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. (HealthTracker Ltd, Gillingham (Regne Unit))
Cortese, S. (University of Nottingham)
Hollis, C. (University of Nottingham)
Bölte, S. (Curtin University)
Daley, D. (Nottingham Trent University)
Coghill, David (Royal Children's Hospital)
Holtmann, M. (Ruhr University)
Sonuga-Barke, E. J. S. (Aarhus University)
Buitelaar, Jan (Karakter Child and Adolescent Psychiatry University Centre)
Banaschewski, Tobias (Mannheim/Heidelberg University)
Stringaris, A. (Aigineteion Hospital)
Döpfner, M. (Uniklinik Köln (Colònia, Alemanya))
Van der Oord, S. (KU Leuven. Clinical Psychology)
Carucci, S. ("A. Cao" Paediatric Hospital)
Brandeis, D. (ETH Zurich)
Nagy, P. (Bethesda Children's Hospital)
Ferrin, M. (Barnet, Enfield and Haringey NHS Trust, ReCognition Health)
Baeyens, D. (KU Leuven. Clinical Psychology)
van den Hoofdakker, B. J. (Accare Child Study Center)
Purper-Ouakil, D. (University Paris Saclay)
Ramos-Quiroga, A. (Hospital Universitari Vall d'Hebron)
Romanos, M. (University Hospital of Würzburg)
Soutullo, C. A. (University of Texas)
Thapar, A. (Cardiff University School of Medicine)
Wong, I. C. K. (UCL School of Pharmacy)
Zuddas, A. ("A. Cao" Paediatric Hospital)
Galéra, Cédric (Charles Perrens Hospital)
Simonoff, E. (King's College London. Institute of Psychiatry, Psychology & Neuroscience)
Universitat Autònoma de Barcelona

Fecha:	2023
Resumen:	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.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	ADHD ; COVID-19 ; Remote assessment ; European ADHD Guidelines Group (EAGG) ; Pandemic ; Children ; Adolescents
Publicado en:	European child and adolescent psychiatry, february 2023, p. 1-15, ISSN 1435-165X

DOI: 10.1007/s00787-023-02148-1
PMID: 36764972

15 p, 807.8 KB

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