Evolving Adult ADHD Care: Preparatory Evaluation of a Prototype Digital Service Model Innovation for ADHD Care

Bronwin Patrickson (), Lida Shams, John Fouyaxis, Jörg Strobel, Klaus Oliver Schubert, Mike Musker and Niranjan Bidargaddi ()
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Bronwin Patrickson: Digital Health Research Lab, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia
Lida Shams: Digital Health Research Lab, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia
John Fouyaxis: Digital Health Research Lab, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia
Jörg Strobel: Digital Health Research Lab, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia
Klaus Oliver Schubert: Division of Mental Health, Northern Adelaide Local Health Network, 7-9 Park Terrace, Salisbury 5108, Australia
Mike Musker: Clinical Health Sciences, Mental Health and Suicide Prevention Research and Education Group, University of South Australia, City East, Centenary Building, North Terrace, Adelaide 5000, Australia
Niranjan Bidargaddi: Digital Health Research Lab, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia

IJERPH, 2024, vol. 21, issue 5, 1-23

Abstract: Background: Given the prevalence of ADHD and the gaps in ADHD care in Australia, this study investigates the critical barriers and driving forces for innovation. It does so by conducting a preparatory evaluation of an ADHD prototype digital service innovation designed to help streamline ADHD care and empower individual self-management. Methods: Semi-structured interviews with ADHD care consumers/participants and practitioners explored their experiences and provided feedback on a mobile self-monitoring app and related service innovations. Interview transcripts were double coded to explore thematic barriers and the enablers for better ADHD care. Results: Fifteen interviews (9 consumers, 6 practitioners) revealed barriers to better ADHD care for consumers (ignorance and prejudice, trust, impatience) and for practitioners (complexity, sustainability). Enablers for consumers included validation/empowerment, privacy, and security frameworks, tailoring, and access. Practitioners highlighted the value of transparency, privacy and security frameworks, streamlined content, connected care between services, and the tailoring of broader metrics. Conclusions: A consumer-centred approach to digital health service innovation, featuring streamlined, private, and secure solutions with enhanced mobile tools proves instrumental in bridging gaps in ADHD care in Australia. These innovations should help to address the gaps in ADHD care in Australia. These innovations should encompass integrated care, targeted treatment outcome data, and additional lifestyle support, whilst recognising the tensions between customised functionalities and streamlined displays.

Keywords: adult ADHD; digital service innovation; mHealth; self-monitoring; self-management; clinical decision support tools; clinical support tools (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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