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Assesment of TDApp1 an eHelath Tool to Make Therapeutic Recommendations for Patients With ADHD

Completed
Conditions
Attention Deficit-hyperactivity Disorder
Registration Number
NCT04228094
Lead Sponsor
Universitat de Girona
Brief Summary

This is a 3-week open label, one group study to determine the agreement between the pharmacological treatment recommended by TDApp1 and the interventions recommended by relevant clinical practice guidelines.

Detailed Description

Clinical practice guidelines (CPGP) allow optimizing medical decisions and health care based on the best evidence available. Nevertheless, CPGs have several limitations. First, many GPC are outdated shortly after their publication. Second, CPG recommendations are often not applicable to many patients treated in clinical practice. Most CPGs do not make recommendations for patients with a mild disorder or for complex patients with comorbiditie. Another limitation is that patients involvement in CPGs development is still poor.

We aim to develop and assess TDApp1: an eHealth tool to formulate participatory, individualized and automated therapeutic recommendations for patients with Attention Deficit Hyperactivity Disorder.

A 3-week, one group, open label study will be conducted. Fifty-five patients aged 6-65 with ADHD will use TDApp1. The therapeutic recommendations made by the TDApp1 and by relevant CPG will be compared. Concordance in the recommendations will be studied. Effectiveness, safety, changes in physical activity and satisfaction will be investigated.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
33
Inclusion Criteria
  • Male and female patients ages 6-65
  • A diagnosis of DSM-V ADHD based on clinical assessment
Exclusion Criteria
  • Patients under adequate therapeutic treatment or requiring minor adjustments
  • Patients lacking an electronic device (mobile phone, tablet,...) with internet access

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Treatment recommended/prescribed4 days

Treatment recommended/prescribed consists on the treatment recommended to the patient with ADHD by TDApp1 and the actual treatment prescribed by the investigator to this patient.

Secondary Outcome Measures
NameTimeMethod
Adverse events3 weeks

The incidence of adverse events will be collected by means of a questionnaire

Patient/parent satisfaction with the treatment prescribed3 weeks

Satisfaction of the patients or their parents with the prescribed treatment. This outcome will be collected by means of visual analogic scale that has been developed for this study. Score ranges from 1 to 9. Higher scores indicate greater satisfaction.

Physical activity3 weeks

The physical activity will be measured by means of ActiGraph wGT3X-BT that records continuous physical activity and sleep/wake information.

Patient/parent satisfaction with the participation in the health decision-making process3 weeks

Satisfaction of the patients or their parents with their participation in the health decision-making process. This outcome will be collected by means of visual analogic scale that has been developed for this study. Score ranges from 1 to 9. Higher scores indicate greater satisfaction.

ADHD symptom severity3 weeks

ADHD symptom severity will be assessed with the self-rated, 18-item, DSM V (in children and adolescents) or IV-TR (in adults) -based Rating Scale. Total score ranges from 0 to 54. Higher total scores indicate greater illness severity.

Patient/parent satisfaction with TDApp13 weeks

The satisfaction of the patients or their parents with the educational material provided, and the usability and simplicity of TDApp1. This outcome will be collected by means of visual analogic scale that has been developed for this study. Score ranges from 1 to 9. Higher scores indicate greater satisfaction.

Trial Locations

Locations (1)

Institut d'Assitència Sanitària

🇪🇸

Girona, Catalonia, Spain

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