Gore Bethany, Omoni Frederick, Babiker Jemma, Painter Jon
Department of Nursing and Midwifery, Sheffield Hallam University, Sheffield S11 9BF, UK.
ADHD Service, Sheffield Health and Social Care Trust, Sheffield S11 9BF, UK.
Nurs Rep. 2023 Apr 11;13(2):659-669. doi: 10.3390/nursrep13020058.
In the UK, Attention Deficit Hyperactivity Disorder and waits for assessment, diagnosis, and treatment are all growing problems. This study set out to gather service users' suggestions as to how one specialist ADHD service could improve the experiences of people on their waiting list. Following a semi-structured focus group, an inductive thematic analysis of data yielded three themes: (1) support for psychoeducation in principle, (2) psychoeducation regarding the wider, holistic impact of ADHD, and (3) suggested structures and approaches, as well as (4) a set of general feedback that could inform service developments. Service users supported the notion of psychoeducation sessions to inform people on the waiting list about the wide range of potential impacts of ADHD, the most common psychiatric comorbidities, some potential coping strategies they could try, and the service they could ultimately expect to receive. Some form of one-to-one telephone support was also advocated, primarily to address their concerns about the lack of individualisation group psychoeducation could offer. The potential benefits of these suggestions combined with the low risk of adverse effects makes group psychoeducation a worthwhile waiting list initiative. However, as with any service development, it should be piloted and evaluated before being termed treatment as usual for the service.
在英国,注意力缺陷多动障碍以及等待评估、诊断和治疗的情况都是日益严重的问题。本研究旨在收集服务使用者对于某一注意力缺陷多动障碍专科服务如何改善等待名单上人群体验的建议。在进行了一次半结构化焦点小组讨论后,对数据进行的归纳主题分析产生了三个主题:(1)原则上对心理教育的支持,(2)关于注意力缺陷多动障碍更广泛、整体影响的心理教育,(3)建议的结构和方法,以及(4)一组可用于指导服务发展的一般性反馈。服务使用者支持开展心理教育课程的想法,以便让等待名单上的人了解注意力缺陷多动障碍的广泛潜在影响、最常见的精神共病、他们可以尝试的一些潜在应对策略以及他们最终可能期望获得的服务。还提倡某种形式的一对一电话支持,主要是为了解决他们对于团体心理教育可能缺乏个性化的担忧。这些建议的潜在益处与不良影响风险较低相结合,使得团体心理教育成为一项值得在等待名单上推行的举措。然而,与任何服务发展一样,在将其称为该服务的常规治疗之前,应该先进行试点和评估。