Introduction: Approximately 5% of the US adult population has Attention Deficient Hyperactivity Disorder (ADHD) that can negatively impact quality of life. Health care professionals report a need to increase their knowledge of and confidence in treating adult ADHD. The American Academy of Family Physicians National Research Network (AAFP NRN) collaborated with a panel of experts to create a web-based AAFP Adult ADHD Toolkit composed of resources to aid in the diagnosis, management, and treatment of adults with ADHD. Objectives: Assess the impact of using an AAFP Adult ADHD Toolkit in a practice setting. Methods: Ninety-seven primary and behavioral health care professionals from AAFP NRN practices (n=6) used the Toolkit for 17 weeks. Data on Toolkit use, usefulness, implementation, impact, and changes in knowledge and confidence were collected via pre-post and weekly surveys. Mixed methods, regression analyses, t -tests, and mixed ANOVA were used to assess change over time. Results: Use of the Toolkit improved health care providers' knowledge by midpoint relative to baseline in areas related to treatment effects, side effects, and outcomes (3.6 vs 3.0; P = .004); existing ADHD resources (3.3 vs 2.9; P = .03); and management of ADHD in patients with comorbid conditions (3.2 vs 2.7; P = .01). By the end of the study, Toolkit use was associated with increased confidence in mental health and life history interview techniques (3.5 vs 3.0; P = .03); treatment options for ADHD with comorbid mental health disorders (3.2 vs 2.3; P ≤ .001); and treatment options for ADHD with coexisting substance use disorders (3.0 vs 2.3; P = .003). By the end of the study, most participants (n=47, 87%) reported the Toolkit addressed most of their needs related to diagnosis, treatment, and management of adult ADHD. Conclusion: Availability and adoption of the Toolkit into the routine care of adults with ADHD measurably increased health care professionals' knowledge especially in those providers who regularly see adult patients with ADHD.

中文翻译：

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为初级保健临床医生评估基于网络的成人 ADHD 工具包

简介：大约 5% 的美国成年人口患有注意力缺陷多动障碍 (ADHD)，这会对生活质量产生负面影响。医疗保健专业人员报告说需要增加他们对治疗成人多动症的知识和信心。美国家庭医师学会国家研究网络 (AAFP NRN) 与专家小组合作创建了一个基于网络的 AAFP 成人多动症工具包，其中包含有助于诊断、管理和治疗成人多动症的资源。目标：评估在实践环境中使用 AAFP 成人 ADHD 工具包的影响。方法：来自 AAFP NRN 实践的 97 名初级和行为卫生保健专业人员（n=6）使用了工具包 17 周。关于 Toolkit 使用、有用性、实施、影响的数据，知识和信心的变化是通过事前和每周调查收集的。混合方法、回归分析、t 检验和混合方差分析用于评估随时间的变化。结果：工具包的使用提高了医疗保健提供者在治疗效果、副作用和结果相关领域相对于基线的中点知识（3.6 对 3.0；P = .004）；现有的 ADHD 资源（3.3 对 2.9；P = .03）；和合并症患者 ADHD 的管理（3.2 对 2.7；P = .01）。到研究结束时，工具包的使用与心理健康和生活史访谈技巧的信心增加有关（3.5 对 3.0；P = .03）；ADHD 合并精神健康障碍的治疗选择（3.2 对 2.3；P ≤ .001）；ADHD 与共存物质使用障碍的治疗选择（3.0 对 2.3；P = .003）。到研究结束时，大多数参与者 (n=47, 87%) 报告说该工具包满足了他们与成人 ADHD 的诊断、治疗和管理相关的大部分需求。结论：工具包在成人 ADHD 的日常护理中的可用性和采用显着增加了卫生保健专业人员的知识，特别是在那些经常看到成人 ADHD 患者的提供者中。