Evidence map›Paper›PMID 25706049›Full record

SynthesisJournal of child psychology and psychiatry, and allied disciplines2015

Practitioner Review: Pathways to care for ADHD - a systematic review of barriers and facilitators.

Nicola Wright, Maria Moldavsky, Justine Schneider, Ipsita Chakrabarti, Janine Coates, David Daley, Puja Kochhar, Jon Mills, Walid Sorour, Kapil Sayal

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of child psychology and psychiatry, and allied disciplines, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  15. Antecedents and outcomes of a later attention-deficit hyperactivity disorder (ADHD) diagnosis in females.The British journal of psychiatry : the journal of mental science · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Nicola WrightSchool of Health Sciences, University of Nottingham, Nottingham, UK.
Maria MoldavskySpecialist Services Directorate, Nottinghamshire Healthcare NHS Trust, Nottingham, UK.
Justine SchneiderSchool of Sociology and Social Policy, University of Nottingham, Nottingham, UK.
Ipsita ChakrabartiSpecialist Services Directorate, Nottinghamshire Healthcare NHS Trust, Nottingham, UK.
Janine CoatesDivision of Psychology, Nottingham Trent University, Nottingham, UK.
David DaleyDivision of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham, UK.
Puja KochharDivision of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham, UK.
Jon MillsDivision of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham, UK.
Walid SorourChild and Adolescent Psychiatry, Lincolnshire Partnership NHS Foundation Trust, Lincolnshire, UK.
Kapil SayalDivision of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAttention-Deficit/Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder starting in childhood that may persist into adulthood. It can be managed through carefully monitored medication and nonpharmacological interventions. Access to care for children at risk of ADHD varies both within and between countries. A systematic literature review was conducted to investigate the research evidence related to factors which influence children accessing services for ADHD.

methodStudies investigating access to care for children at risk of ADHD were identified through electronic searches of the international peer-reviewed and grey literature. Databases were searched from inception till 30th April 2012. This identified 23,156 articles which were subjected to three levels of screening (title, abstract and full text) by a minimum of two independent reviewers. Due to the heterogeneity in the study designs, a narrative approach was used to present the findings.

resultsTwenty-seven papers met the inclusion criteria; these were grouped into four main themes, with some papers being included in more than one. These were wider determinants (10 papers); identification of need (9 papers); entry and continuity of care (13 papers) and interventions to improve access (4 papers). Barriers and facilitators to access were found to operate at the individual, organisational and societal level. Limited evidence of effective interventions to improve access was identified.

conclusionThis review explored the multilayered obstacles in the pathway to care for children at risk of ADHD and the lack of evidence-based interventions designed to address these issues, thereby indicating areas for service development and further evaluative research.

Indexed as

Health Services AccessibilityAttention Deficit Disorder with HyperactivityChildHumansAttention-deficit disorder with hyperactivitychildcontinuity of patient caredevelopmental disabilityhealth service needs and demands

Identifiers

PMID25706049
PMCPMC5008177

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.