Abstract
Background: Integration of care among parents, teachers, and healthcare providers is crucial
for successful treatment of children with ADHD. However, parents, teachers, and healthcare
providers share limited data on caring ADHD children and lack of innovative tools to support
the integration of care among. A mobile health (mHealth) approach may bridge the gap
among parents, teachers, and healthcare providers, allowing communications with necessary
information as well as ADHD source of reliable informationto improve ADHD symptoms and
reduce stress of parents and teachers.
Method: The study sample included 41 children with ADHD and 41 parents from a tertiary
care child development hospital, 41 teachers, and 5 healthcare providers of the children.
Participants were randomly assigned to one of the following three groups: (1) a study group
in which the parents, teachers were trained to use the Integrated ADHD Care Model (IACM)
with the Application ADHD on mobile (AA); (2) a control group in which the parents and
teachers were trained to use IACM; or to (3) a control group in which participants were
treated with usual care (UC). ADHD symptoms assessed by parents and teachers using the
SNAP-IV rating scale and stress of parents and teachers were rated usingthe SPST-20 were
recorded at baseline, month 1, 2, and 3.
Results: Participants who used IACM+AA demonstrated lower ADHD symptom score over 3-
month period compared with usual care (p<.05). In addition, a significant improvement in
stress scores in parents and teachers were found among the IACM+AA group and IACM group
compared to UC group in 3 months (p<.05). No significant difference of stress scores was
found between IACM+AA and IACM groups.
Conclusions: The current study provides support for the feasibility of a new mobile app in
supporting care for children with ADHDto improve ADHD symptoms and reduce stress of
parents and teachers.
