1) The document describes interviews conducted with various stakeholders regarding the development of an interactive diagnostic assistant system for Attention Deficit/Hyperactivity Disorder (ADHD). 2) Interviews were conducted with psychologists, occupational therapists, university lecturers, teachers, parents, and patients to understand user needs and optimize the system. 3) Key learnings included the need for different user interfaces, connecting teachers and specialists, addressing common disorders that accompany ADHD, and making the system more interactive and engaging for users.

1. ADHD+IR
Interactive, Informative and Diagnostic Assistant System
for Attention Deficit / Hyper activity Disorder
Ladan Jalali ( Occupational Therapist, M.Sc. Bio-Informatics - Biomedical Engineering )
Esfandiar Khaleghi ( M.Eng. Biomedical Engineering,
Student of Bioengineering and Biodesign Innovation )
FOUNDER
CO-FOUNDER

2. WHAT !
IS ADHD?
Attention Deficit
Hyperactivity Disorder (ADHD)
is a condition that becomes apparent in some children in the preschool
and early school years. It is hard for these children to control their behavior
and/or pay attention. It is estimated that between 3 and 5 percent of
children have ADHD, or approximately 2 million children in the United
States. This means that in a classroom of 25 to 30 children, it is likely that
at least one will have ADHD.

3. A LITTLE
ABOUT THIS PRESENTATION
We were requested to run a series of the
interview as a part of our Technology
Entrepreneurship course at Stanford
University.
For this assignment, we tested our
hypothesis about our value proposition by
talking with potential customers face to
face. The more face to face interviews with
had with our users/customers, the better
our product will become…

4. INTERVIEW
SEGMENTS
THE PSYCHOLOGISTS.
We categorized our interview in three different
segments.
§ The patients.
§ The people who are in touch with patients.
§ The medical authorities.
THE PATIENTS
THE PARENTS

5. OUR
USERS
INTERFACE DESIGN
We can not put patients as our direct users as far as
this system is a diagnostic system for ADHD people
who are between 6 to 13, so, although they can be
user of the testing system, preferably, we suggest
Teachers or their Parents use this testing system for
having more accurate test, whereas we would have
another special diagnosis test for medical team.
So, we started our interviews with Medical
Authorities.

6. INTERVIEW
WITH PSYCHOLOGISTS
We had interview with three well-known
Iranian Psychologies who helped us about
how we should design our system to be
useful for them as well as their patients.
They agreed to help us step by step in a
pilot scheme to have a mobile desk at their
institute for diagnosing their patients before
seen by specialist to check how much the
system is reliable based on the final result
by them.
Special thanks to Tehran Psychiatry
Institute, Rouzbeh Hospital and
Aliasghar Child Hospital.
PSYCHOLOGISTS

7. INTERVIEW
WITH OTS
We had five interviews with Occupational
Therapist which went so well, as one of our
team is a OT who helped us a lot to have
an efficient talk with her colleagues at
hospitals. We’ve reviewed the test
questions and scheme with them.
Special thanks to Tehran Psychiatry
Institute, Rouzbeh Hospital and Navab
Safavi Hospital.
OCCUPATIONAL THERAPISTS

8. INTERVIEW
WITH UNIVERSITY LECTURERS
We had three interviews with some
university lecturers at Amirkabir
University of Technology (Tehran
Polytechnics) and Iran Medical University
and Tehran Medical University of
Science, who are actively involved in
ADHD research especially in filling a gap
between diagnosis and treatment.
We’ve talked about how we can develop
gaming solutions to fill this gap for all of our
users who were investigated as ADHD.
UNIVERSITY LECTURERS

9. INTERVIEW
WITH TEACHERS
We had two interviews with teachers in two
Boy/Girls elementary school in Iran which is
the critical age for recognizing ADHD as it
would become harder and harder when they
being mature. We’ve discussed about how
they can use our system in referring their
students to the medial authorities for further
investigation. So, they agreed to test students
on a regular base in our pilot scheme and
refer any suspicious case in our medical
partners. As well as emergency situation, who
a teacher ask their colleagues to run this test
for a special student based on the ADHD
symptoms which he/she observe in his/her
student.
SCHOOL TEACHERS

10. INTERVIEW
WITH PARENTS
We interviewed almost eight parents who
deal with ADHD patients and mostly had
argue with their child schools how did not
recognize this problem in their kids in early
stage as it could helped them a lot. They
were so keen to see our system, which we
run a sample system of our PHP test for
them. They were looking for more
interactive test, which our graphic and
coding developers are working on.
PARENTS

11. INTERVIEW
WITH PATIENTS
We’ve talked with them about the effect of
having these systems at schools to
recognize the symptoms in an early stage.
Several of those kids were not happy by
labeling them as Hyperactive or a patient,
which we decided to change our last stage
of showing result to something different.
They were so enthusiastic about our project
when we run a graphical test for them. So,
definitely, one of our other phases and
generation of our project in future would be
gaming options.
PATIENTS

