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Currently accepted at: JMIR Medical Education

Date Submitted: May 5, 2020
Open Peer Review Period: May 5, 2020 - Jun 12, 2020
Date Accepted: Jul 22, 2020
(closed for review but you can still tweet)

This paper has been accepted and is currently in production.

It will appear shortly on 10.2196/19871

The final accepted version (not copyedited yet) is in this tab.

Assessing the efficacy of online ADHD awareness training in primary care: Pilot randomised control trial evaluation with nested qualitative interviews

  • Blandine French; 
  • Charlotte Hall; 
  • Elvira Perez Vallejos; 
  • Kapil Sayal; 
  • David Daley; 



Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder affecting up to 5% of children and adults. Undiagnosed and untreated ADHD can result in adverse long term health, educational and social impacts for affected individuals. Identifying this disorder as early as possible is therefore important. General Practitioners (GPs) frequently have a gatekeeper role for access to specialist services in charge of diagnosis and treatment. Studies have shown that their lack of knowledge and understanding about ADHD can create barriers to care


This pilot randomised control trial assessed the efficacy of an online psychoeducation program on ADHD tailored for GPs.


A total of 221 participants were randomised to either a sham intervention control or an awareness training intervention and completed questionnaires on ADHD knowledge, confidence and attitude at three time-points (pre-, immediate post-intervention, two weeks follow-up). Participants in the intervention arm were invited to participate in a survey and follow-up interview between three and six months post-intervention.


A total of 109 GPs’ responses were included in the analysis. GPs’ knowledge, attitude and confidence increased post-intervention (p< 0.001) and this was maintained at two weeks follow-up (p< 0.001). Interviews and surveys also confirmed a change in practice over time.


These findings demonstrate that a short online intervention can increase GPs’ understanding, attitude and practice towards ADHD, potentially improving patients’ access to care. Clinical Trial: ISRCTN registry (


Please cite as:

French B, Hall C, Perez Vallejos E, Sayal K, Daley D

Assessing the efficacy of online ADHD awareness training in primary care: Pilot randomised control trial evaluation with nested qualitative interviews

JMIR Medical Education. 22/07/2020:19871 (forthcoming/in press)

DOI: 10.2196/19871


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