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Show Increasing Screening for Adult ADHD in Primary Care Taylor M. Wynn BSN, RN; D. Aaron Ahern, PhD; Stacey Shaffer, MSN, APRN, AGPCNP-BC; Sara Hart, PhD Key Take Away . Provider education and introduction of a screening decision algorithm are evidence-based approaches for increasing screening for adult attention-deficit/hyperactivity disorder in a VA Primary Care Clinic Background • Adult ADHD global prevalence is about 7%; only ~30% of those affected are diagnosed • Costs the US approx. $122.8 billion/year in excess costs • Primary care providers often feel unqualified to screen for or discuss adult ADHD due to a lack of knowledge • Veterans have an even higher risk of adverse effects • VA specific barriers: culture, complex population, hesitancy around controlled substances Results • indicated the appropriateness of a needs assessment • intervention survey to identify deficits in staff knowledge and B) developed evidence-based resources to facilitate identification and screening Phase Two: Led two one-hour staff discussion sessions to provide education and introduce the provided resources Phase Three: Distributed a follow-up survey to evaluate intervention efficacy, sustainability, and ADHD screening algorithm, educational PowerPoint, and fact sheet • Clinic not using the VA electronic screening system • Inserted recommended screening tools into the VA electronic screening system to facilitate screening • 32.7% (n=18) attendance at discussion sessions • Post-intervention: 10.9% of surveys completed; 100% (n=6) increase in knowledge regarding ADHD, 83% (n=5) intend Methods Phase One: A) Needs assessment using a pre- Low pre-survey response and completion (n=6, 10.9%) to use the provided algorithm, no major barriers to screening Conclusions • Adult ADHD is still a highly stigmatized disorder with substantial resistance to screening • Primary care clinicians are willing to screen when appropriately educated/supported • Further work: implement the provided screening recommendations, repeat the project in another setting usability @uofunursing @utnurseresearch |
