Parent SNAP-IV rating of attention-deficit/hyperactivity disorder: accuracy in a clinical sample of ADHD, validity, and reliability in a Brazilian sample

Costa, Danielle de Souza; Paula, Jonas Jardim de; Malloy-Diniz, Leandro Fernandes; Romano-Silva, Marco Aurélio; Miranda, Débora Marques de

doi:10.1016/j.jped.2018.06.014

Cited by 39 publications

(17 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This indicates there were inconsistent reports between parents and teachers. The 26-item SNAP-IV has been widely used as a standard behavioral rating scale for the diagnostic assessment and core symptom management of ADHD in the current clinical setting, as defined by the DSM-V [ 14 ]. Although the SNAP scale is a widely used clinical and research tool, several issues exist regarding its validity and the measurement invariance between parent and teacher ratings [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Early and Objective Evaluation of the Therapeutic Effects of ADHD Medication through Movement Analysis Using Video Recording Pixel Subtraction

Lee

Ouyang

Chiu

et al. 2022

IJERPH

View full text Add to dashboard Cite

Attention-deficit/hyperactivity disorder (ADHD) affects approximately 5–7% of school-age children. ADHD is usually marked by an ongoing pattern of inattention or hyperactivity–impulsivity, leading to functioning or developmental problems. A common ADHD assessment tool is the Swanson, Nolan, and Pelham (SNAP) questionnaire. However, such scales provide only a subjective perspective, and most of them are used to evaluate therapeutic effects at least 3–12 months after medication initiation. Therefore, we employed an objective assessment method to provide more accurate evaluations of therapeutic effects in 25 children with ADHD (23 boys and 2 girls). To evaluate the participants’ improvement and treatment’s effectiveness, the pixel subtraction technique was used in video analysis. We compared the efficacy of 1-month Ritalin or Concerta treatment by evaluating the movement in each video within 3 h of medication administration. The movement value was defined as the result of a calculation when using the pixel subtraction technique. Based on behavior observation and SNAP scores, both parent- and teacher-reported scores decreased after 1 month of medication (reduction rates: 19.61% and 16.38%, respectively). Specifically, the parent-reported hyperactivity subscale and teacher-reported oppositional subscale decreased more significantly. By contrast, the reduction rate was 39.27%, as evaluated using the average movement value (AMV). Considering symptomatic improvement as a >25% reduction in scores, the result revealed that the AMV decreased in 18 patients (72%) compared with only 44% and 56% of patients based on parent- and teacher-reported hyperactivity subscale scores. In conclusion, the pixel subtraction method can serve as an objective and reliable evaluation of the therapeutic effects of ADHD medication in the early stage.

show abstract

Section: Discussionmentioning

confidence: 99%

Early and Objective Evaluation of the Therapeutic Effects of ADHD Medication through Movement Analysis Using Video Recording Pixel Subtraction

Lee

Ouyang

Chiu

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…The SNAP questionnaire was originally developed to assess ADHD symptoms according to the DSM-III [31,32]. Although the SNAP score has high validity and reliability [33][34][35], one study found that the agreement between parent and teacher ratings is poor [12]. In addition, the parents' ratings of inattention and hyperactivity/impulsivity are suitable predictors for research but not for clinical diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Evaluating Therapeutic Effects of ADHD Medication Objectively by Movement Quantification with a Video-Based Skeleton Analysis

Ouyang

Chiu

Chiang

et al. 2021

IJERPH

View full text Add to dashboard Cite

Attention-deficit/hyperactivity disorder (ADHD) is the most common neuropsychiatric disorder in children. Several scales are available to evaluate ADHD therapeutic effects, including the Swanson, Nolan, and Pelham (SNAP) questionnaire, the Vanderbilt ADHD Diagnostic Rating Scale, and the visual analog scale. However, these scales are subjective. In the present study, we proposed an objective and automatic approach for evaluating the therapeutic effects of medication in patients with (ADHD). The approach involved using movement quantification of patients’ skeletons detected automatically with OpenPose in outpatient videos. Eleven skeleton parameter series were calculated from the detected skeleton sequence, and the corresponding 33 features were extracted using autocorrelation and variance analysis. This study enrolled 25 patients with ADHD. The outpatient videos were recorded before and after medication treatment. Statistical analysis indicated that four features corresponding to the first autocorrelation coefficients of the original series of four skeleton parameters and 11 features each corresponding to the first autocorrelation coefficients of the differenced series and the averaged variances of the original series of 11 skeleton parameters significantly decreased after the use of methylphenidate, an ADHD medication. The results revealed that the proposed approach can support physicians as an objective and automatic tool for evaluating the therapeutic effects of medication on patients with ADHD.

show abstract

“…The SNAP questionnaire were originally developed to assess ADHD symptoms according to the DSM-III [19,20]. Although several studies have demonstrated that the SNAP score has high validity and reliability [21][22][23], one study found that interrater agreement between parents and teachers is poor [5]. In addition, the parents' ratings of inattention and hyperactivity/impulsivity are good predictors for research but not for clinical diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Objective Evaluation of Therapeutic Effects of ADHD Medication Using a Smart Watch: A Pilot Study

et al. 2020

View full text Add to dashboard Cite

Attention-deficit hyperactivity disorder (ADHD) is the most common neurobehavioral disorder in schoolchildren. Several methods are used to evaluate ADHD therapeutic effects, including the Swanson, Nolan, and Pelham (SNAP) questionnaire, the Vanderbilt ADHD Diagnostic Rating Scale, and the visual analog scale. However, these scales are subjective. In this study, we employed an objective method to evaluate the aforementioned therapeutic effects. Ten patients (nine boys and one girl) with ADHD were enrolled. An accelerometer was embedded in a smart watch to record the movements of patients with ADHD. The variance values of the accelerometer before and after one month of medication (methylphenidate) use were compared. The results demonstrated that the variance values along the y- and z-axes of the accelerometers significantly decreased after one month of methylphenidate use. Before and after one month of methylphenidate use, the variance values were 4.4227 ± 2.1723 and 2.3214 ± 0.6475 (p = 0.0119) on the y-axis, and 4.0933 ± 1.5720 and 2.4091 ± 0.8141 (p = 0.0140) on the z-axis, respectively. In addition, the correlation was moderate-to-strong between the SNAP hyperactivity subscale and variance along the y-axis. Thus, a smart watch with an accelerometer inside is potentially an objective and useful method for evaluating the therapeutic effects of ADHD medications.

show abstract

Parent SNAP-IV rating of attention-deficit/hyperactivity disorder: accuracy in a clinical sample of ADHD, validity, and reliability in a Brazilian sample

Abstract: The parent SNAP-IV showed good psychometric properties in a Brazilian school and clinical sample.

Cited by 39 publications

References 28 publications

Early and Objective Evaluation of the Therapeutic Effects of ADHD Medication through Movement Analysis Using Video Recording Pixel Subtraction

Early and Objective Evaluation of the Therapeutic Effects of ADHD Medication through Movement Analysis Using Video Recording Pixel Subtraction

Evaluating Therapeutic Effects of ADHD Medication Objectively by Movement Quantification with a Video-Based Skeleton Analysis

Objective Evaluation of Therapeutic Effects of ADHD Medication Using a Smart Watch: A Pilot Study

Contact Info

Product

Resources

About