REHAB a Better Life with ADHD: - a feasibility study.

This study entails the development, implementation and process evaluation of a cross-sectoral model of collaboration targeted children and adolescents referred to assessment for ADHD. REHAB is a goal-oriented model of collaboration ensuring autonomy for the individual and collaboration across sectors. It differentiates from standard care by adding additional cross-sectoral network meetings and individual goalsetting.
ADHD is the most prevalent neurodevelopmental disorder in children worldwide subsequently leading to impairment on an individual as well as societal level. It is well documented that patients and their families affected, feel stuck between sectors. REHAB is developed to overcome this barrier and to ensure a coordinated path through systems.
This study entails a process evaluation of model implementation and integration, and trial feasibility. This design enables understanding of model acceptance, adaption of REHAB and effect estimation through a “pilot” effect study with outcome measures: Weiss functional impairment scale (WFIRS), Quality of life (Kidscreen) and ADHD-RS.
Data are being collected through qualitative semi-structured interviews with professionals from primary and secondary sector, as well as patients and their families. Analysis will follow the framework method with a pragmatic abductive approach. Second, PRO-ratings will be assessed by pre/post assessment to investigate if the REHAB model can quantify change and to what extent. An overall study outline and preliminary results from the qualitative evaluation will be presented.
We aim to achieve a higher quality of life and a decrease in ADHD symptoms for the affected patient. Further, we aim to improve workflows and information transfer between sectors.

Keywords: cross-sectoral collaboration; implementation science; complex care needs; ADHD; child and adolescent psychiatry; model development; intervention; rehabilitation