Evaluation of the effectiveness of the FOCUS ADHD App in monitoring adults with attention-deficit/hyperactivity disorder

The current investigation assessed a) the performance of the FOCUS ADHD mobile health application (App) in increasing pharmacological treatment adherence and improving patients' knowledge of attention-deficit/hyperactivity disorder (ADHD) and b) the impact of implementing a financial incentive...

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Bibliographic Details
Published in:	European psychiatry Vol. 66; no. 1; p. e53
Main Authors:	Carvalho, Luiz Roberto, Haas, Letícia M, Zeni, Gregory, Victor, Marcelo M, Techele, Stefania P, Marrone Castanho, Júlia, Meneghetti Coimbra, Isabel, de Freitas de Sousa, Anthony, Ceretta, Nathalia, Garrudo, Alia, Grevet, Eugenio Horacio, Rohde, Luis Augusto
Format:	Journal Article
Language:	English
Published:	England Cambridge University Press 21-06-2023
Subjects:	adherence Adult Attention Deficit Disorder with Hyperactivity - drug therapy Attention deficit hyperactivity disorder Central Nervous System Stimulants - therapeutic use digital discount Humans Intervention mobile app Mobile Applications Smartphones Telemedicine Brazil digital discount attention-deficit/hyperactivity disorder adherence mobile app
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Summary:	The current investigation assessed a) the performance of the FOCUS ADHD mobile health application (App) in increasing pharmacological treatment adherence and improving patients' knowledge of attention-deficit/hyperactivity disorder (ADHD) and b) the impact of implementing a financial incentive for using the App (i.e., a discount on medication). In a randomized, blind, parallel-group clinical trial, 73 adults diagnosed with ADHD were allocated into three groups for 3 months: a) Pharmacological treatment as usual (TAU); b) TAU and the App (App Group); and c) TAU and the App + a commercial discount on the purchase of medication prescribed for ADHD treatment (App + Discount Group). There was no significant difference in mean treatment adherence between groups, assessed as a medication possession ratio (MPR). However, the App + Discount Group exhibited greater medication intake registrations compared with the App Group during the initial phase of the trial. The financial discount also produced a 100% App adoption rate. App use did not increase ADHD knowledge, though knowledge scores were high at baseline. The usability and quality of the App were rated favorably. The FOCUS ADHD App achieved a high adoption rate and positive evaluations by users. Use of the App did not increase adherence to treatment as measured by MPR, but, for App users, the addition of a financial incentive to use the App produced an increase in treatment adherence in terms of medication intake registrations. The present results offer encouraging data for combining incentives with mobile digital health solutions to positively impact treatment adherence in ADHD.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3
ISSN:	0924-9338 1778-3585
DOI:	10.1192/j.eurpsy.2023.2422