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开发一个在线教育平台以加快儿童和青少年心理健康服务中注意力缺陷多动障碍药物治疗的启动:一项质量改进项目。

Developing an online educational platform to expedite ADHD medication initiation in child and adolescent mental health services: a quality improvement project.

作者信息

Stanton Noah, Aziz Aadam, Jakhra Salim, Morganstein Louise, Bailey Sandra, Kramer Tami, Obeng Isaac

机构信息

Central and North West London NHS Foundation Trust, London, UK

Central and North West London NHS Foundation Trust, London, UK.

出版信息

BMJ Open Qual. 2025 Mar 28;14(1):e003148. doi: 10.1136/bmjoq-2024-003148.

Abstract

The waiting times for diagnosis of attention deficit hyperactivity disorder (ADHD) and subsequent medication initiation present a growing challenge for Child and Adolescent Mental Health Services (CAMHS) in the UK. Treatment delays can result in adverse outcomes. Innovative digital technologies have the potential to reduce waiting times. This project involved the development of an online platform to educate parents about ADHD medication and serve as a portal to initiate medication in CAMHS. It aimed to reduce the time-to-treatment initiation (TTI) for medication and increase the proportion of patients with ADHD taking up medication for treatment. A quality improvement project was conducted over 11 months, using three Plan-Do-Study-Act cycles for evaluation. The platform integrated psychoeducational videos about ADHD medication, a section for question-and-answers, links to useful websites and a portal to facilitate the medication decision. The mean TTI reduced by 41%, from 86 days to 51 days. The proportion of patients initiated on medication increased from 64% to 70%. Average user satisfaction increased from 4.13/5 to 4.37/5. The platform substantially improved outcomes and has been fully implemented locally, highlighting the potential of digital healthcare in managing ADHD.

摘要

注意缺陷多动障碍(ADHD)的诊断及后续开始用药的等待时间,给英国儿童与青少年心理健康服务机构(CAMHS)带来了日益严峻的挑战。治疗延迟可能导致不良后果。创新数字技术有缩短等待时间的潜力。该项目涉及开发一个在线平台,用于对家长进行ADHD用药教育,并作为CAMHS启动用药的门户。其目的是缩短用药的治疗启动时间(TTI),并提高ADHD患者接受药物治疗的比例。通过11个月开展了一个质量改进项目,使用三个计划-执行-研究-行动循环进行评估。该平台整合了关于ADHD用药的心理教育视频、一个问答板块、有用网站的链接以及一个便于做出用药决定的门户。平均TTI缩短了41%,从86天降至51天。开始用药的患者比例从64%增至70%。平均用户满意度从4.13/5提高到4.37/5。该平台显著改善了治疗效果,并已在当地全面实施,凸显了数字医疗在ADHD管理中的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52ed/11956344/27a7dd702edf/bmjoq-14-1-g001.jpg

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