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

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

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 symptomsa
Use of semi structured interview 51.7 68.2 49.5 63.2 50.0 0.09
Gathering information from third partya 92,8 94.7 97.8 94.1 50.0 < 0.001
Use of questionnairesa
 CBCLc 40.8 63.2 39.8 41.7   0.001 0.04
 TRFc 53.8 73.7 59.1 64.7  
 SDQa 49,1 42,1 51.6 41.7 11.8
 AVLa 66.3 73.7 71.0 70.6 23.1
 CR-scalec 5.3 21.1 4.3 0  
Additional knowledgea
 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
Additional examination usedb
 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
  1. ause often or always
  2. buse never or rarely on occasion
  3. cUse of this instrument was not asked in version of questionnaire for GPs and youth health care physicians
  4. 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