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  • 1
    Online Resource
    Online Resource
    Goal management training for adults with ADHD – clients’ experiences with a group-based intervention
    Springer Science and Business Media LLC ; 2021
    In:  BMC Psychiatry Vol. 21, No. 1 ( 2021-12)
    Details
    In: BMC Psychiatry, Springer Science and Business Media LLC, Vol. 21, No. 1 ( 2021-12)
    Abstract: There is growing evidence for the efficacy of group-based interventions for adults with ADHD. However, there is still a lack of research investigating how clients experience participating in such interventions. The aim of the current study was to explore how adults with ADHD experience participating in a group-based intervention (Goal Management Training) for ADHD. Method We conducted individual, semi-structured, interviews with ten adults with ADHD who had participated in Goal Management Training administered as a group intervention. The interviews were transcribed verbatim and analyzed using thematic analysis within a hermeneutic phenomenological framework. Results Our analysis identified three main themes. The participants’ starting point captured the participants’ motivation and expectations prior to treatment. The ambiguity of the group – the various meanings of the group consisted of three sub-themes ( The group created a sense of belonging - “I am not alone” ; The personal cost of participating in the group - “At times it was a hot mess” ; and The group supported the learning experience - “We worked with it together”) . The group promoted positive change – How the group affected the participants’ everyday lives consisted of two sub-themes ( Managing ADHD in daily life - “It’s much easier to handle everyday life” , and Personal growth - “Gaining new perspectives” ). Conclusion The group format was experienced as a valuable aspect of treatment. The structure provided by Goal Management Training allowed participants to expand their perspectives and experience improved management of ADHD, as well as personal growth. The opportunity to exchange experiences with others in similar situations was seen as particularly beneficial and brought feelings of recognition and belonging. However, some also experienced the group as a burden at times, for instance by stealing one’s focus. This study expands existing knowledge by exploring clients’ experiences of participating in group-based interventions for ADHD and shows how the group format provided participants with more than they had hoped for. While expecting a more instrumental outcome of treatment, such as tools to manage ADHD, participants also gained a welcomed, but unexpected outcome of personal growth.
    Type of Medium: Online Resource
    ISSN: 1471-244X
    URL: Article
    DOI: 10.1186/s12888-021-03114-4
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2050438-X
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  • 2
    Online Resource
    Online Resource
    Silver linings of ADHD: a thematic analysis of adults’ positive experiences with living with ADHD
    BMJ ; 2023
    In:  BMJ Open Vol. 13, No. 10 ( 2023-10), p. e072052-
    Details
    In: BMJ Open, BMJ, Vol. 13, No. 10 ( 2023-10), p. e072052-
    Abstract: To identify and explore positive aspects of attention deficit hyperactivity disorder (ADHD) as reported by adults with the diagnosis. Design The current study used a qualitative survey design including the written responses to an open-ended question on positive aspects of ADHD. The participants’ responses were analysed using thematic analysis. Setting The participants took part in trial of a self-guided internet-delivered intervention in Norway. As part of the intervention, the participants were asked to describe positive aspects of having ADHD. Participants The study included 50 help-seeking adults with an ADHD diagnosis. Results The participants described a variety of positive aspects related to having ADHD. The participants’ experiences were conceptualised and thematically organised into four main themes: (1) the dual impact of ADHD characteristics; (2) the unconventional mind; (3) the pursuit of new experiences and (4) resilience and growth. Conclusions Having ADHD was experienced as both challenging and beneficial, depending on the context and one’s sociocultural environment. The findings provide arguments for putting a stronger emphasis on positive aspects of ADHD, alongside the challenges, in treatment settings. Trial registration number NCT04511169
    Type of Medium: Online Resource
    ISSN: 2044-6055 , 2044-6055
    URL: Article
    DOI: 10.1136/bmjopen-2023-072052
    Language: English
    Publisher: BMJ
    Publication Date: 2023
    detail.hit.zdb_id: 2599832-8
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  • 3
    Online Resource
    Online Resource
    Current and Retrospective Childhood Ratings of Emotional Fluctuations in Adults With ADHD
    Frontiers Media SA ; 2020
    In:  Frontiers in Psychology Vol. 11 ( 2020-12-15)
    Details
    In: Frontiers in Psychology, Frontiers Media SA, Vol. 11 ( 2020-12-15)
    Abstract: Introduction: Emotional fluctuations and mood swings are common among adults with Attention Deficit/Hyperactivity Disorder (ADHD). Here we investigated if these problems could be retrospectively traced back to childhood behavior. Methods: Adults with an ADHD diagnosis ( n = 502, 48% female) and a population-based control sample ( n = 818, 59% female) completed the Adult ADHD Self-report Scale (ASRS), the Wender Utah Rating Scale (WURS) and the Mood Disorder Questionnaire (MDQ). All participants also provided self-reported information about co-existent psychiatric and somatic diseases, and demographic data. Reports on the MDQ were used to define subgroups with [MDQ(+)] and without [MDQ(–)] life-time periods of emotional fluctuations and the WURS scale was used to retrospectively assess childhood ADHD related behaviors and symptoms. Results: 50.2% of the ADHD group and 5% of the controls were defined with emotional fluctuations [MDQ(+)]. Childhood behavior ratings of “impulsivity,” “loosing of control,” and “trouble with authorities” independently predicted emotional fluctuations reported in adulthood via logistic regression analyses. Inclusion of these three items in a classification analysis gave an accuracy score around 70% in identifying each of the two MDQ categories in the ADHD group. Discussion: The strong association between self-reported features of emotional problems in childhood and in adulthood suggests a trajectory that should be detected and remediated at an early age. Future longitudinal studies should prioritize the examination of developmental mechanisms explaining the persistence of emotional problems from childhood into adulthood.
