritized candidate QMs for adult ADHD care, addressing a critical unmet need.
  • The developed QMs will facilitate improved tracking and quality assessment in adult ADHD clinical practice.
  • This work establishes a precedent for QM development in mental health, an area historically lagging in such advancements.