Assessments for attention-deficit hyperactivity disorder: use of objective measurements

Vogt, Carsten; Shameli, Amirreza

doi:10.1192/pb.bp.110.032144

Cited by 37 publications

(24 citation statements)

References 18 publications

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“…Qb Test [23]: The Qb Test is a computer-test combining infrared camera recordings of the child’s movements, with a concurrent computer test, a Continued Performance Test, which measures the child’s attention and impulse control. The Qb Test produces quantitative measurements of difficulties in the three areas, characterizing the core symptoms of ADHD; inattention, hyperactivity and impulsiveness.…”

Section: Methods and Designmentioning

confidence: 99%

“…The Qb Test produces quantitative measurements of difficulties in the three areas, characterizing the core symptoms of ADHD; inattention, hyperactivity and impulsiveness. The test has previously been proven valid and sensitive, in the monitoring of the effect of pharmacological treatment of children and young people’s ADHD core symptoms [23, 24]. …”

Section: Methods and Designmentioning

confidence: 99%

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The influence of participation in target-shooting sport for children with inattentive, hyperactive and impulsive symptoms – A controlled study of best practice

et al. 2017

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BackgroundPractising target-shooting sport requires focused attention and motoric steadiness. A previous non-controlled pilot study suggests that children with impairing symptoms of attention-deficit/hyperactivity disorder (ADHD) benefit from participating in target-shooting sport in local shooting associations, as rated by parents and teachers.This study aims at examining if, and to which extent, target-shooting sport reduces parent- and teacher-reported severity of inattentiveness, hyperactivity, and impulsivity in children with attention difficulties, and if, and to which extend, target-shooting sport improves the children’s wellbeing and quality of life.MethodsA mixed method approach is applied. A non-blinded, waiting list controlled study is combined with a case study, consisting of interviews and observations. The intervention consists of children practising target-shooting sport, by attending a local shooting association, once a week for six months, during regular school hours. Data from questionnaires (ADHD-RS, SDQ, Kidscreen-27), as well as a computerized continued performance test (Qb test), measure the children’s activity and attention. The study includes 50 children in an intervention group and 50 children in a waiting list control group. The Qb test collects data from at least 20 children from the intervention group and at least 20 children from the waiting list control group. Data from the questionnaires and Qb-test is collected at baseline, and six months post intervention. In addition, a case study is carried out, consisting of interviews of at least five children from the intervention group, their parents, teachers and shooting instructors. Observations are carried out, when children are in school and while they are attending the local shooting association. The case study adds to an in-depth understanding of children’s participation in target-shooting sports.DiscussionAt present, little is known about the effects and influence of practising target-shooting sport for children experiencing difficulties with inattentiveness, hyperactivity and impulsivity. This study is expected to contribute to an understanding of the influence of participating in target-shooting sports on inattentive, hyperactive and impulsive symptoms, and the effects on the children’s psychological wellbeing and quality of life.Trial registrationCurrent Controlled Trials NCT02898532. Retrospectively registered 14 September 2016.

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Section: Methods and Designmentioning

confidence: 99%

Section: Methods and Designmentioning

confidence: 99%

The influence of participation in target-shooting sport for children with inattentive, hyperactive and impulsive symptoms – A controlled study of best practice

et al. 2017

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“…13,14 The Quantified behavioral Test (QbTest) is a CPT with a motion tracking system that measures the three symptom domains of ADHD: impulsivity, inattention, and hyperactivity. [16][17][18] However, the diagnostic value of the QbTest in older adults needs to be examined. [16][17][18] However, the diagnostic value of the QbTest in older adults needs to be examined.…”

mentioning

confidence: 99%

Objective assessment of attention‐deficit/hyperactivity disorder in older adults compared with controls using the QbTest

