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Assessing QbTest Utility in ADHD: A Randomised Controlled Trial

Not Applicable
Completed
Conditions
Attention Deficit Hyperactivity Disorder (ADHD)
Interventions
Other: Qb Test
Registration Number
NCT02209116
Lead Sponsor
University of Nottingham
Brief Summary

Attention Deficit/Hyperactivity Disorder (ADHD)is one of the most common mental health disorders of childhood. Children with ADHD often have poor attention, are restless and hyperactive and show impulsive behaviour.

It is important to detect ADHD so young people can have access to appropriate clinical interventions.

One of the most common ways ADHD is assessed is through the clinician's opinionΝΎ however, this can vary between clinicians and is thought to be one reason why ADHD may be mis-diagnosed. Using a more objective computer tasks may help improve our understanding of ADHD. One computer task is the QbTest.

The test presents different symbols to the child, and the child has to respond by pressing a button only when a target symbol appears. The test measures the child's attention, impulsivity and movement whilst doing this task.

Although the test is thought to be a valid measure, more research needs to be conducted on this measure to see whether it helps clinicians decision making.

To see whether this test helps clinicians make a diagnosis of ADHD and helps with medication decisions, children and young people will be asked to complete the task as part of their initial assessment for ADHD. Half the participants and their clinician will have access to the QbTest resultΝΎ the other half will not have access to the QbTest result until the end of the study.

Participant's parents, teachers and the clinician will also be asked to complete some questionnaires about the child's symptoms and behaviour. If the child is diagnosed with ADHD and is given medication they will be asked to complete the task again on medication. The same set of questionnaires will be completed by the parents/teachers/clinicians.

The entire sample will be followed up at 6 months and asked to complete the questionnaires.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
267
Inclusion Criteria
  • Age 6-17 years (may turn 18 years during the study).
  • Referred to CAMHS or community paediatrics for an ADHD assessment
  • Capable of providing written informed consent (over 16)
  • Parental consent (under 16)
Exclusion Criteria
  • Non-fluent English
  • Suspected moderate or severe learning disability
  • Previous or current diagnosis of ADHD

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
QB OpenQb TestParticipants and their clinician will receive results of the Qb Test
Qb BlindQb TestParticipants and their clinician will be blind to the results of the Qb test
Primary Outcome Measures
NameTimeMethod
Number of clinic appointments until correct diagnosis confirmedBy 6 months

Number of clinic appointments until correct ADHD diagnosis is confirmed or excluded for the QBOpen (delivery of immediate QbTest feedback report) and QbBlind (delayed feedback of QbTest report) groups.

Secondary Outcome Measures
NameTimeMethod
Time to confirmation or exclusion of ADHD diagnosis (in days) and duration of clinic visits (in minutes).Up to 6 months

Time to confirmation or exclusion of ADHD diagnosis (in days) and duration of clinic visits (in minutes). This will provide supporting evidence that a reduced number of clinic visits is associated with shorter overall time to diagnosis and reduced clinic time required for assessment.

Trial Locations

Locations (9)

Central Manchester University Hospitals NHS Foundation Trust

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Manchester, Greater Manchester, United Kingdom

Alder Hey Children's NHS Foundation Trust

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Liverpool, Merseyside, United Kingdom

Nottingham University Hospitals Nhs Trust

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Nottingham, Nottinghamshire, United Kingdom

Medway NHS Foundation Trust

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Gillingham, Kent, United Kingdom

Bridgewater Community Healthcare NHS Trust

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Wigan, Lancashire, United Kingdom

Leicestershire Partnership Nhs Trust

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Leicester, Leicestershire, United Kingdom

Nottinghamshire Healthcare Nhs Trust

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Nottingham, Nottinghamshire, United Kingdom

United Lincolnshire Hospitals NHS Trust

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Lincoln, Lincolnshire, United Kingdom

Sussex Partnership NHS Foundation Trust

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Worthing, Sussex, United Kingdom

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