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Online Test Suggested for Efficient Diagnosis of ADHD in Children


A clinical psychologist has cautioned against transitioning any aspect of the evaluation process to an online format, as it may diminish the human element of assessments.

The National Institute for Health and Care Excellence (NICE) has suggested that the NHS incorporate the use of an online test to expedite the diagnosis of attention deficit hyperactivity disorder (ADHD) in children.

NICE, a provider of guidance for healthcare professionals, stated on Tuesday that research presented to its diagnostic advisory committee revealed that the QbTest could enhance the speed of diagnostic decisions for children aged six to 17 within six months. It also proved effective in ruling out ADHD in more cases.

The QbTest is a computerized assessment that monitors the movements of participants as it evaluates three symptoms of ADHD—hyperactivity, inattention, and impulsivity—by comparing them with data from a control group of children of similar ages and genders without the condition.

Currently, children and young people undergo a comprehensive evaluation to either confirm or rule out the condition. NICE recommends using QbTest in conjunction with a standard clinical assessment, emphasizing that the technology “should only complement professional judgment, not replace it.”

Mark Chapman, director of NICE’s HealthTech program, stated, “Children and young people with ADHD deserve timely diagnoses. We’ve learned from our patient experts that there are hurdles with current pathways.

“We’re dedicated to delivering prompt, high-quality care while offering value for money to taxpayers. This technology holds promise for improving the lives of those awaiting an ADHD diagnosis.”

Henry Shelford, CEO of ADHD UK, emphasized the importance of expediting ADHD waiting times in the UK, especially for children.

“This technology assists ADHD specialist clinicians and can accelerate diagnoses, freeing up time for other assessments,” Mr. Shelford noted.

NICE has initiated a consultation on the committee’s recommendations, with the deadline open until Aug. 6.

Long Waiting Times

Patient experts alerted NICE’s committee to the considerable issue of extended wait times, stretching for many years.

However, Damian Wilde, a seasoned consultant clinical psychologist with NHS and ADHD assessment team experience, expressed skepticism about shifting any part of the evaluation process online. He stressed the significance of healthcare professionals dedicating time to gain a deep understanding of a child’s experiences.

In an interview with The Epoch Times, Mr. Wilde acknowledged the desire to reduce long wait times but highlighted the complexity of assessing ADHD. He pointed out that signs of inattentiveness and impulsivity in a child do not automatically indicate the disorder, as they could also signify other underlying concerns that necessitate exploration over time for effective management or resolution.

“When a curious practitioner engages in an investigative process with a child, they can elicit more informative data through statements or questions,” he explained.

“In an ADHD assessment scenario involving a child and a practitioner or assessment team, warm, nurturing human relationships are essential. Incorporating an online assessment tool might detract from those vital connections,” he added.

Children eating their lunch in the canteen at Royal High School Bath in Bath, England on Nov. 29, 2023. (Ben Birchall/PA Wire)
Children eating their lunch in the canteen at Royal High School Bath in Bath, England on Nov. 29, 2023. (Ben Birchall/PA Wire)

Pathologising Normal Behaviour

In March, the NHS established a task force in response to concerns over the escalating demand for ADHD diagnoses. It was revealed as the second most searched health condition on the NHS website last year, following COVID-19.

Mr. Wilde stressed the importance of normalizing typical childhood behaviors, rather than automatically assuming such behaviors signal ADHD. He recounted experiences while working for Child and Adolescent Mental Health Services, where educators or other professionals occasionally commented that a four-year-old child appeared restless.

“Let’s steer away from pathologizing everything. A child’s brain is still developing, adapting to their surroundings, establishing peer relationships, exploring their identity, and discovering their interests.

“At times, a young person’s attention span might be short. They could be bored in class or just not engaged,” he stated.

“We need to prioritize the individual, even though it demands time, money, and specialized training and expertise in assessment,” he concluded.

PA Media contributed to this report.



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