Bijlenga

Ulberstad

Thorell

et al. 2019

Int J Geriat Psychiatry

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Objectives Attention‐deficit/hyperactivity disorder (ADHD) persists into old age, with prevalence rates of 2.8% to 3.3% in adults over 60 years of age. Most diagnostic assessment tools are not validated for older adults. The Quantified behavioral Test (QbTest) is an objective assessment for the core symptoms of ADHD and is validated for children and younger adults. We investigated whether the QbTest can be used to differentiate between older adults with ADHD and healthy controls. Methods Older adults aged 55 to 79 years with (n = 97) or without (n = 112) ADHD were assessed with the QbTest. They also rated their ADHD symptom severity. QbTest raw scores were compared between groups. Factor scores were computed using factor loadings from a confirmatory factor analysis (CFA). Multilevel regressions were used to determine effects of background characteristics and comorbidity. Logistic regressions were performed to determine whether the QbTest differentiated between patients with ADHD and healthy controls. Results The factor structure of the CFA was comparable with that of younger age groups. Older age was associated with higher Inattention score. Parameters comprising the factors Hyperactivity and Inattention, but not Impulsivity, were shown to contribute significantly in differentiating between the groups. The QbTest had a correct classification rate of 70%, which was increased to 91% when combining QbTest scores and self‐reports of ADHD symptom severity. Conclusions The QbTest is feasible for older adults, and the factors Hyperactivity and Inattention are valid parameters for the diagnostic assessment of ADHD in older adults, when used in addition to self‐reports.

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“…These findings support and extend previous research, demonstrating the utility of the QbTest to aid ADHD assessment in children. Previous research has indicated that QbTest can differentiate ADHD from healthy controls (Oades et al., ; Ulberstad, 2012, unpublished data) and result in improved clinical decision making (Vogt & Shameli, ). This current study is the first to show this improved decision making may result in a reduction in clinical consultations and cost saving to NHS practice.…”

Section: Discussionmentioning

confidence: 97%

Innovations in Practice: an objective measure of attention, impulsivity and activity reduces time to confirm attention deficit/hyperactivity disorder diagnosis in children – a completed audit cycle

Hall

Selby

Guo

et al. 2016

Child Adoles Ment Health

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Background Diagnosing attention deficit/hyperactivity disorder (ADHD) in children and young people typically relies on clinical observation and subjective parent, teacher and self‐reports. The subjective nature of reports combined with contradictory or missing data can result in diagnostic uncertainty and delay. The aim of this study was to assess whether the addition of an objective test of attention, impulsivity and activity (QbTest) as an adjunct to standard ADHD assessment could accelerate the diagnostic process in routine National Health Service (NHS) settings. Method In a pre vs. post‐test audit design, case records were examined in 40 cases diagnosed without the QbTest [pre‐QbTest group] and 40 cases diagnosed with the QbTest [QbTest group], recording the number of consultations until a confirmed ADHD diagnosis was reached. Results Using Poisson regression, significantly fewer clinician consultations (mean 2.18 vs. 3.05; p < .02) were required to confirm the diagnosis of ADHD when the QbTest was used to augment assessment in comparison to standard assessment as usual. Conclusions The findings suggest that the addition of the QbTest to standard clinical assessment may reduce time to diagnosis and potentially result in cost savings to the NHS. These preliminary data suggest that there is a potentially clinically meaningful benefit of adding the QbTest to routine clinical ADHD assessment and this should be examined next in the context of a randomised controlled trial.

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Assessments for attention-deficit hyperactivity disorder: use of objective measurements

Cited by 37 publications

References 18 publications

The influence of participation in target-shooting sport for children with inattentive, hyperactive and impulsive symptoms – A controlled study of best practice

The influence of participation in target-shooting sport for children with inattentive, hyperactive and impulsive symptoms – A controlled study of best practice

Objective assessment of attention‐deficit/hyperactivity disorder in older adults compared with controls using the QbTest

Innovations in Practice: an objective measure of attention, impulsivity and activity reduces time to confirm attention deficit/hyperactivity disorder diagnosis in children – a completed audit cycle

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