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IntroductionIn spite of rapid advances in evidence-based treatments for attention deficit hyperactivity disorder (ADHD), community access to rigorous gold-standard diagnostic assessments has lagged far behind due to barriers such as the costs and limited availability of comprehensive diagnostic evaluations. Digital assessment of attention and behavior has the potential to lead to scalable approaches that could be used to screen large numbers of children and/or increase access to high-quality, scalable diagnostic evaluations, especially if designed using user-centered participatory and ability-based frameworks. Current research on assessment has begun to take a user-centered approach by actively involving participants to ensure the development of assessments that meet the needs of users (e.g., clinicians, teachers, patients). MethodsThe objective of this mapping review was to identify and categorize digital mental health assessments designed to aid in the initial diagnosis of ADHD as well as ongoing monitoring of symptoms following diagnosis. ResultsResults suggested that the assessment tools currently described in the literature target both cognition and motor behaviors. These assessments were conducted using a variety of technological platforms, including telemedicine, wearables/sensors, the web, virtual reality, serious games, robots, and computer applications/software. DiscussionAlthough it is evident that there is growing interest in the design of digital assessment tools, research involving tools with the potential for widespread deployment is still in the early stages of development. As these and other tools are developed and evaluated, it is critical that researchers engage patients and key stakeholders early in the design process.
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Choosing the Right Tool: A Comparative Study of Wetland Assessment Approaches
Abstract There are over 700 aquatic ecological assessment approaches across the globe that meet specific institutional goals. However, in many cases, multiple assessment tools are designed to meet the same management need, resulting in a confusing array of overlapping options. Here, we look at six riverine wetland assessments currently in use in Montana, USA, and ask which tool (1) best captures the condition across a disturbance gradient and (2) has the most utility to meet the regulatory or management needs. We used descriptive statistics to compare wetland assessments (n = 18) across a disturbance gradient determined by a landscape development intensity. Factor analysis showed that many of the tools had internal metrics that did not correspond well with overall results, hindering the tool’s ability to act as designed. We surveyed regional wetland managers (n = 56) to determine the extent of their use of each of the six tools and how well they trusted the information the assessment tool provided. We found that the Montana Wetland Assessment Methodology best measured the range of disturbance and had the highest utility to meet Clean Water Act (CWA§ 404) needs. Montana Department of Environmental Quality was best for the CWA§ 303(d) & 305(b) needs. The US Natural Resources Conservation Service’s Riparian Assessment Tool was the third most used by managers but was the tool that had the least ability to distinguish across a disturbance, followed by the US Bureau of Land Management’s Proper Functioning Condition.
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- Award ID(s):
- 1702996
- PAR ID:
- 10500867
- Publisher / Repository:
- Springer Science + Business Media
- Date Published:
- Journal Name:
- Wetlands
- Volume:
- 44
- Issue:
- 5
- ISSN:
- 0277-5212
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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