Guideline use among different healthcare professionals in diagnosing attention deficit hyperactivity disorder in Dutch children; who cares?

Table 3 Use of Dutch guidelines and diagnostic key elements from guidelines per healthcare professional

Dutch diagnostic guideline recommendations	Overall adherence (%; N = 169)	C&Y psychiatrists (%; N = 19)	Psychologists (%; N = 93)	Paediatricians (%; N = 17)	GPs (%; N = 13)	p value
General Guideline use	64.4	81.8	60.8	73.7	50.0	0.05
Guidelines used:
Multidisciplinary guideline	38.6	72.2	33.3	50.0	14.3
Youth healthcare guideline	11.4	0	14.0	14.3	0
GP guideline	6.1	0	0	0	71.4
Protocol own institution	39.5	27.8	49.1	21.4	0
Not specified			3.6	14.3	14.3
Evaluation of ADHD symptoms^a
Use of semi structured interview	51.7	68.2	49.5	63.2	50.0	0.09
Gathering information from third party^a	92,8	94.7	97.8	94.1	50.0	< 0.001
Use of questionnaires^a
CBCL^c	40.8	63.2	39.8	41.7		0.001 0.04
TRF^c	53.8	73.7	59.1	64.7
SDQ^a	49,1	42,1	51.6	41.7	11.8
AVL^a	66.3	73.7	71.0	70.6	23.1
CR-scale^c	5.3	21.1	4.3	0
Additional knowledge^a
Developmental history	89.2	100	96.7	88.2	16.7	< 0.001 < 0.001
Perform physical examination	19.2	10.5	7.6	88.3	25,0	< 0.001 < 0.001
Additional examination used^b
neuropsychological tests	62.7	73.3	56.5	70.6	91.7	0.25 < 0.001
IQ tests	29,5	10,5	19.6	41.2	100
Electrocardiogram	100	100	100	100	100
Laboratory tests	100	100	100	100	100

^ause often or always
^buse never or rarely on occasion
^cUse of this instrument was not asked in version of questionnaire for GPs and youth health care physicians
C&Y psychiatrist Child and Youth psychiatrist, GPs General Practitioners, AVL ADHD Vragenlijst (Dutch ADHD Questionnaire), CBCL Child Behavior Checklist, TRF Teacher’s Report Form, SDQ Strengths and Difficulties Questionnaire, CRS Connor’s Rating Scale, IQ Intelligence Quotient

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