Developing mHealth remote monitoring technology for attention deficit hyperactivity disorder: a qualitative study eliciting user priorities and needs

Background: Guidelines in the United Kingdom recommend that medication titration for attention deficit hyperactivity disorder (ADHD) should be completed within 4-6 weeks and include regular reviews. However, most clinicians think that weekly clinic contact is infeasible, and audits have shown that t...

Full description

Bibliographic Details
Main Authors: Simons, Lucy, Valentine, Althea Z., Falconer, Caroline J., Groom, Madeleine, Daley, David, Craven, Michael P., Young, Zoe, Hall, Charlotte, Hollis, Chris
Format: Article
Published: JMR Publications 2016
Subjects:
Online Access:https://eprints.nottingham.ac.uk/32897/
_version_ 1848794513434214400
author Simons, Lucy
Valentine, Althea Z.
Falconer, Caroline J.
Groom, Madeleine
Daley, David
Craven, Michael P.
Young, Zoe
Hall, Charlotte
Hollis, Chris
author_facet Simons, Lucy
Valentine, Althea Z.
Falconer, Caroline J.
Groom, Madeleine
Daley, David
Craven, Michael P.
Young, Zoe
Hall, Charlotte
Hollis, Chris
author_sort Simons, Lucy
building Nottingham Research Data Repository
collection Online Access
description Background: Guidelines in the United Kingdom recommend that medication titration for attention deficit hyperactivity disorder (ADHD) should be completed within 4-6 weeks and include regular reviews. However, most clinicians think that weekly clinic contact is infeasible, and audits have shown that this timeline is rarely achieved. Thus, a more effective monitoring and review system is needed; remote monitoring technology (RMT) may be one way to improve current practice. However, little is known about whether patients with ADHD, their families, and clinicians would be interested in using RMT. Objective: To explore patients’, parents’, and health care professionals’ views and attitudes toward using digital technology for remote monitoring during titration for ADHD. Methods: This was a qualitative study, and data were collected through 11 focus groups with adults and young people with ADHD, parents of children with ADHD, and health care professionals (N=59). Results: All participant groups were positive about using RMT in the treatment of ADHD, but they were also aware of barriers to its use, especially around access to technology and integrating RMT into clinical care. They identified that RMT had the most potential for use in the ongoing management and support of ADHD, rather than during the distinct titration period. Participants identified features of RMT that could improve the quality of consultations and support greater self-management. Conclusions: RMT has the potential to augment support and care for ADHD, but it needs to go beyond the titration period and offer more to patients and families than monitoring through outcome measures. Developing and evaluating an mHealth app that incorporates the key features identified by end users is required.
first_indexed 2025-11-14T19:17:23Z
format Article
id nottingham-32897
institution University of Nottingham Malaysia Campus
institution_category Local University
last_indexed 2025-11-14T19:17:23Z
publishDate 2016
publisher JMR Publications
recordtype eprints
repository_type Digital Repository
spelling nottingham-328972020-05-04T17:40:54Z https://eprints.nottingham.ac.uk/32897/ Developing mHealth remote monitoring technology for attention deficit hyperactivity disorder: a qualitative study eliciting user priorities and needs Simons, Lucy Valentine, Althea Z. Falconer, Caroline J. Groom, Madeleine Daley, David Craven, Michael P. Young, Zoe Hall, Charlotte Hollis, Chris Background: Guidelines in the United Kingdom recommend that medication titration for attention deficit hyperactivity disorder (ADHD) should be completed within 4-6 weeks and include regular reviews. However, most clinicians think that weekly clinic contact is infeasible, and audits have shown that this timeline is rarely achieved. Thus, a more effective monitoring and review system is needed; remote monitoring technology (RMT) may be one way to improve current practice. However, little is known about whether patients with ADHD, their families, and clinicians would be interested in using RMT. Objective: To explore patients’, parents’, and health care professionals’ views and attitudes toward using digital technology for remote monitoring during titration for ADHD. Methods: This was a qualitative study, and data were collected through 11 focus groups with adults and young people with ADHD, parents of children with ADHD, and health care professionals (N=59). Results: All participant groups were positive about using RMT in the treatment of ADHD, but they were also aware of barriers to its use, especially around access to technology and integrating RMT into clinical care. They identified that RMT had the most potential for use in the ongoing management and support of ADHD, rather than during the distinct titration period. Participants identified features of RMT that could improve the quality of consultations and support greater self-management. Conclusions: RMT has the potential to augment support and care for ADHD, but it needs to go beyond the titration period and offer more to patients and families than monitoring through outcome measures. Developing and evaluating an mHealth app that incorporates the key features identified by end users is required. JMR Publications 2016-03-23 Article PeerReviewed Simons, Lucy, Valentine, Althea Z., Falconer, Caroline J., Groom, Madeleine, Daley, David, Craven, Michael P., Young, Zoe, Hall, Charlotte and Hollis, Chris (2016) Developing mHealth remote monitoring technology for attention deficit hyperactivity disorder: a qualitative study eliciting user priorities and needs. JMIR mHealth and uHealth, 4 (1). e31. ISSN 2291-5222 Attention deficit hyperactivity disorder; mHealth; eMental Health; Remote monitoring technology; Mental health services; Qualitative methods; Feasibility testing; User requirements http://dx.doi.org/10.2196/mhealth.5009 doi:10.2196/mhealth.5009 doi:10.2196/mhealth.5009
spellingShingle Attention deficit hyperactivity disorder; mHealth; eMental Health; Remote monitoring technology; Mental health services; Qualitative methods; Feasibility testing; User requirements
Simons, Lucy
Valentine, Althea Z.
Falconer, Caroline J.
Groom, Madeleine
Daley, David
Craven, Michael P.
Young, Zoe
Hall, Charlotte
Hollis, Chris
Developing mHealth remote monitoring technology for attention deficit hyperactivity disorder: a qualitative study eliciting user priorities and needs
title Developing mHealth remote monitoring technology for attention deficit hyperactivity disorder: a qualitative study eliciting user priorities and needs
title_full Developing mHealth remote monitoring technology for attention deficit hyperactivity disorder: a qualitative study eliciting user priorities and needs
title_fullStr Developing mHealth remote monitoring technology for attention deficit hyperactivity disorder: a qualitative study eliciting user priorities and needs
title_full_unstemmed Developing mHealth remote monitoring technology for attention deficit hyperactivity disorder: a qualitative study eliciting user priorities and needs
title_short Developing mHealth remote monitoring technology for attention deficit hyperactivity disorder: a qualitative study eliciting user priorities and needs
title_sort developing mhealth remote monitoring technology for attention deficit hyperactivity disorder: a qualitative study eliciting user priorities and needs
topic Attention deficit hyperactivity disorder; mHealth; eMental Health; Remote monitoring technology; Mental health services; Qualitative methods; Feasibility testing; User requirements
url https://eprints.nottingham.ac.uk/32897/
https://eprints.nottingham.ac.uk/32897/
https://eprints.nottingham.ac.uk/32897/