A multi‑stakeholder preliminary needs assessment to inform the co‑design of a digital telerehabilitation tool for children and adolescents with ADHD.

Purpose: This study presents a preliminary multi‑stakeholder needs assessment to inform the subsequent co‑design of a digital telerehabilitation tool aimed at supporting organisation, planning, and prospective memory in children and adolescents with ADHD. The primary outcome was to identify function...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 21; no. 6; pp. 2818 - 2839
Autores principales: Rivas-García, Marina, Vidal-Ramírez, Carmen, Mora-Traverso, Marta, Toledano-González, Abel, Rodríguez-Martínez, María del Carmen, Molina-Torres, Esther, Marín-Marín, José-Antonio, Triviño-Juárez, José-Matías, Gea-Mejías, Miguel, Romero-Ayuso, Dulce
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2026
      vid: 21
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        196565036
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        10.1080/17483107.2026.2648864
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        atl: A multi‑stakeholder preliminary needs assessment to inform the co‑design of a digital telerehabilitation tool for children and adolescents with ADHD.
      aug:
        au:
          Rivas-García, Marina
          Vidal-Ramírez, Carmen
          Mora-Traverso, Marta
          Toledano-González, Abel
          Rodríguez-Martínez, María del Carmen
          Molina-Torres, Esther
          Marín-Marín, José-Antonio
          Triviño-Juárez, José-Matías
          Gea-Mejías, Miguel
          Romero-Ayuso, Dulce
        affil: Faculty of Medicine, University of Granada, Granada, Spain
      sug:
        subj:
          Attention Deficit Hyperactivity Disorder Rehabilitation
          Attention Deficit Hyperactivity Disorder Rehabilitation
          Telerehabilitation
          Program Development
          Functional Status
          Patient Attitudes Evaluation
          Caregiver Attitudes Evaluation
          Occupational Therapist Attitudes Evaluation
          Faculty Attitudes Evaluation
          Psychotherapist Attitudes Evaluation
          Needs Assessment
          Human
          Colleges and Universities
          Spain
          Funding Source
          Child
          Adolescence
          Psychiatric Patients Psychosocial Factors
          Caregivers Psychosocial Factors
          Occupational Therapists Psychosocial Factors
          Teachers Psychosocial Factors
          Mental Health Counselors Psychosocial Factors
          Self Regulation
          Executive Function
          Qualitative Studies
          Focus Groups
          Thematic Analysis
          Grounded Theory
          Action Research
          Purposive Sample
          Hospitals
          Audiorecording
          Neuropsychological Tests
          International Classification of Functioning, Disability, and Health
          Conceptual Framework
          Social Environment
          Emotional Regulation
          Activities of Daily Living
          Reminder Systems
          Memory
          Psychoeducation
          Task Performance and Analysis
          Privacy and Confidentiality
          Motivation
          Games
          Access to Information
          Patient Autonomy
          Student Assignments
          Health Services Accessibility
          Caregiver Burden Prevention and Control
          School Mental Health Services
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Purpose: This study presents a preliminary multi‑stakeholder needs assessment to inform the subsequent co‑design of a digital telerehabilitation tool aimed at supporting organisation, planning, and prospective memory in children and adolescents with ADHD. The primary outcome was to identify functional challenges, environmental determinants, and user‑reported priorities across stakeholder groups. The secondary outcome was to translate these needs into preliminary design requirements and guiding principles for future co‑design phases. Methods: A qualitative study was conducted using focus groups guided by the CFIR framework, involving 49 participants: children and adolescents with ADHD, caregivers, occupational therapists, and educational professionals. Data were analysed through deductive thematic coding and inductive grounded‑theory synthesis. Matrix mappings and Sankey diagrams were used to visualise convergence and divergence across stakeholder perspectives. Results: Three cross‑cutting priority areas emerged: (1) emotional self‑regulation, (2) autonomy in daily routines through customisable reminders and supports, and (3) psychoeducation for families and educators. Children emphasised reminders, prospective‑memory support, privacy control, and motivational feedback. Educators highlighted the need for training and classroom‑based co‑regulation strategies. Occupational therapists emphasised ecological, participation‑oriented interventions. Caregivers reported emotional burden, concerns about independence, and a need for accessible psychoeducational resources. Conclusions: This needs assessment provides a structured, replicable foundation for the co‑design of a digital telerehabilitation tool for ADHD, integrating emotional, functional, and educational dimensions. Future research should evaluate the feasibility, usability, and the impact of the resulting prototype on autonomy, participation, and family dynamics. IMPLICATIONS FOR REHABILITATION: The study proposes a reproducible, collaborative model for designing digital telerehabilitation that address three key priorities: emotional self-regulation, independence in daily routines, and psychoeducation for families and educators. Children and adolescents emphasised the need for customisable reminders, privacy controls, and motivational feedback. The results highlight the systemic impact of ADHD and the importance of family-centred support in digital health solutions for their rehabilitation. Professionals underscored the importance of ecological interventions and the development of self-regulation skills.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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