Department of Psychiatry and Psychotherapy, University Hospital Bonn, Venusberg-Campus 1, Bonn 53127, Germany.
Department of Information and Communication, Flensburg University of Applied Sciences, Flensburg, Germany.
Psychiatry Res. 2022 Nov;317:114802. doi: 10.1016/j.psychres.2022.114802. Epub 2022 Aug 20.
Psychoeducation is generally recommended in the treatment of adult Attention-Deficit/Hyperactivity Disorder (ADHD), but only few studies have systematically assessed the effects of structured clinical psychoeducation. Moreover, although a considerable number of psychoeducational mobile applications exist, none have provided scientific evidence for their effectiveness or safety. Therefore, the present randomized controlled trial investigated a newly developed, free-to-use psychoeducation app for adults with ADHD as a support to a clinical psychoeducation group. 236 adults with ADHD were contacted for study participation, of whom 60 were finally randomized to a psychoeducation group supported either by our developed smartphone app (n = 30) or by traditional pen-and-paper brochures (n = 30). Psychoeducation treatments were conducted in groups of 10, with 8 weekly one-hour sessions between March 2019 and November 2020. Observer-rated ADHD symptom severity (IDA-R interview) was examined as the primary outcome parameter before and after treatment. Across both interventions, ADHD core symptoms were significantly reduced. Notably, the smartphone-assisted psychoeducation was significantly more effective in improving inattention and impulsivity and led to higher homework compliance than the brochure-assisted psychoeducation. No adverse events were reported.
心理教育通常被推荐用于成人注意缺陷多动障碍（ADHD）的治疗，但只有少数研究系统评估了结构化临床心理教育的效果。此外，尽管存在大量的心理教育移动应用程序，但没有一个为其有效性或安全性提供科学证据。因此，本随机对照试验调查了一种新开发的、免费供成人 ADHD 患者使用的心理教育应用程序，作为对临床心理教育小组的支持。共有 236 名 ADHD 成年患者被联系参与研究，其中 60 名最终被随机分配到心理教育组，分别接受我们开发的智能手机应用程序（n=30）或传统的纸笔手册（n=30）的支持。心理教育治疗在 10 人的小组中进行，在 2019 年 3 月至 2020 年 11 月期间每周进行 8 次一小时的治疗。在治疗前后，采用观察者评定的 ADHD 严重程度（IDA-R 访谈）作为主要的结果参数进行检查。在两种干预措施中，ADHD 的核心症状均显著减轻。值得注意的是，与手册辅助心理教育相比，智能手机辅助心理教育在改善注意力不集中和冲动性方面更为有效，且家庭作业完成率更高。未报告不良事件。
