Department of Education, Ariel University, Ariel, Israel.
Pediatric Neurology, Pediatric Division, Faculty of Health Sciences, Assuta Ashdod University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Sci Rep. 2024 Feb 22;14(1):4392. doi: 10.1038/s41598-024-54834-y.
Attention deficit and hyperactivity disorder (ADHD) affects many life aspects of children and adults. Accurate identification, diagnosis and treatment of ADHD can facilitate better care. However, ADHD diagnosis and treatment methods are subject of controversy. Objective measures can elevate trust in specialist's decision and treatment adherence. In this observational study we asked whether knowing that a computerized test was included in ADHD diagnosis process results in more trust and intention to adhere with treatment recommendations. Questionnaires were administered to 459 people, 196 men, average age = 40.57 (8.90). Questions regarding expected trust and adherence, trust trait, trust in physician and health-care-institutions, and ADHD scales followed a scenario about parents referred to a neurologist for sons' ADHD diagnosis. The scenario presented to the test group (n = 185) mentioned that a computerized test was part of the diagnostic process. The control group scenario didn't mention any computerized test in the diagnostic process. Test group participants expressed more trust in the diagnosis and greater levels of intention for treatment adherence. Group differences in intention for treatment adherence were mediated by trust in decision. Inclusion of a computerized test in ADHD diagnosis process can improve trust in the specialists' decision and elevate adherence levels.
注意缺陷多动障碍（ADHD）影响儿童和成人的许多生活方面。准确识别、诊断和治疗 ADHD 可以促进更好的护理。然而，ADHD 的诊断和治疗方法存在争议。客观的措施可以提高专家决策和治疗依从性的信任度。在这项观察性研究中，我们询问了是否知道计算机测试包含在 ADHD 诊断过程中，是否会导致更多的信任和治疗建议的依从性。向 459 人（196 名男性，平均年龄 40.57±8.90 岁）发放了问卷。问卷内容包括对预期信任度和依从性、信任特质、对医生和医疗机构的信任、ADHD 量表的问题，以及关于父母因儿子的 ADHD 诊断而转介给神经科医生的情况。测试组（n=185）的情景中提到，计算机测试是诊断过程的一部分。对照组的情景中没有提到诊断过程中的任何计算机测试。测试组参与者对诊断的信任度更高，对治疗的依从性更强。对治疗依从性的意向的群体差异由对决策的信任来调节。在 ADHD 诊断过程中纳入计算机测试可以提高对专家决策的信任度，并提高依从性水平。
