The Nurse Role in the Management of ADHD in Children and Adolescent: A Literature Review

Kleve, Liv; Vårdal, Lisa; Elgen, Irene Bircow

doi:10.3389/fpsyt.2022.676528

Cited by 3 publications

(2 citation statements)

References 45 publications

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“…Non-medical prescribing roles have the potential to assist, but require advanced practitioner status, proper supervision and funding. 39 Formal cross-sector performance indicators for pathways, such as waiting times, good practice in assessment, post-diagnostic and psychosocial supports offered, would facilitate consistent practice and effective monitoring. Recognising the value of non-pharmacological approaches necessitates investing in allied health professional roles, including advanced practitioner and consultant roles.…”

Section: Discussionmentioning

confidence: 99%

An analysis of prescribing data in attention-deficit hyperactivity disorder for adolescents and adults in Scotland

Radley,

Melia,

Maciver

et al. 2024

BJPsych open

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Background Medication, combined with environmental and psychosocial support, can mitigate adverse outcomes in attention-deficit hyperactivity disorder (ADHD). There is a need for research into regional and national prescription volumes and patterns, especially among adults. Aims This study analysed prescribing patterns for medications commonly used to treat ADHD in adolescents and adults. Method Data was extracted from the NHS Scotland Prescribing Information System on prescriptions for 7806 adolescents (aged 10–19 years) and 4998 adults (aged 20–59 years) in 2019. This included medications listed under Section 4.4 of the British National Formulary. We explored 2019 prescription patterns across different regions and estimated ADHD prevalence levels. Additionally, we assessed changes in dispensed prescriptions, defined daily dose and costs, compared with figures from 2010. Results Between 2010 and 2019, prescriptions for ADHD medications increased (dispensed prescriptions +233.2%, defined daily dose +234.9%, cost +216.6%). Despite these increases, analysis indicated that in 2019, considering a 5% estimated ADHD prevalence among adolescents, 73% were not prescribed medication, increasing to 81% at a 7% estimated prevalence. Similarly, among adults with a 2% estimated prevalence, 91% were not prescribed medication, rising to 96% at a 4% estimated prevalence. Regional disparities were evident, with 41–96% of adolescents and 85–100% of adults, based on ADHD prevalence estimates, not receiving a prescription, depending on area. Conclusions Although prescription rates for ADHD medication have increased over time, the data do not indicate excessive use of medication. Instead, they suggest that for some groups there is a lower use of medication compared with expected prevalence figures, especially among adults.

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Section: Discussionmentioning

confidence: 99%

An analysis of prescribing data in attention-deficit hyperactivity disorder for adolescents and adults in Scotland

Radley,

Melia,

Maciver

et al. 2024

BJPsych open

View full text Add to dashboard Cite

show abstract

“…Primary care remains the most accessible area in the community and, at the same time, it is the level where low-complexity programmes may be conducted to alleviate the most prevalent problems. The literature suggests that nursing may have an important role in the management of ADHD in facets such as the identification of suspected cases, diagnosis, formulation of an individualized treatment plan, care and support to the families, promotion of coping strategies, providing psychoeducation to patients and their families and school support (Kleve et al, 2022 ; Paidipati et al, 2020 ) The intention behind primary care nurses performing this intervention was to bring group psychotherapies closer to the community, integrate the management of ADHD in primary health centres and increase the paediatric nurses’ knowledge and skills in the management of ADHD.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a psychoeducational group intervention developed by primary care nurses on symptom control of pediatric patients with ADHD. ADHD parent study

Jiménez¹,

Foguet-Boreu

Puigoriol-Juvanteny

et al. 2022

Health Psychology and Behavioral Medicine

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Attention Deficit Hyperactivity Disorder (ADHD) is a common childhood disorder with an estimated prevalence of 5%. The purpose of this study is to evaluate the effectiveness of a psychoeducational intervention performed by primary care nurses on parents of children with ADHD. We recruited participants composed of parents and children between 6 and 12 years with ADHD. We conducted a two-branch randomized control trial. The intervention programme consisted of nine group sessions (5-12 parents) with a duration of 10 months. The primary outcomes were the attention tasks measured with the Test of Variables of Attention (TOVA) and the ADHD symptomatology. Forty-eight children were included in the study. The average age of the parents was 42.6 years (standard deviation, SD: 6.3), and of the children 10.1 years (SD: 1.9), 81.3% were boys. TOVA and the symptoms after the intervention showed no statistically changes in both groups. The intervention group showed more knowledge of ADHD (17.3 vs 11.5, p = 0.008) and knowledge of drugs (6.1 vs. 4.5, p = 0.005) than the control group after the intervention. A psychoeducational intervention performed by primary care nurses on parents of children with ADHD did not show any modification in the attention tasks, and only changed the knowledge of ADHD of the parents that received the intervention.

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The efficacy of behavioral sleep intervention on sleep problems among children with attention‐deficit hyperactivity disorder: A randomized controlled trial

El‐Monshed,

Loutfy,

El‐Boraie

et al. 2024

J of Nursing Scholarship

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BackgroundAttention‐deficit hyperactivity disorder (ADHD), affecting 5% of global children, presents inattention, hyperactivity, and impulsivity. Sleep problems, prevalent in 70% of cases, exacerbate long‐term psychosocial challenges.AimThis study aimed to assess the efficacy of behavioral sleep intervention in alleviating sleep problems, enhancing quality of life (QoL), and reducing ADHD symptom severity among children diagnosed with ADHD.MethodA randomized controlled trial was conducted from June 2022 to April 2023. The intervention group (n = 47) engaged in a hybrid approach, participating in both face‐to‐face and Zoom sessions, while the control group (n = 45) received standard care. Data collection involved administering the Children's Sleep Habits Questionnaire (CSHQ), Pediatric Quality of Life Inventory (PedsQL), and ADHD Rating Scale IV (ADHD‐RS‐IV).ResultsSignificant enhancements were observed in CSHQ (p ≤ 0.001, effect size = 1.913), PedsQL (p ≤ 0.001, effect size = 1.862), and a notable reduction in ADHD‐RS‐IV (p ≤ 0.001, effect size = 1.548). These findings highlight the intervention's efficacy in improving sleep quality, QoL, and reducing ADHD symptomatology.ConclusionThis trial contributes substantially to understanding behavioral sleep interventions' impact on ADHD‐affected children, enhancing quality of life and ADHD symptomatology. The study highlights the importance of individualized care for optimal outcomes in children with ADHD.Clinical RelevanceThe study's findings underscore the potential for integrating behavioral sleep interventions into routine nursing practices, offering a valuable approach to address sleep‐related challenges in children with ADHD. By focusing on sleep improvement, nurses can contribute to enhancing overall well‐being and emotional regulation in these children within the context of comprehensive healthcare.

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The Nurse Role in the Management of ADHD in Children and Adolescent: A Literature Review

Cited by 3 publications

References 45 publications

An analysis of prescribing data in attention-deficit hyperactivity disorder for adolescents and adults in Scotland

An analysis of prescribing data in attention-deficit hyperactivity disorder for adolescents and adults in Scotland

Effectiveness of a psychoeducational group intervention developed by primary care nurses on symptom control of pediatric patients with ADHD. ADHD parent study

The efficacy of behavioral sleep intervention on sleep problems among children with attention‐deficit hyperactivity disorder: A randomized controlled trial

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