Introduction ADHD is a complex and diverse condition associated with many co morbidities. NICE and European guidelines emphasise using person-centred approaches. Measuring treatment satisfaction in ADHD is a valuable part of treatment individualisation but limited data is available on the relationship between treatment efficacy and satisfaction.
Aim 1. To assess parent satisfaction with our current ADHD services. 2. To assess the treatment outcome of ADHD patients.
Methods A postal questionnaire asking about our services in line with NICE guidelines, were sent alongside the Strength and Difficulties questionnaire (SADQ) and Connor’s Questionnaire (CQ) to 100 parents of children with ADHD. Electronic patient records and case files were also accessed to compare these questionnaires.
Results The response rate was 47%, 87% of these were male and 13% female. 57% of children were diagnosed before the age of 10 years with 40% having co morbidities. 49% of children had special educational statements and 66% were recipients of disability living allowance. 91% of parents were satisfied with the information we provided about ADHD. 72% found information about behavioural management helpful, 65% attended behavioural therapy sessions with 41% finding the sessions helpful. Only 32% of parents attended the psychosocial training course. Only 25% were seen by child and adolescent psychiatrists due to co morbidities. 93% were given information in various forms about medications and its side effects. 90% were on medication, with 75% using first line of medication. 50% of children experienced some form of side effects, however the majority was temporary. Overall, 75% of parents reported improvement in their child’s behaviour but specifically more so at school than home (68% compared to 53% respectively). The SADQ showed improvement pre- and post-treatment (21% v 24%) whereas CQ scoring showed no improvement (28% v 17% respectively).
Conclusion ADHD requires individualised, multi-modal management. Now every newly diagnosed child with ADHD, and their parents, is offered Behavioural therapy and psychosocial training. Most parents were satisfied with our advice and management options, but further studies with larger numbers including teachers’ opinions should be considered to fully assess satisfaction and outcome measures such as behavioural change after treatment.