Cargando…
Remote assessment of ADHD in children and adolescents: recommendations from the European ADHD Guidelines Group following the clinical experience during the COVID-19 pandemic
The COVID-19 pandemic led ADHD services to modify the clinical practice to reduce in-person contact as much as possible to minimise viral spread. This had far-reaching effects on day-to-day clinical practice as remote assessments were widely adopted. Despite the attenuation of the acute threat from...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918404/ https://www.ncbi.nlm.nih.gov/pubmed/36764972 http://dx.doi.org/10.1007/s00787-023-02148-1 |
_version_ | 1784886599723515904 |
---|---|
author | Santosh, P. Cortese, S. Hollis, C. Bölte, S. Daley, D. Coghill, D. Holtmann, M. Sonuga-Barke, E. J. S. Buitelaar, J. Banaschewski, T. Stringaris, A. Döpfner, M. Van der Oord, S. Carucci, S. Brandeis, D. Nagy, P. Ferrin, M. Baeyens, D. van den Hoofdakker, B. J. Purper-Ouakil, D. Ramos-Quiroga, A. Romanos, M. Soutullo, C. A. Thapar, A. Wong, I. C. K. Zuddas, A. Galera, C. Simonoff, E. |
author_facet | Santosh, P. Cortese, S. Hollis, C. Bölte, S. Daley, D. Coghill, D. Holtmann, M. Sonuga-Barke, E. J. S. Buitelaar, J. Banaschewski, T. Stringaris, A. Döpfner, M. Van der Oord, S. Carucci, S. Brandeis, D. Nagy, P. Ferrin, M. Baeyens, D. van den Hoofdakker, B. J. Purper-Ouakil, D. Ramos-Quiroga, A. Romanos, M. Soutullo, C. A. Thapar, A. Wong, I. C. K. Zuddas, A. Galera, C. Simonoff, E. |
author_sort | Santosh, P. |
collection | PubMed |
description | The COVID-19 pandemic led ADHD services to modify the clinical practice to reduce in-person contact as much as possible to minimise viral spread. This had far-reaching effects on day-to-day clinical practice as remote assessments were widely adopted. Despite the attenuation of the acute threat from COVID, many clinical services are retaining some remote practices. The lack of clear evidence-based guidance about the most appropriate way to conduct remote assessments meant that these changes were typically implemented in a localised, ad hoc, and un-coordinated way. Here, the European ADHD Guidelines Group (EAGG) discusses the strengths and weaknesses of remote assessment methods of children and adolescents with ADHD in a narrative review based on available data and expert opinions to highlight key recommendations for future studies and clinical practice. We conclude that going forward, despite remote working in clinical services functioning adequately during the pandemic, all required components of ADHD assessment should still be completed following national/international guidelines; however, the process may need adaptation. Social restrictions, including changes in education provision, can either mask or exacerbate features associated with ADHD and therefore assessment should carefully chart symptom profile and impairment prior to, as well as during an ongoing pandemic. While remote assessments are valuable in allowing clinical services to continue despite restrictions and may have benefits for routine care in the post-pandemic world, particular attention must be paid to those who may be at high risk but not be able to use/access remote technologies and prioritize these groups for conventional face-to-face assessments. |
format | Online Article Text |
id | pubmed-9918404 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-99184042023-02-13 Remote assessment of ADHD in children and adolescents: recommendations from the European ADHD Guidelines Group following the clinical experience during the COVID-19 pandemic Santosh, P. Cortese, S. Hollis, C. Bölte, S. Daley, D. Coghill, D. Holtmann, M. Sonuga-Barke, E. J. S. Buitelaar, J. Banaschewski, T. Stringaris, A. Döpfner, M. Van der Oord, S. Carucci, S. Brandeis, D. Nagy, P. Ferrin, M. Baeyens, D. van den Hoofdakker, B. J. Purper-Ouakil, D. Ramos-Quiroga, A. Romanos, M. Soutullo, C. A. Thapar, A. Wong, I. C. K. Zuddas, A. Galera, C. Simonoff, E. Eur Child Adolesc Psychiatry Review The COVID-19 pandemic led ADHD services to modify the clinical practice to reduce in-person contact as much as possible to minimise viral spread. This had far-reaching effects on day-to-day clinical practice as remote assessments were widely adopted. Despite the attenuation of the acute threat from COVID, many clinical services are retaining some remote practices. The lack of clear evidence-based guidance about the most appropriate way to conduct remote assessments meant that these changes were typically implemented in a localised, ad hoc, and un-coordinated way. Here, the European ADHD Guidelines Group (EAGG) discusses the strengths and weaknesses of remote assessment methods of children and adolescents with ADHD in a narrative review based on available data and expert opinions to highlight key recommendations for future studies and clinical practice. We conclude that going forward, despite