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共同创造资源,以帮助改善患有注意力缺陷多动障碍的年轻人获得初级医疗保健的机会。

Co-Producing Resources to Help Improve Access to Primary Care for Young People With Attention Deficit Hyperactivity Disorder.

作者信息

Gudka Rebecca, Salimi Anita, Gaywood Rachel, Hendrick Dale, Becker Kieran, Medzinskii Oliver, Mughal Faraz, Melendez-Torres G J, Smith Jane, Newlove-Delgado Tamsin, Price Anna

机构信息

University of Exeter Medical School, Exeter, UK.

NHS Devon Integrated Care Board, Exeter, UK.

出版信息

Health Expect. 2025 Jun;28(3):e70200. doi: 10.1111/hex.70200.

Abstract

BACKGROUND

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder resulting in negative long-term outcomes if untreated. Pathways to healthcare in the United Kingdom are complex, especially for those aged 16-25 transitioning between child and adult mental health services. We aimed to co-produce evidence-informed resources to improve accessibility of primary care for young people with ADHD.

METHODS

We utilised co-production principles from the National Institute for Health and Care Research and findings from recent research to create evidence-informed resources which collate experiences of multiple stakeholders. Lived experience advisors (young people aged 16-25 with ADHD and their supporters) and healthcare professionals were recruited through previous research engagement and local collaborations. Research partners engaged in workshops or individual meetings to agree priorities, content, and language/visual appearance for outputs.

RESULTS

Lived experience advisors (7), healthcare professionals (5), and researchers (3) co-produced a downloadable resource for young people and their supporters. The resource identifies key stages on ADHD healthcare pathways, common barriers, and top tips recommended by people with lived experience, and verified by healthcare professionals. Key messages for primary care professionals were co-produced.

CONCLUSION

Co-produced resources can help address barriers to accessing ADHD treatment and support via stretched NHS services. Collaborative working also highlighted the need for national policy change to alleviate pressures faced by healthcare professionals and patients.

PATIENT AND PUBLIC CONTRIBUTION

Two research advisory groups (RAGs) of healthcare professionals and lived experience advisors informed research methods and presentation of results. RAG members participated in co-production workshops, contributed to authorship, and disseminated outputs.

摘要

背景

注意力缺陷多动障碍(ADHD)是一种常见的神经发育障碍,若不治疗会导致负面的长期后果。在英国,获得医疗服务的途径很复杂,尤其是对于那些年龄在16至25岁之间、在儿童和成人心理健康服务之间过渡的人群。我们旨在共同制作基于证据的资源,以提高患有ADHD的年轻人获得初级医疗服务的可及性。

方法

我们运用了英国国家卫生与保健研究所的共同生产原则以及近期研究的结果,来创建基于证据的资源,这些资源整合了多个利益相关者的经验。通过之前的研究合作和当地协作招募了有实际经验的顾问(16至25岁患有ADHD的年轻人及其支持者)和医疗专业人员。研究伙伴参与研讨会或个人会议,以商定产出的优先事项、内容以及语言/视觉呈现。

结果

有实际经验的顾问(7名)、医疗专业人员(5名)和研究人员(3名)共同为年轻人及其支持者制作了一份可下载的资源。该资源确定了ADHD医疗途径的关键阶段、常见障碍以及有实际经验的人推荐并经医疗专业人员核实的重要提示。还共同为初级医疗专业人员制定了关键信息。

结论

共同制作的资源有助于解决通过紧张的国民保健服务(NHS)获得ADHD治疗和支持的障碍。合作工作还凸显了国家政策变革的必要性,以缓解医疗专业人员和患者面临的压力。

患者和公众参与

两个由医疗专业人员和有实际经验的顾问组成的研究咨询小组(RAGs)为研究方法和结果呈现提供了信息。RAG成员参与了共同制作研讨会,为作者身份做出了贡献,并传播了产出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c4/12041125/0330d2a581b3/HEX-28-e70200-g001.jpg

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