Gudka Rebecca, McGlynn Elleie, Lister Katherine, Shaw Naomi, Pitchforth Emma, Mughal Faraz, French Blandine, Ward John Headly, Newlove-Delgado Tamsin, Price Anna
University of Exeter, Exeter, UK.
Keele University, Newcastle-Under-Lyme, UK.
Eur Child Adolesc Psychiatry. 2025 Mar 1. doi: 10.1007/s00787-025-02676-y.
Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental condition. Young people face challenges accessing ADHD healthcare in the UK, especially when transitioning between child and adult services. Digital health interventions (DHIs), as an adjunct to usual care, could improve access to healthcare information and condition-management support for this underserved group. This systematic review aimed to identify and synthesise evidence on DHIs suitable for young people aged 16-25 with ADHD, focussing on UK healthcare settings. We searched MEDLINE, Embase, PsycINFO, IEE Xplore, ACM Digital Library, Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials, Scopus, Web of Science Core Collection, ProQuest Dissertations & Theses Global from inception to December 2023 for studies about DHIs for ADHD which provided healthcare and self-management information, and which included at least one participant aged 16-25 years. Studies were grouped by intervention type (healthcare & self-management information, symptom monitoring, and management tools), appraised using the Quality Assessment with Diverse Studies (QuADS) tool. A narrative synthesis was conducted. Nineteen papers representing 15 interventions and comprising 2651 participants were identified. Research studies spanned intervention development, feasibility/usability, pilots exploring preliminary effectiveness, and trials. QuADS scores ranged from 13 to 34 out of 39. Preliminary evidence of feasibility and acceptability was strongest for co-produced interventions. Limited evidence of effectiveness was found, except for psychoeducation DHIs which may be effective in reducing ADHD symptoms. Future research should build on this emerging evidence-base, emphasising co-produced DHIs tailored to young people with ADHD.
注意力缺陷多动障碍（ADHD）是一种常见的神经发育疾病。在英国，年轻人在获得ADHD医疗保健方面面临挑战，尤其是在儿童和成人服务之间过渡时。数字健康干预措施（DHIs）作为常规护理的辅助手段，可以改善这个服务不足群体获取医疗保健信息和病情管理支持的情况。本系统评价旨在识别和综合适用于16至25岁患有ADHD的年轻人的数字健康干预措施的证据，重点关注英国的医疗保健环境。我们检索了MEDLINE、Embase、PsycINFO、IEEE Xplore、ACM数字图书馆、Cochrane系统评价数据库和Cochrane对照试验中心注册库、Scopus、科学引文索引核心合集、ProQuest全球博硕士论文数据库，检索时间从建库至2023年12月，以查找有关ADHD的数字健康干预措施的研究，这些研究提供医疗保健和自我管理信息，并且至少包括一名16至25岁的参与者。研究按干预类型（医疗保健和自我管理信息、症状监测和管理工具）分组，使用多样研究质量评估（QuADS）工具进行评估。进行了叙述性综合分析。共识别出19篇论文，代表15项干预措施，涉及2651名参与者。研究涵盖干预措施开发、可行性/可用性、探索初步有效性的试点研究和试验。QuADS评分在39分中从13分至34分不等。共同制定的干预措施在可行性和可接受性方面的初步证据最为充分。除了可能有效减轻ADHD症状的心理教育数字健康干预措施外，发现的有效性证据有限。未来的研究应基于这一新兴的证据基础，强调为患有ADHD的年轻人量身定制的共同制定的数字健康干预措施。
