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