Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Wednesday, July 01, 2020 at 8:00 PM to 10:00 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?


Currently submitted to: JMIR Medical Education

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

NOTE: This is an unreviewed Preprint

Warning: This is a unreviewed preprint (What is a preprint?). Readers are warned that the document has not been peer-reviewed by expert/patient reviewers or an academic editor, may contain misleading claims, and is likely to undergo changes before final publication, if accepted, or may have been rejected/withdrawn (a note "no longer under consideration" will appear above).

Peer-review me: Readers with interest and expertise are encouraged to sign up as peer-reviewer, if the paper is within an open peer-review period (in this case, a "Peer-Review Me" button to sign up as reviewer is displayed above). All preprints currently open for review are listed here. Outside of the formal open peer-review period we encourage you to tweet about the preprint.

Citation: Please cite this preprint only for review purposes or for grant applications and CVs (if you are the author).

Final version: If our system detects a final peer-reviewed "version of record" (VoR) published in any journal, a link to that VoR will appear below. Readers are then encourage to cite the VoR instead of this preprint.

Settings: If you are the author, you can login and change the preprint display settings, but the preprint URL/DOI is supposed to be stable and citable, so it should not be removed once posted.

Submit: To post your own preprint, simply submit to any JMIR journal, and choose the appropriate settings to expose your submitted version as preprint.

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

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 Preprints. 05/05/2020:19871

DOI: 10.2196/preprints.19871


Download PDF

Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.