Quality of diagnosis
(Page 9: Further data on quality of diagnosis
The following table displays the percentages of positive answers to each quality of diagnosis question by country. The last two lines display average scores for evaluation and treatment questions. This score was constructed as the percentage of ‘yes’ answers over all answered questions (excluding missing). The average scores show that participants were more likely to answer positively to evaluation questions in the US (81.5%) than in the UK (71%) and that this difference was significant (p<.01). They were not, however, more likely to respond positively to treatment questions (63.7% and 63.4%, respectively).
|
Question |
Country |
N |
% yes |
|
Did the evaluator ask you questions
about your child's behaviour? |
UK |
34 |
100.0% |
|
US |
40 |
100.0% |
|
|
Did the evaluator ask you about your
pregnancy and the child's development as an infant, toddler, and pre-schooler? |
UK |
34 |
88.2% |
|
US |
38 |
92.1% |
|
|
Did the evaluator talk to your child
in person? |
UK |
33 |
97.0% |
|
US |
40 |
97.5% |
|
|
Did the evaluator ask if anyone in
your family had ADHD, learning problems or problems with motor tics? |
UK |
34 |
79.4% |
|
US |
36 |
91.7% |
|
|
Did the evaluator ask if your child
or anyone in your family had any other emotional, behavioural or psychiatric
problems? |
UK |
34 |
82.4% |
|
US |
37 |
89.2% |
|
|
Did the evaluator ask about any
family stressors such as frequent arguments at home, concerns about being able
to provide necessities, or parent or sibling psychological problems? (Δ) |
UK |
31 |
51.6% |
|
US |
37 |
73.0% |
|
|
Did the evaluator ask about (or
contact school about) learning, attendance, grades, and test scores? |
UK |
32 |
84.4% |
|
US |
39 |
94.9% |
|
|
Did the evaluator give your child any
tests to learn about his/her ability and achievement? (**) |
UK |
30 |
30.0% |
|
US |
38 |
73.7% |
|
|
Did the evaluator go to the school to
see how your child does in the classroom? (**) |
UK |
32 |
15.6% |
|
US |
39 |
46.2% |
|
|
Did the evaluator have you fill out
any questionnaires about how your child behaves? |
UK |
34 |
91.2% |
|
US |
40 |
95.0% |
|
|
Did the evaluator have your child
fill out questionnaires about his/her thoughts and feelings? (**) |
UK |
33 |
24.2% |
|
US |
32 |
56.3% |
|
|
Did the evaluator have your child's
teachers fill out any questionnaires about how your child behaves in school? |
UK |
34 |
94.1% |
|
US |
39 |
82.1% |
|
|
Did the evaluator ask questions about
your child's medical history? |
UK |
34 |
97.1% |
|
US |
40 |
100.0% |
|
|
Did the evaluator perform a physical
examination, recommend that your child see a doctor for a check-up, or get your
child's medical records? (Δ) |
UK |
34 |
50.0% |
|
US |
39 |
69.2% |
|
|
Did the evaluator ask you your
thoughts on your child's diet? |
UK |
33 |
69.7% |
|
US |
39 |
53.8% |
|
|
Is your child currently under
treatment for ADHD? (Δ) |
UK |
26 |
84.6% |
|
US |
33 |
63.6% |
|
|
Did the treatment provider provide
information and education to you about ADHD? |
UK |
32 |
78.1% |
|
US |
39 |
87.2% |
|
|
Did the treatment provider talk to
anyone at the child's school? |
UK |
29 |
44.8% |
|
US |
37 |
59.5% |
|
|
Did the treatment provider give you
information about any medication and possible side effects? |
UK |
32 |
84.4% |
|
US |
38 |
89.5% |
|
|
Did the treatment provider prescribe
medication for your child? (*) |
UK |
32 |
87.5% |
|
US |
39 |
66.7% |
|
|
Before starting the medication, did
the treatment provider get any tests done, like blood draws or EKG? (*) |
UK |
29 |
34.5% |
|
US |
26 |
61.5% |
|
|
Did the treatment provider ask you
how the medication was working and whether or not there were side effects? |
UK |
28 |
96.4% |
|
US |
29 |
96.6% |
|
|
After the medication was started, did
the treatment provider ask you to fill out questionnaires about your child's
behaviour? |
UK |
26 |
46.2% |
|
US |
28 |
67.9% |
|
|
After the medication was started did
the treatment provider ask your child's teacher to fill out questionnaires about
your child's behaviour? |
UK |
26 |
53.8% |
|
US |
27 |
63.0% |
|
|
Since the child is on medication,
does the treatment provider regularly measure your child's height, weight,
pulse, blood pressure? |
UK |
28 |
89.3% |
|
US |
27 |
88.9% |
|
|
Did the treatment provider talk with
you about giving clear instructions, rewarding your child for good behaviour,
and dealing with bad behaviour? |
UK |
32 |
65.6% |
|
US |
38 |
71.1% |
|
|
When you met with the treatment
provider did you discuss how the stress of dealing with a difficult child has
affected you and your family? |
UK |
32 |
62.5% |
|
US |
38 |
68.4% |
|
|
Did you discuss with the treatment
provider problems in other areas of the family such as frequent arguments or
parent problems? |
UK |
30 |
66.7% |
|
US |
38 |
55.3% |
|
|
Did the treatment provider suggest
that you attend a support group for parents such as CHADD? |
UK |
32 |
40.6% |
|
US |
36 |
25.0% |
|
|
Evaluation Questions Percentage of
positive answers (**) |
UK |
34 |
71.0% |
|
US |
40 |
81.5% |
|
|
Treatment Questions Percentage of
positive answers |
UK |
33 |
63.4% |
|
US |
39 |
63.7% |
Δ
p < .10
*
p < .05
**
p < .01