The clinical utility of the continuous performance test and objective measures of activity for diagnosing and monitoring ADHD in children: a systematic review

Attention deficit hyperactivity disorder (ADHD) is typically diagnosed using clinical observation and subjective informant reports. Once children commence ADHD medication, robust monitoring is required to detect partial or non-responses. The extent to which neuropsychological continuous performance...

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Main Authors: Hall, Charlotte L., Valentine, Althea, Groom, Madeleine J., Walker, Gemma M., Sayal, Kapil, Daley, David, Hollis, Chris
Format: Article
Published: Springer 2015
Subjects:
Online Access:https://eprints.nottingham.ac.uk/30986/
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author Hall, Charlotte L.
Valentine, Althea
Groom, Madeleine J.
Walker, Gemma M.
Sayal, Kapil
Daley, David
Hollis, Chris
author_facet Hall, Charlotte L.
Valentine, Althea
Groom, Madeleine J.
Walker, Gemma M.
Sayal, Kapil
Daley, David
Hollis, Chris
author_sort Hall, Charlotte L.
building Nottingham Research Data Repository
collection Online Access
description Attention deficit hyperactivity disorder (ADHD) is typically diagnosed using clinical observation and subjective informant reports. Once children commence ADHD medication, robust monitoring is required to detect partial or non-responses. The extent to which neuropsychological continuous performance tests (CPTs) and objective measures of activity can clinically aid the assessment and titration process in ADHD is not fully understood. This review describes the current evidence base for the use of CPTs and objectively measured activity to support the diagnostic procedure and medication management for children with ADHD. Four databases (PsycINFO, Medline, Allied and Complementary Medicine (AMED) and PsycARTICLES) were systematically searched to understand the current evidence base for: (1) the use of CPTs to aid clinical assessment of ADHD; (2) the use of CPTs to aid medication management; (3) the clinical utility of objective measures of activity in ADHD. Sixty relevant articles were identified. The search revealed six commercially available CPTs that had been reported on for their clinical use. There were mixed findings with regard to the use of CPTs to assess and manage medication, with contrasting evidence on their ability to support clinical decision making. There was a strong evidence base for the use of objective measures of activity to aid ADHD/non-ADHD group differentiation, which appears sensitive to medication effects and would also benefit from further research on their clinical utility. The findings suggest that combining CPTs and an objective measure of activity may be particularly useful as a clinical tool and worthy of further pursuit.
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spelling nottingham-309862020-05-04T17:21:16Z https://eprints.nottingham.ac.uk/30986/ The clinical utility of the continuous performance test and objective measures of activity for diagnosing and monitoring ADHD in children: a systematic review Hall, Charlotte L. Valentine, Althea Groom, Madeleine J. Walker, Gemma M. Sayal, Kapil Daley, David Hollis, Chris Attention deficit hyperactivity disorder (ADHD) is typically diagnosed using clinical observation and subjective informant reports. Once children commence ADHD medication, robust monitoring is required to detect partial or non-responses. The extent to which neuropsychological continuous performance tests (CPTs) and objective measures of activity can clinically aid the assessment and titration process in ADHD is not fully understood. This review describes the current evidence base for the use of CPTs and objectively measured activity to support the diagnostic procedure and medication management for children with ADHD. Four databases (PsycINFO, Medline, Allied and Complementary Medicine (AMED) and PsycARTICLES) were systematically searched to understand the current evidence base for: (1) the use of CPTs to aid clinical assessment of ADHD; (2) the use of CPTs to aid medication management; (3) the clinical utility of objective measures of activity in ADHD. Sixty relevant articles were identified. The search revealed six commercially available CPTs that had been reported on for their clinical use. There were mixed findings with regard to the use of CPTs to assess and manage medication, with contrasting evidence on their ability to support clinical decision making. There was a strong evidence base for the use of objective measures of activity to aid ADHD/non-ADHD group differentiation, which appears sensitive to medication effects and would also benefit from further research on their clinical utility. The findings suggest that combining CPTs and an objective measure of activity may be particularly useful as a clinical tool and worthy of further pursuit. Springer 2015-11-30 Article PeerReviewed Hall, Charlotte L., Valentine, Althea, Groom, Madeleine J., Walker, Gemma M., Sayal, Kapil, Daley, David and Hollis, Chris (2015) The clinical utility of the continuous performance test and objective measures of activity for diagnosing and monitoring ADHD in children: a systematic review. European Child & Adolescent Psychiatry . ISSN 1435-165X Attention Deficit Hyperactivity Disorder (ADHD); Continuous Performance Tests (CPT) Activity Objective Measures Systematic Review http://link.springer.com/article/10.1007/s00787-015-0798-x?wt_mc=internal.event.1.SEM.ArticleAuthorOnlineFirst doi:10.1007/s00787-015-0798-x doi:10.1007/s00787-015-0798-x
spellingShingle Attention Deficit Hyperactivity Disorder (ADHD); Continuous Performance Tests (CPT)
Activity
Objective Measures
Systematic Review
Hall, Charlotte L.
Valentine, Althea
Groom, Madeleine J.
Walker, Gemma M.
Sayal, Kapil
Daley, David
Hollis, Chris
The clinical utility of the continuous performance test and objective measures of activity for diagnosing and monitoring ADHD in children: a systematic review
title The clinical utility of the continuous performance test and objective measures of activity for diagnosing and monitoring ADHD in children: a systematic review
title_full The clinical utility of the continuous performance test and objective measures of activity for diagnosing and monitoring ADHD in children: a systematic review
title_fullStr The clinical utility of the continuous performance test and objective measures of activity for diagnosing and monitoring ADHD in children: a systematic review
title_full_unstemmed The clinical utility of the continuous performance test and objective measures of activity for diagnosing and monitoring ADHD in children: a systematic review
title_short The clinical utility of the continuous performance test and objective measures of activity for diagnosing and monitoring ADHD in children: a systematic review
title_sort clinical utility of the continuous performance test and objective measures of activity for diagnosing and monitoring adhd in children: a systematic review
topic Attention Deficit Hyperactivity Disorder (ADHD); Continuous Performance Tests (CPT)
Activity
Objective Measures
Systematic Review
url https://eprints.nottingham.ac.uk/30986/
https://eprints.nottingham.ac.uk/30986/
https://eprints.nottingham.ac.uk/30986/