Does the Format of the Adult ADHD Self-Report Scale Impact the Results

Last updated: December 26, 2024
Sponsor: University of Alberta
Overall Status: Completed

Phase

N/A

Condition

Williams Syndrome

Attention Deficit/hyperactivity Disorder (Adhd - Adults)

Autism Spectrum Disorder (Asd)

Treatment

Altered ASRS format, without shading and with grouping

Altered ASRS format, with shading and without grouping

Altered ASRS format, without shading and without grouping

Clinical Study ID

NCT06530758
Pro00144202
  • Ages 19-65
  • All Genders

Study Summary

The World Health Organization Adult ADHD Self-Report Scale v1.1 (ASRS) is frequently used in family medicine clinics to screen for ADHD. Numerous studies have found the ASRS has a low positive predictive value. Compounding this concern is the format of the ASRS. Specifically, the answers on the ASRS that lead to screen positive results are shaded in gray and grouped together, which may make it easy for patients to discern which responses should be selected for a positive screen.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • 19 - 65 years old

  • Patients who are registering for their appointment at the family medicine clinic

  • Patients who are expected to be in the reception area for ≥5 minutes before going toa clinic room

Exclusion

Exclusion Criteria:

  • Any patients who do not have the capacity to complete the form (e.g., cognitiveimpairment, unable to read English, unable to use a computer)

Study Design

Total Participants: 587
Treatment Group(s): 3
Primary Treatment: Altered ASRS format, without shading and with grouping
Phase:
Study Start date:
July 29, 2024
Estimated Completion Date:
October 31, 2024

Study Description

The ASRS is used widely to screen for ADHD in adults. It has 18 questions, with response options "never," "rarely," "sometimes," "often," and "very often." The 6 questions considered most predictive of ADHD are grouped together in Part A and questions that are meant to provide additional cues are grouped together in Part B. The options that are considered a positive response vary between questions; for some questions the option is at least "sometimes," while for others it is at least "often." The positive response options are shaded on the ASRS. A person is considered to have a positive screen if 4 of the 6 questions in Part A are positive.

The objective of this trial is to determine if the shading and grouping on the ASRS impacts screening results. This trial has a 2x2 factorial design set in a family medicine clinic(s). When a patients check in for an appointment, clinic staff will offer them a survey that includes 1) demographic questions and 2) 1 of the 4 versions of the ASRS, the version they receive is randomized (with programming). Most patients will take approximately 5 minutes to complete the survey prior to them seeing the family physician.

Connect with a study center

  • Hospital Family Medical Clinic

    Devon, Alberta
    Canada

    Site Not Available

  • Shifa Medical Clinic

    Edmonton, Alberta
    Canada

    Site Not Available

  • Hevloc Family Medical Clinic

    Red Deer, Alberta
    Canada

    Site Not Available

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.