Chatbot-supported psychoeducation in adult attention-deficit hyperactivity disorder: randomised controlled trial.

Autor:	Selaskowski B; Department of Psychiatry and Psychotherapy, University Hospital Bonn, Germany., Reiland M; Department of Psychiatry and Psychotherapy, University Hospital Bonn, Germany., Schulze M; Department of Psychiatry and Psychotherapy, University Hospital Bonn, Germany., Aslan B; Department of Psychiatry and Psychotherapy, University Hospital Bonn, Germany., Kannen K; Department of Psychiatry and Psychotherapy, University Hospital Bonn, Germany., Wiebe A; Department of Psychiatry and Psychotherapy, University Hospital Bonn, Germany., Wallbaum T; Department of Information and Communication, Flensburg University of Applied Sciences, Germany., Boll S; Department of Computing Science, University of Oldenburg, Germany., Lux S; Department of Psychiatry and Psychotherapy, University Hospital Bonn, Germany., Philipsen A; Department of Psychiatry and Psychotherapy, University Hospital Bonn, Germany., Braun N; Department of Psychiatry and Psychotherapy, University Hospital Bonn, Germany.
Jazyk:	angličtina
Zdroj:	BJPsych open [BJPsych Open] 2023 Oct 13; Vol. 9 (6), pp. e192. Date of Electronic Publication: 2023 Oct 13.
DOI:	10.1192/bjo.2023.573
Abstrakt:	Background: Although psychoeducation is generally recommended for the treatment of adult attention-deficit hyperactivity disorder (ADHD), participation in clinical psychoeducation groups is impeded by waiting times and the constrained number of patients who can simultaneously attend a group. Digital psychoeducation attempts are promising, but the rapidly expanding number of apps lack evidence and are mostly limited to only a few implemented interactive elements. Aims: To determine the potential of digital, self-guided psychoeducation for adult ADHD, a newly developed interactive chatbot was compared with a previously validated, conventional psychoeducation app. Method: Forty adults with ADHD were randomised, of whom 17 participants in each group completed self-guided psychoeducation based on either a chatbot or conventional psychoeducation app between October 2020 and July 2021. ADHD core symptoms were assessed before and after the 3-week interventions, using both the blinded observer-rated Integrated Diagnosis of ADHD in Adulthood interview and the self-rated ADHD Self-Assessment Scale (ADHS-SB). Results: Observer- and patient-rated ADHD symptoms were significantly reduced from pre- to post-intervention (observer-rated: mean difference -6.18, 95% CI -8.06 to -4.29; patient-rated: mean difference -2.82, 95% CI -4.98 to -0.67). However, there were no group × intervention interaction effects that would indicate a stronger therapeutic benefit of one of the interventions. Likewise, administered psychoeducational knowledge quizzes did not show differences between the groups. No adverse events were reported. Conclusions: Self-guided psychoeducation based on a chatbot or a conventional app appears similarly effective and safe for improving ADHD core symptoms. Future research should compare additional control interventions and examine patient-related outcomes and usability preferences in detail.
Databáze:	MEDLINE
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