remote working in clinical services functioning adequately during the pandemic, all required components of ADHD assessment should still be completed following national/international guidelines; however, the process may need adaptation. Social restrictions, including changes in education provision, can either mask or exacerbate features associated with ADHD and therefore assessment should carefully chart symptom profile and impairment prior to, as well as during an ongoing pandemic. While remote assessments are valuable in allowing clinical services to continue despite restrictions and may have benefits for routine care in the post-pandemic world, particular attention must be paid to those who may be at high risk but not be able to use/access remote technologies and prioritize these groups for conventional face-to-face assessments. Springer Berlin Heidelberg 2023-02-11 2023 /pmc/articles/PMC9918404/ /pubmed/36764972 http://dx.doi.org/10.1007/s00787-023-02148-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Review Santosh, P. Cortese, S. Hollis, C. Bölte, S. Daley, D. Coghill, D. Holtmann, M. Sonuga-Barke, E. J. S. Buitelaar, J. Banaschewski, T. Stringaris, A. Döpfner, M. Van der Oord, S. Carucci, S. Brandeis, D. Nagy, P. Ferrin, M. Baeyens, D. van den Hoofdakker, B. J. Purper-Ouakil, D. Ramos-Quiroga, A. Romanos, M. Soutullo, C. A. Thapar, A. Wong, I. C. K. Zuddas, A. Galera, C. Simonoff, E. Remote assessment of ADHD in children and adolescents: recommendations from the European ADHD Guidelines Group following the clinical experience during the COVID-19 pandemic |
title | Remote assessment of ADHD in children and adolescents: recommendations from the European ADHD Guidelines Group following the clinical experience during the COVID-19 pandemic |
title_full | Remote assessment of ADHD in children and adolescents: recommendations from the European ADHD Guidelines Group following the clinical experience during the COVID-19 pandemic |
title_fullStr | Remote assessment of ADHD in children and adolescents: recommendations from the European ADHD Guidelines Group following the clinical experience during the COVID-19 pandemic |
title_full_unstemmed | Remote assessment of ADHD in children and adolescents: recommendations from the European ADHD Guidelines Group following the clinical experience during the COVID-19 pandemic |
title_short | Remote assessment of ADHD in children and adolescents: recommendations from the European ADHD Guidelines Group following the clinical experience during the COVID-19 pandemic |
title_sort | remote assessment of adhd in children and adolescents: recommendations from the european adhd guidelines group following the clinical experience during the covid-19 pandemic |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918404/ https://www.ncbi.nlm.nih.gov/pubmed/36764972 http://dx.doi.org/10.1007/s00787-023-02148-1 |
work_keys_str_mv | AT santoshp remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT corteses remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT hollisc remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT boltes remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT daleyd remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT coghilld remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT holtmannm remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT sonugabarkeejs remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT buitelaarj remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT banaschewskit remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT stringarisa remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT dopfnerm remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT vanderoords remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT caruccis remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT brandeisd remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT nagyp remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT ferrinm remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT baeyensd remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT vandenhoofdakkerbj remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT purperouakild remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT ramosquirogaa remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT romanosm remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT soutulloca remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT thapara remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT wongick remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT zuddasa remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT galerac remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic AT simonoffe remoteassessmentofadhdinchildrenandadolescentsrecommendationsfromtheeuropeanadhdguidelinesgroupfollowingtheclinicalexperienceduringthecovid19pandemic |