This multicentre survey of Norwegian adults with ADHD revealed that satisfaction with the information received from clinicians regarding ADHD and treatment options (psychoeducation) was a key determinant for overall satisfaction with healthcare services.
Adults with ADHD* undergoing care in four outpatient clinics in Norway that were eligible to take part in this study (n=589; January 2005 to December 2011), were provided with a postal questionnaire† to capture their perceptions of the assessment and treatment they had received within their healthcare service.
Questionnaires were returned by 171 patients, of which: 12.3% had received a diagnosis of ADHD before the age of 18 years; 55.6% were using ADHD medication at the time of responding; and 20.5% had been offered non-pharmacological therapies.
Of those who answered questions related to overall satisfaction with treatment received (n=141), 35.7% reported being satisfied to a ‘large’/‘very large’ extent and 45.0% reported that their quality of life had improved to a ‘large’/’very large’ extent. Furthermore, logistic regression analysis revealed significant correlations between overall satisfaction with health services and satisfaction with information received about:
- ADHD in general (odds ratio [OR] = 10.5; 95% confidence interval [CI] 4.85–22.78; p<0.001)
- Treatment options for ADHD (OR = 11.0; 95% CI 5.2–23.2; p<0.001)
- Medical treatment (OR 6.8; 95% CI 3.3–14.3; p<0.001).
There was also a significant positive correlation between overall satisfaction and whether patients had been offered treatment other than medication (OR = 2.7; 95% CI 1.3–5.7; p=0.011).
Researchers concluded that these results presented a strong reminder of the importance of psychoeducation in the management of patients with ADHD, and suggest a continued need for training for clinicians working in adult psychiatric health services. However, these findings cannot necessarily be extrapolated to other countries.
*Adult patients had a diagnosis of hyperkinetic disorder as per ICD-10 criteria, which researchers translated as ADHD.
†The questionnaire included 25 items (assessed on 5-point Likert scales) related to how satisfied patients were with the information they received about ADHD, to what degree assessment and treatment had been helpful to them, and the impact on their quality of life.
Solberg BS, Haavik J, Halmøy A. Health care services for adults with ADHD: Patient satisfaction and the role of psycho-education. J Atten Disord 2015; [Epub ahead of print].