    Type of Medium: Online Resource
    ISSN: 1664-1078
    URL: Article
    DOI: 10.3389/fpsyg.2020.571101
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2020
    detail.hit.zdb_id: 2563826-9
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  • 4
    Online Resource
    Online Resource
    The Effect of SMS Reminders on Adherence in a Self-Guided Internet-Delivered Intervention for Adults With ADHD
    Frontiers Media SA ; 2022
    In:  Frontiers in Digital Health Vol. 4 ( 2022-5-16)
    Details
    In: Frontiers in Digital Health, Frontiers Media SA, Vol. 4 ( 2022-5-16)
    Abstract: Self-guided Internet-delivered interventions may serve as an accessible and flexible non-pharmacological treatment supplement for adults with ADHD. However, these interventions are challenged by low adherence. Objective To examine whether weekly SMS reminders improve adherence to a self-guided Internet-delivered intervention for adults with ADHD. Method The study used a multiple randomized trial design where the participants who had not completed their weekly module within 2 days were randomized to either receive or not receive an SMS reminder. The primary outcome was adherence, defined as module completion, logins, time spent on intervention, and self-reported practice of coping strategies. Results A total of 109 adults with a self-reported ADHD diagnosis were included in the study. The results showed that SMS reminders were associated with an increased likelihood of login within 48 h during the second module of the intervention, but not for the remaining modules. Moreover, receiving an SMS reminder was associated spending more time on the modules and faster login time in module three and five, specifically. However, the overall results did not show an effect of SMS reminders on module completion, number of logins or practice of coping strategies. Conclusion The results showed that SMS reminders do not improve number of logins, module completion rates or practice of coping strategies, but they may lead to faster login time and more time spent on the modules. To utilize the potential of self-guided Internet-delivered intervention in making non-pharmacological accessible for adults with ADHD, new methods to facilitate meaningful engagement should be developed and tested. Trial Registration ClinicalTrials.gov NCT04511169.
    Type of Medium: Online Resource
    ISSN: 2673-253X
    URL: Article
    DOI: 10.3389/fdgth.2022.821031
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2022
    detail.hit.zdb_id: 3017798-4
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  • 5
    Online Resource
    Online Resource
    A self-guided Internet-delivered intervention for adults with ADHD: A feasibility study
    Elsevier BV ; 2021
    In:  Internet Interventions Vol. 25 ( 2021-09), p. 100416-
    Details
    In: Internet Interventions, Elsevier BV, Vol. 25 ( 2021-09), p. 100416-
    Type of Medium: Online Resource
    ISSN: 2214-7829
    URL: Article
    DOI: 10.1016/j.invent.2021.100416
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2021
    detail.hit.zdb_id: 2764252-5
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  • 6
    Online Resource
    Online Resource
    Towards adaptive technology in routine mental health care
    SAGE Publications ; 2022
    In:  DIGITAL HEALTH Vol. 8 ( 2022-01), p. 205520762211286-
    Details
    In: DIGITAL HEALTH, SAGE Publications, Vol. 8 ( 2022-01), p. 205520762211286-
    Abstract: This paper summarizes the information technology-related research findings after 5 years with the INTROducing Mental health through Adaptive Technology project. The aim was to improve mental healthcare by introducing new technologies for adaptive interventions in mental healthcare through interdisciplinary research and development. We focus on the challenges related to internet-delivered psychological treatments, emphasising artificial intelligence, human-computer interaction, and software engineering. We present the main research findings, the developed artefacts, and lessons learned from the project before outlining directions for future research. The main findings from this project are encapsulated in a reference architecture that is used for establishing an infrastructure for adaptive internet-delivered psychological treatment systems in clinical contexts. The infrastructure is developed by introducing an interdisciplinary design and development process inspired by domain-driven design, user-centred design, and the person based approach for intervention design. The process aligns the software development with the intervention design and illustrates their mutual dependencies. Finally, we present software artefacts produced within the project and discuss how they are related to the proposed reference architecture. Our results indicate that the proposed development process, the reference architecture and the produced software can be practical means of designing adaptive mental health care treatments in correspondence with the patients’ needs and preferences. In summary, we have created the initial version of an information technology infrastructure to support the development and deployment of Internet-delivered mental health interventions with inherent support for data sharing, data analysis, reusability of treatment content, and adaptation of intervention based on user needs and preferences.
    Type of Medium: Online Resource
    ISSN: 2055-2076 , 2055-2076
    URL: Article
    DOI: 10.1177/20552076221128678
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2819396-9
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