Development and evaluation of an online education tool on attention deficit hyperactivity disorder for general practitioners: the important contribution of co-production.
Development and evaluation of an online education tool on attention deficit hyperactivity disorder for general practitioners: the important contribution of co-production.
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DOI：
10.1186/s12875-020-01289-5
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发表时间：
2020-11-01
影响因子：
2.9
通讯作者：
Hall CL
中科院分区：
文献类型：
--
作者：
French B;Daley D;Perez Vallejos E;Sayal K;Hall CL
注意力缺陷多动障碍（ADHD）在英国诊断不足，评估和诊断途径通常涉及全科医生（GP）转诊到二级保健服务。全科医生对ADHD的知识和理解水平通常是患者获得护理的重要障碍。开发在线教育资源可以提高全科医生对ADHD的认识，并优化适当的转诊。让最终用户参与共同创建干预措施可能会增强其临床效用并影响常规临床实践。然而，有限的已发表证据描述了如何有意义地让利益相关者参与联合生产的设计和开发组件。我们报告了一个明智的步骤，共同制作的方法，以开发一个在线ADHD教育干预的全科医生。筹备工作突出了将纳入干预措施的相关主题，然后根据这些主题制作了教育录像。然后与全科医生一起举办讲习班，进一步完善视频内容，随后进行最终干预。然后进行了一项试点可用性研究（n = 10 GP），以评估干预措施的可接受性，可行性和可访问性。全科医生的参与大大促进了在线干预的发展。共同制作的开发过程确保了干预措施的一致适应性，以满足全科医生的需求。可用性研究表明，干预措施的内容是适当的，易于获取，具有吸引力，并以可接受的强度提供，验证了所采取的开发方法。虽然需要进一步研究来评估所制定的干预措施的功效，但初步结果表明，这是可以接受的，受到了好评。在制定解决全科医生具体需求的干预措施时，强调了共同发展的重要性。这种开发方法可能对其他研究人员和临床干预开发人员有用。
Attention deficit hyperactivity disorder (ADHD) is underdiagnosed in the UK and the assessment and diagnosis pathway often involves a general practitioner (GP) referral to secondary care services. GPs’ levels of knowledge and understanding about ADHD is often a significant barrier in patients accessing care. The development of an online education resource could improve GPs knowledge of ADHD and optimise appropriate referrals. Involving end-users in co-creating interventions may enhance their clinical utility and impact routine clinical practice. However, there is limited published evidence describing how to meaningfully involve stakeholders in both the design and development components of co-production. We report a step wise, co-production approach towards developing an online ADHD education intervention for GPs. Preparatory work highlighted the relevant topics to be included in the intervention, from which educational videos were then developed. Workshops were then conducted with GPs, leading to further refinement of the video content and subsequently the final intervention. A pilot usability study (n = 10 GPs) was then conducted to assess the intervention’s acceptability, feasibility and accessibility. The development of the online intervention was greatly facilitated by the involvement of GPs. Having a co-production development process ensured the consistent adaptation of the intervention to meet GPs’ needs. The usability study showed that the content of the intervention was suitable, easily accessible, engaging and delivered at an acceptable level of intensity, validating the development approach taken. While further studies are needed to evaluate the efficacy of the developed intervention, preliminary findings demonstrated that it was acceptable and well received. The importance of co-development was highlighted in developing an intervention that addresses specific needs for GPs. This development approach may be useful for other researchers and developers of clinical interventions.
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