Telemedicine in the Management of ADHD: Literature Review of Telemedicine in ADHD

Spencer, Thomas; Noyes, Elizabeth; Biederman, Joseph

doi:10.1177/1087054719859081

Cited by 41 publications

(43 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Prior to the COVID‐19 pandemic, the healthcare industry was leveraging technology to address health access disparities (Rutledge et al, 2014; Spencer et al, 2020; Ward et al, 2015) and telehealth services are likely to become more widely integrated into our healthcare system (Lee et al, 2020). Telehealth affords the ability to bring specialty care knowledge to rural or medically underserved areas (Lindgren et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

The effects of transition to technician‐delivered telehealth ABA treatment during the COVID‐19 crisis: A preliminary analysis

Pollard

LeBlanc²,

Griffin³

et al. 2020

J of App Behav Analysis

View full text Add to dashboard Cite

Telehealth delivery of applied behavior analysis treatment has focused on supervision or staff and parent training, rather than the direct delivery of treatment to clients. The novel coronavirus (COVID‐19) crisis had the potential to significantly disrupt access to direct treatment for individuals with autism. We report a sample of 17 cases that transitioned from in‐person to telehealth delivery of treatment when shelter‐in‐place orders were issued. Of these cases, 76% of participants transitioned to technician‐delivered telehealth services whereas the rest transitioned to a caregiver‐implemented telehealth model. Participants continued to access a similar dosage of treatment hours per week in spite of the treatment model transition (in‐person M = 12; telehealth M = 11) and maintained or improved correct independent responding across all targets from in‐person treatment (M = 75%) to telehealth treatment (M = 80%). These findings provide initial evidence that some clients with autism benefit from technician‐delivered telehealth services.

show abstract

Section: Discussionmentioning

confidence: 99%

The effects of transition to technician‐delivered telehealth ABA treatment during the COVID‐19 crisis: A preliminary analysis

Pollard

LeBlanc²,

Griffin³

et al. 2020

J of App Behav Analysis

View full text Add to dashboard Cite

show abstract

“…Telepsychiatry can be an effective way to deliver care for ADHD [ 70 – 74 ]. A review has concluded that telemedicine was cost-effective for children and suggested that research should also be conducted in adults with ADHD [ 75 ]. In the pipeline, there is a randomized controlled trial underway to investigate the efficacy of a web-assisted self-help programme for parents of children with ADHD [ 76 ].…”

Section: Resultsmentioning

confidence: 99%

Updates in technology-based interventions for attention deficit hyperactivity disorder

Lim

Lim-Ashworth

Fung

2020

Current Opinion in Psychiatry

View full text Add to dashboard Cite

Purpose of review Technological advancement has led to the development of novel treatment approaches for attention deficit hyperactivity disorder (ADHD). This review aims to review recent studies which employ the use of technology to treat ADHD, with particular focus on studies published during a 1-year period from February 2019 to February 2020. Recent findings Most recent studies involved children aged 12 years and below. Interventions included cognitive training through games, neurofeedback and a combination of several approaches. More novel approaches included trigeminal nerve stimulation and brain–computer interface, and studies had utilized technology such as X-box Kinect and eye tracker. There was a shift towards delivering intervention at home and in school, enabled by technology. The study outcomes were variable and mainly included executive functioning measures and clinical ratings. These interventions were generally safe with few reported adverse events. Summary Technology has enabled interventions to be delivered outside of the clinic setting and presented an opportunity for increased access to care and early intervention. Better quality studies are needed to inform on the efficacy of these interventions.

show abstract

“…The focus on adult patients with ADHD is another strength of the study, as research on the suitability of telepsychiatric treatment for adult patients with ADHD is particularly scarce [51] and the various symptoms of ADHD, such as inattentiveness and organisational deficits, have distinct potential to interfere with this type of treatment modality. Due to ADHD’s high prevalence in adults, often demanding continuous treatment, and its frequent presentation with severe psychiatric co-morbidities, patients with ADHD are a particularly important group to study.…”

Section: Discussionmentioning

confidence: 99%

“…In their recent review of the literature, Spencer and colleagues [51] identified 11 relevant primary studies with sample sizes of at least 20 participants investigating the use of telemedicine in patients with ADHD. Overall, the results were promising; telepsychiatry was both well accepted and valued by patients and also associated with improved outcomes.…”

Section: Telepsychiatry For Adults With Adhdmentioning

confidence: 99%

Treatment provision for adults with ADHD during the COVID-19 pandemic: An exploratory study on patient and therapist experience with on-site sessions using face masks vs. telepsychiatric sessions

Wyler

Liebrenz

Ajdacic-Gross

et al. 2020

Preprint

View full text Add to dashboard Cite

BackgroundMaintaining the therapeutic care of psychiatric patients during the first wave of the COVID-19 pandemic in Switzerland required changes to the way in which sessions were conducted, such as telepsychiatric interventions or the use of face masks during on-site sessions. While little is known about how face masks affect the therapeutic experience of patients and therapists, the effectiveness of telepsychiatry is well documented for several psychiatric disorders. However, research on the benefits of telepsychiatry in adult patients with attention-deficit/hyperactivity disorder (ADHD) remains scarce. This seems problematic since the symptoms typically associated with ADHD, such as attention problems and distractibility, may lessen the utility of telepsychiatry for this particular group. The present study’s aim was to explore how adult patients with ADHD and their therapists experienced therapy sessions during the COVID-19 pandemic in three different settings: face-to-face with the therapist wearing a face mask, via telephone, or via videoconferencing.MethodsIn this exploratory, quantitatively driven mixed-method study (quantitative questionnaire data and qualitative data from open-ended responses), we assessed patients’ evaluation of the session, their treatment satisfaction, and patients’ and therapists’ ratings of therapeutic alliance. We also collected qualitative comments on both sides’ experience of the session. Overall, 97 therapist and 66 patient questionnaires were completed. Results are reported for the N = 60 cases for which data from both parties were available. Sequential multiple regressions adjusted for therapist and number of sessions were used for the main quantitative analyses.ResultsTelepsychiatric sessions were rated as significantly less deep than face-to-face sessions, an effect that was mainly driven by lower ratings in the videoconferencing group and, as suggested by further analyses, may decline over time. No other statistically significant differences were observed. Elements that were mentioned as facilitating or complicating a session differed markedly between patients and therapists.ConclusionsBoth settings, on-site with the therapist wearing a face mask and telepsychiatric, seem to be valid options to continue treatment of adults with ADHD during a situation such as the COVID-19 pandemic. Aspects such as patient preference, session content, and therapeutic methods may be useful to identify the most suitable modality.

show abstract

Telemedicine in the Management of ADHD: Literature Review of Telemedicine in ADHD

Cited by 41 publications

References 34 publications

The effects of transition to technician‐delivered telehealth ABA treatment during the COVID‐19 crisis: A preliminary analysis

The effects of transition to technician‐delivered telehealth ABA treatment during the COVID‐19 crisis: A preliminary analysis

Updates in technology-based interventions for attention deficit hyperactivity disorder

Treatment provision for adults with ADHD during the COVID-19 pandemic: An exploratory study on patient and therapist experience with on-site sessions using face masks vs. telepsychiatric sessions

Contact Info

Product

Resources

About