Digital Health Research Lab, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia.
Division of Mental Health, Barossa Hills Fleurieu Local Health Network, 29 North St, Angaston 5353, Australia.
Int J Environ Res Public Health. 2024 May 1;21(5):582. doi: 10.3390/ijerph21050582.
Given the prevalence of ADHD and the gaps in ADHD care in Australia, this study investigates the critical barriers and driving forces for innovation. It does so by conducting a preparatory evaluation of an ADHD prototype digital service innovation designed to help streamline ADHD care and empower individual self-management.
Semi-structured interviews with ADHD care consumers/participants and practitioners explored their experiences and provided feedback on a mobile self-monitoring app and related service innovations. Interview transcripts were double coded to explore thematic barriers and the enablers for better ADHD care.
Fifteen interviews (9 consumers, 6 practitioners) revealed barriers to better ADHD care for consumers (ignorance and prejudice, trust, impatience) and for practitioners (complexity, sustainability). Enablers for consumers included validation/empowerment, privacy, and security frameworks, tailoring, and access. Practitioners highlighted the value of transparency, privacy and security frameworks, streamlined content, connected care between services, and the tailoring of broader metrics.
A consumer-centred approach to digital health service innovation, featuring streamlined, private, and secure solutions with enhanced mobile tools proves instrumental in bridging gaps in ADHD care in Australia. These innovations should help to address the gaps in ADHD care in Australia. These innovations should encompass integrated care, targeted treatment outcome data, and additional lifestyle support, whilst recognising the tensions between customised functionalities and streamlined displays.
鉴于 ADHD 的普遍性和澳大利亚 ADHD 护理方面的差距,本研究调查了创新的关键障碍和驱动力。它通过对旨在帮助简化 ADHD 护理和增强个人自我管理的 ADHD 原型数字服务创新进行预备评估来做到这一点。
对 ADHD 护理消费者/参与者和从业者进行半结构化访谈,探讨他们对移动自我监测应用程序和相关服务创新的经验,并提供反馈。采访记录进行了双重编码,以探讨更好的 ADHD 护理的主题障碍和促成因素。
15 次访谈(9 名消费者,6 名从业者)揭示了消费者更好地护理 ADHD 的障碍(无知和偏见、信任、不耐烦)和从业者的障碍(复杂性、可持续性)。消费者的促成因素包括验证/赋权、隐私和安全框架、定制以及访问。从业者强调了透明度、隐私和安全框架、简化的内容、服务之间的连贯护理以及更广泛指标的定制的价值。
以消费者为中心的数字健康服务创新方法,具有简化、私密和安全的解决方案以及增强的移动工具,对于弥合澳大利亚 ADHD 护理方面的差距非常重要。这些创新应该有助于解决澳大利亚 ADHD 护理方面的差距。这些创新应包括综合护理、针对性的治疗结果数据和额外的生活方式支持,同时认识到定制功能和简化显示之间的紧张关系。