An Objective Assessment of Effect of Stimulants on Attention in Individuals With ADHD

J Atten Disord. 2024 Feb;28(4):451-457. doi: 10.1177/10870547231215285. Epub 2024 Jan 10.

Abstract

Introduction: Currently, assessing ADHD treatment response to stimulants relies on rating scales and subjective questionnaires and sometimes a CPT. Such tools fall short of objective, quantifiable measurement of effect, especially in natural settings and can result in inconsistent treatment.

Method: We report results from two studies using a novel proof-of-concept approach. A preliminary trial of 10 individuals used a high-fidelity eye tracker; a second study of 100 individuals used webcams at the participants' homes.

Results: Both studies evaluated stimulant effect using reading behavior analysis, being an ADHD symptom that stimulants affect and a major symptom patients want to improve. Both showed a significant change in reading behavior related to medication state, suggesting a clear, objective measure of stimulant effect.

Conclusion: Using ubiquitous hardware, investigators created a user-friendly treatment assessment platform where individuals can collect their own objective data within minutes in any setting where they have access to a web camera and computer.

Keywords: ADHD; adolescents; adults; measure development; treatment assessment.

MeSH terms

  • Attention
  • Attention Deficit Disorder with Hyperactivity* / diagnosis
  • Attention Deficit Disorder with Hyperactivity* / drug therapy
  • Central Nervous System Stimulants* / pharmacology
  • Central Nervous System Stimulants* / therapeutic use
  • Humans
  • Surveys and Questionnaires

Substances

  • Central Nervous System Stimulants