Abstract：
OBJECTIVE: The aim of the study was to explore the subjective views of general practitioners on the applicability of the Adult ADHD Self-Report Screening Scale for DSM-5 (ASRS-5) as a screening tool for attention-deficit/hyperactivity disorder (ADHD) in adults in general practice.
METHODS: Eleven general practitioners, who had participated in the validation study of the German version of the ASRS-5, were interviewed. For this purpose, a semi-structured interview guide was designed using the Consolidated Framework for Implementation Research (CFIR). The interviews were audio-recorded, transcribed, and analyzed using qualitative content analysis according to Kuckartz.
RESULTS: The ASRS-5 seems to work well in general medical practice. But there is evidence for a lack of knowledge about ADHD in adults among general practitioners and a demand for further training in this area. Moreover, insufficient possibilities for subsequent treatment after a positive ADHD screening were claimed.
CONCLUSIONS: In general medicine, the introduction of a screening using ASRS-5 in cases of clinical suspicion could be the first step towards improving the management of adult patients with ADHD.
CONCLUSIONS: Optimizing the management of adults with ADHD requires additional information and training initiatives to support early diagnosis especially in the primary care setting, and to reveal treatment options and care concepts for adults with ADHD.
METHODS: Eleven general practitioners, who had participated in the validation study of the German version of the ASRS-5, were interviewed. For this purpose, a semi-structured interview guide was designed using the Consolidated Framework for Implementation Research (CFIR). The interviews were audio-recorded, transcribed, and analyzed using qualitative content analysis according to Kuckartz.
RESULTS: The ASRS-5 seems to work well in general medical practice. But there is evidence for a lack of knowledge about ADHD in adults among general practitioners and a demand for further training in this area. Moreover, insufficient possibilities for subsequent treatment after a positive ADHD screening were claimed.
CONCLUSIONS: In general medicine, the introduction of a screening using ASRS-5 in cases of clinical suspicion could be the first step towards improving the management of adult patients with ADHD.
CONCLUSIONS: Optimizing the management of adults with ADHD requires additional information and training initiatives to support early diagnosis especially in the primary care setting, and to reveal treatment options and care concepts for adults with ADHD.
摘要：
目的：本研究的目的是探讨全科医生对DSM-5成人ADHD自我报告筛查量表（ASRS-5）作为筛查工具的适用性的主观看法。一般实践中成人的注意力缺陷/多动障碍（ADHD）。
方法：11名全科医生，我们采访了参加德语版ASRS-5验证研究的患者.为此,半结构化面试指南是使用实施研究综合框架(CFIR)设计的。采访是录音的，转录，并根据Kuckartz采用定性内容分析进行分析。
结果：ASRS-5似乎在一般医学实践中效果良好。但是有证据表明，全科医生缺乏对成年人多动症的了解，并且需要在这一领域进行进一步培训。此外，在ADHD筛查阳性后,后续治疗的可能性不足.
结论：在一般医学中，在临床疑似病例中引入ASRS-5筛查可能是改善成年ADHD患者治疗的第一步.
结论：优化成人多动症的管理需要额外的信息和培训举措，以支持早期诊断，尤其是在初级保健环境中，并揭示成人多动症的治疗选择和护理理念。
方法：11名全科医生，我们采访了参加德语版ASRS-5验证研究的患者.为此,半结构化面试指南是使用实施研究综合框架(CFIR)设计的。采访是录音的，转录，并根据Kuckartz采用定性内容分析进行分析。
结果：ASRS-5似乎在一般医学实践中效果良好。但是有证据表明，全科医生缺乏对成年人多动症的了解，并且需要在这一领域进行进一步培训。此外，在ADHD筛查阳性后,后续治疗的可能性不足.
结论：在一般医学中，在临床疑似病例中引入ASRS-5筛查可能是改善成年ADHD患者治疗的第一步.
结论：优化成人多动症的管理需要额外的信息和培训举措，以支持早期诊断，尤其是在初级保健环境中，并揭示成人多动症的治疗选择和护理理念。
