{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T05:18:12Z","timestamp":1780377492753,"version":"3.54.1"},"reference-count":38,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T00:00:00Z","timestamp":1749081600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec id=\"S205646942500035X_as1\">\n                    <jats:title>Aims and method<\/jats:title>\n                    <jats:p>Non-attendance at out-patient appointments of adult attention-deficit hyperactivity disorder (ADHD) services incurs significant costs and contributes to lost service provision and unmet clinical needs. This cross-sectional study of clinical contacts, between 1 July 2022 and 30 June 2023 in a specialist adult ADHD service, aimed to identify factors, including type of consultation, associated with non-attendance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205646942500035X_as2\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 3673 organised clinic appointments, 2815 (77%) were attended: 2314 (82%) by telephone and 501 (18%) as in-person appointments; non-attendance rates were 17 and 42%, respectively. Patient characteristics associated with improved attendance included: female gender, age &gt;30 years and presence of other psychiatric diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205646942500035X_as3\">\n                    <jats:title>Clinical implications<\/jats:title>\n                    <jats:p>This study will assist adult ADHD service providers to maximise patient attendance. The role of telephone (or virtual) clinics must be considered. Enhanced appointment reminders and improving access to services targeting at-risk groups could also improve attendance rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjb.2025.35","type":"journal-article","created":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T03:23:51Z","timestamp":1749093831000},"page":"120-126","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["The influence of type of consultation and patient characteristics on non-attendance at adult ADHD consultation"],"prefix":"10.1192","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7957-3246","authenticated-orcid":false,"given":"Paul","family":"Stephenson","sequence":"first","affiliation":[{"name":"Cheshire and Wirral Partnership NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Durand","sequence":"additional","affiliation":[{"name":"Cheshire and Wirral Partnership NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Humphreys","sequence":"additional","affiliation":[{"name":"Cheshire and Wirral Partnership NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Stewart","sequence":"additional","affiliation":[{"name":"University of Exeter"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2025,6,5]]},"reference":[{"key":"S205646942500035X_ref6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0260431"},{"key":"S205646942500035X_ref3","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.107.048827"},{"key":"S205646942500035X_ref22","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2011.01342.x"},{"key":"S205646942500035X_ref20","unstructured":"20 National Institute for Health and Care Excellence (NICE). Attention Deficit Hyperactivity Disorder: Diagnosis and Management. NICE, 2018 [last updated 2019] (https:\/\/www.nice.org.uk\/guidance\/ng87\/chapter\/Recommendations [accessed 14 Jun 2024])."},{"key":"S205646942500035X_ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-020-02483-1"},{"key":"S205646942500035X_ref19","doi-asserted-by":"publisher","DOI":"10.1177\/1087054719859081"},{"key":"S205646942500035X_ref31","doi-asserted-by":"publisher","DOI":"10.1258\/135581907780279567"},{"key":"S205646942500035X_ref30","doi-asserted-by":"publisher","DOI":"10.1097\/00004010-200604000-00006"},{"key":"S205646942500035X_ref16","first-page":"1357633X231216501","article-title":"Attendance at remote versus in-person outpatient appointments in an NHS Trust","author":"Kerr","year":"2023","journal-title":"J Telemed Telecare"},{"key":"S205646942500035X_ref21","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-012116"},{"key":"S205646942500035X_ref4","doi-asserted-by":"publisher","DOI":"10.1177\/1087054715604360"},{"key":"S205646942500035X_ref15","first-page":"A5283","article-title":"Observational study identifies non-attendance characteristics in two hospital outpatient clinics","volume":"63","author":"Bl\u00e6hr","year":"2016","journal-title":"Dan Med J"},{"key":"S205646942500035X_ref14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3038.2007.00691.x"},{"key":"S205646942500035X_ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s12402-016-0208-3"},{"key":"S205646942500035X_ref11","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/17.3.252"},{"key":"S205646942500035X_ref9","volume-title":"Patterns and Influences on Health-Care Attendance Behaviour: A Narrative Overview of Key Themes and Issues","author":"McLean","year":"2014"},{"key":"S205646942500035X_ref8","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2023.88"},{"key":"S205646942500035X_ref37","doi-asserted-by":"publisher","DOI":"10.17294\/2330-0698.1918"},{"key":"S205646942500035X_ref33","doi-asserted-by":"publisher","DOI":"10.1192\/S2056474000000258"},{"key":"S205646942500035X_ref12","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.4810443"},{"key":"S205646942500035X_ref38","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-049210"},{"key":"S205646942500035X_ref28","first-page":"407","article-title":"Miss. 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NHS AI Expansion to Help Tackle Missed Appointments and Improve Waiting Times. NHS England, 2014 (https:\/\/www.england.nhs.uk\/2024\/03\/nhs-ai-expansion-to-help-tackle-missed-appointments-and-improve-waiting-times\/ [accessed 13 Jun 2024])."},{"key":"S205646942500035X_ref23","unstructured":"23 World Health Organization (WHO). International Statistical Classification of Diseases and Related Health Problems \u2013 10th Revision (ICD-10). WHO, 2019 (https:\/\/icd.who.int\/browse10\/2019\/en [accessed 21 Jun 2024])."},{"key":"S205646942500035X_ref7","unstructured":"7 NHS England. Reducing Did Not Attends (DNAs) in Outpatient Services. NHS England, 2023 (https:\/\/www.england.nhs.uk\/long-read\/reducing-did-not-attends-dnas-in-outpatient-services\/ [accessed 14 Jun 2024])."},{"key":"S205646942500035X_ref36","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2023.03.001"},{"key":"S205646942500035X_ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2011.08.007"},{"key":"S205646942500035X_ref1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.649399"},{"key":"S205646942500035X_ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2020.10.030"},{"key":"S205646942500035X_ref13","first-page":"522","article-title":"Time and money: effects of no-shows at a family practice residency clinic","volume":"33","author":"Moore","year":"2001","journal-title":"Fam Med"}],"updated-by":[{"DOI":"10.1192\/bjb.2025.10127","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T00:00:00Z","timestamp":1749081600000}}],"container-title":["BJPsych Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S205646942500035X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T01:07:02Z","timestamp":1774400822000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S205646942500035X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,5]]},"references-count":38,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S205646942500035X"],"URL":"https:\/\/doi.org\/10.1192\/bjb.2025.35","relation":{},"ISSN":["2056-4694","2056-4708"],"issn-type":[{"value":"2056-4694","type":"print"},{"value":"2056-4708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,5]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}