title: Reliability and validity of DS-ADHD: A decision support system on attention deficit hyperactivity disorders.
abstract: OBJECTIVE
  The purpose of this study is to examine the reliability of the clinical use of the self-built decision support system, diagnosis-supported attention deficit hyperactivity disorder (DS-ADHD), in an effort to develop the DS-ADHD system, by probing into the development of indicating patterns of past screening support systems for ADHD.
  
  
  METHODS
  The study collected data based on 107 subjects, who were divided into two groups, non-ADHD and ADHD, based on the doctor's determination, using the DSM-IV diagnostic standards. The two groups then underwent Test of Variables of Attention (TOVA) and DS-ADHD testing. The survey and testing results underwent one-way ANOVA and split-half method statistical analysis, in order to further understand whether there were any differences between the DS-ADHD and the identification tools used in today's clinical trials.
  
  
  RESULTS
  The results of the study are as follows: 1) The ROC area between the TOVA and the clinical identification rate is 0.787 (95% confidence interval: 0.701-0.872); 2) The ROC area between the DS-ADHD and the clinical identification rate is 0.867 (95% confidence interval: 0.801-0.933).
  
  
  CONCLUSIONS
  The study results show that DS-ADHD has the characteristics of screening for ADHD, based on its reliability and validity. It does not display any statistical differences when compared with TOVA systems that are currently on the market. However, the system is more effective and the accuracy rate is better than TOVA. It is a good tool to screen ADHD not only in Chinese children, but also in western country.
authors.affiliation: Department of Information Management, National Taipei University of Nursing & Health Sciences, Taipei 112, Taiwan. Electronic address: kcchu8992@gmail.com.
authors.forename: Kuo-Chung
authors.initials: KC
authors.lastname: Chu
authors.affiliation: Department of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital at Linko, Taoyuan City 333, Taiwan; College of Medicine, Chang Gung University, Taoyuan 333, Taiwan. Electronic address: yushuhuang1212@gmail.com.
authors.forename: Yu-Shu
authors.initials: YS
authors.lastname: Huang
authors.affiliation: Department of Information Management, National Taipei University of Nursing & Health Sciences, Taipei 112, Taiwan.
authors.forename: Chien-Fu
authors.initials: CF
authors.lastname: Tseng
authors.affiliation: Department of Information Management, National Taipei University of Nursing & Health Sciences, Taipei 112, Taiwan.
authors.forename: Hsin-Jou
authors.initials: HJ
authors.lastname: Huang
authors.affiliation: Department of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital at Linko, Taoyuan City 333, Taiwan; Department of Psychology, Zhejiang Normal University, Zhejiang Province, 321004 China.
authors.forename: Chih-Huan
authors.initials: CH
authors.lastname: Wang
authors.affiliation: Department of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital at Linko, Taoyuan City 333, Taiwan.
authors.forename: Hsin-Yi
authors.initials: HY
authors.lastname: Tai
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis* / Q000523:psychology; D002648:Child; D020000:Decision Support Systems, Clinical; D005260:Female; D006801:Humans; D008297:Male; D015203:Reproducibility of Results
keywords: Attention deficit hyperactivity disorder (ADHD); Decision support system (DSS); ROC curve; Reliability and validity analysis; System development