Adult ADHD Research Dissemination Partnership Initiative

描述(由申请人提供)：初级保健医生是大多数成人ADHD患者的一线诊断和治疗，但由于缺乏传播相关信息的循证基础设施，对这种疾病的教育程度较低。这一问题的主要原因是以前关于这种疾病的争议的挥之不去的影响。根据我们的需求评估，儿科医生几乎没有接受过如何诊断和治疗成人ADHD的培训。他们对这种疾病的诊断和治疗方案的相对有效性和成本效益知之甚少。尽管缺乏这方面的知识，但儿科医生通常是第一批接触ADHD成年人的临床医生。由于成人ADHD的发病率很高，因此没有足够的精神科医生来治疗这种疾病。我们的研究表明，许多儿科医生不认为自己有能力诊断成人ADHD，并对这种导致错误临床决策的疾病抱有误解。为了向初级保健医生传播有关成人ADHD的信息，我们建议创建一个创新的在线计划，向初级保健医生传播成人ADHD的循证诊断和治疗原则。拟议工作的主要特点是：1)它将解决成人ADHD及其并存的诊断和治疗问题；2)其内容将由临床和学术专家选择和批准；3)它将使用基于互联网的新颖方法；4)它将可扩展到一个允许不限人数的参与者；5)它将包括一个综合评估部分；5)通过行业资金、广告和会费，它将在资助期结束后可持续。考虑到我们的研究人员、顾问和利益相关者咨询委员会，我们的团队包括心理学、精神病学、初级保健医学、护理，以及通过参与ADHD患者和家庭支持组织CHADD的ADHD患者社区。这将使我们能够开发出高质量的节目，满足我们目标受众的需求，并最终满足他们治疗的患者的需求。

DESCRIPTION (provided by the applicant): PCPs are the first line of diagnosis and treatment for most adult ADHD patients, yet are poorly educated about the disorder due to the lack of an evidence-based infrastructure for disseminating relevant information. The main reason for this problem is the lingering effects of former controversies about the disorder. According to our needs assessments, PCPs have little training about how to diagnose and treat adult ADHD. They know little about the comparative effectiveness and cost-effectiveness of the diagnostic and treatment options for this disorder. Despite this lack of knowledge, PCPs are usually the first clinicians to be in contact with ADHD adults. Because adult ADHD has a high prevalence, there are not enough psychiatrists to treat this disorder. Our research shows that many PCPs do not feel competent to diagnose adult ADHD and harbor misconceptions about the disorder that lead to erroneous clinical decisions. To disseminate information to PCPs about adult ADHD, we propose to create an innovative, online program to disseminate principles for the evidenced-based, diagnosis and treatment of ADHD in adults to PCPs. The main features of the proposed work are: 1) it will address the diagnosis and treatment of adult ADHD and its co morbidities; 2) its content will be selected and approved by clinical and academic experts; 3) it will use novel, internet based methods; 4) it will be scalable to a allow an unlimited number of participants; 5) it will include an integrated evaluation component and 5) through industry funding, advertisements, and membership fees it will be sustainable after the funding period ends. Considering our investigators, consultants and Stakeholder Advisory Board, our team comprises psychology, psychiatry, primary care medicine, nursing and also the ADHD patient community through the participation of CHADD, an ADHD patient and family support group. This will allow us to develop a high quality program that meets the needs of our target audience and, ultimately, the patients they treat.