12. WHAT
WE LEARNED
When properly treated, children and
adolescents with ADHD can lead very
normal and productive lives. In fact,
many traits found in individuals with
ADHD can help them to become very
successful later in life. It should be
noted that a loving, supportive and
consistent environment is essential for
the positive growth and develop of all
children and especially those with
ADHD or other learning disabilities.
People with ADHD tend to have
average or above average intelligence.
They are often very creative and
usually have a high energy level. These
individuals also are frequently very
sensitive and highly affectionate.
In the last few years, it has become
more likely for adults to be diagnosed
with ADHD and start on medication.
These may be individuals who were
not properly identified when they were
children. In other cases, adults have
learned to compensate for their
disorder and become very successful
individuals. In fact, some may "over
c o m p e n s a t e " a n d b e c o m e
extraordinarily successful.
Parents can benefit greatly by
participating in a support group along
with other parents of ADHD kids.
Parents should refer to nationally
recognized Support Organizations and
trusted Professional Associations for
reliable information and effective
support.

13. WHAT
WE LEARNED : DIAGNOSIS
Some parents see signs of inattention, hyperactivity,
and impulsivity in their toddler long before the child
enters school. The child may lose interest in playing
a game or watching a TV show, or may run around
completely out of control. But because children
mature at different rates and are very different in
personality, temperament, and energy levels, it's
useful to get an expert's opinion of whether the
behavior is appropriate for the child's age. Parents
can ask their child's pediatrician, or a child
psychologist or psychiatrist, to assess whether their
toddler has an attention deficit hyperactivity disorder
or is, more likely at this age, just immature or
unusually exuberant.
ADHD may be suspected by a parent or caretaker or
may go unnoticed until the child runs into problems
at school. Given that ADHD tends to affect
functioning most strongly in school, sometimes the
teacher is the first to recognize that a child is
hyperactive or inattentive and may point it out to the
parents and/or consult with the school psychologist.
Because teachers work with many children, they
come to know how "average" children behave in
learning situations that require attention and self-
control. However, teachers sometimes fail to notice
the needs of children who may be more inattentive
and passive yet who are quiet and cooperative, such
as those with the predominantly inattentive form of
ADHD.
Ideally, the diagnosis should be made by a
professional in your area with training in ADHD or in
the diagnosis of mental disorders. Child psychiatrists
and psychologists, developmental/behavioral
pediatricians, or behavioral neurologists are those
most often trained in differential diagnosis.

14. WHAT
WE LEARNED : DIAGNOSIS
The first task of the professional conducting the
evaluation is to gather information that will rule out
other possible reasons for the child's behavior.
Among possible causes of ADHD-like behavior are
the following: A sudden change in the child's life—
the death of a parent or grandparent; parents'
divorce; a parent's job loss , Undetected seizures,
such as in petit mal or temporal lobe seizures , A
middle ear infection that causes intermittent hearing
problems , Medical disorders that may affect brain
functioning , Underachievement caused by learning
disability and Anxiety or depression.
Ideally, in ruling out other causes, the specialist
checks the child's school and medical records.
There may be a school record of hearing or vision
problems, since most schools automatically screen
for these. The specialist tries to determine whether
the home and classroom environments are unusually
stressful or chaotic, and how the child's parents and
teachers deal with the child.
The specialist interviews the child's teachers and
parents, and may contact other people who know
the child well, such as coaches or baby-sitters.
Parents are asked to describe their child's behavior
in a variety of situations. They may also fill out a
rating scale to indicate how severe and frequent the
behaviors seem to be.
In most cases, the child will be evaluated for social
adjustment and mental health. Tests of intelligence
and learning achievement may be given to see if the
child has a learning disability and whether the
disability is in one or more subjects.

15. WHAT
WE LEARNED : DIAGNOSIS
In looking at the results of these various sources of
information, the specialist pays special attention to
the child's behavior during situations that are the
most demanding of self-control, as well as noisy or
unstructured situations such as parties, or during
tasks that require sustained attention, like reading,
working math problems, or playing a board game.
Behavior during free play or while getting individual
attention is given less importance in the evaluation.
In such situations, most children with ADHD are able
to control their behavior and perform better than in
more restrictive situations.
In most cases, the child will be evaluated for social
adjustment and mental health. Tests of intelligence
and learning achievement may be given to see if the
child has a learning disability and whether the
disability is in one or more subjects.
In looking at the results of these various sources of
information, the specialist pays special attention to
the child's behavior during situations that are the
most demanding of self-control, as well as noisy or
unstructured situations such as parties, or during
tasks that require sustained attention, like reading,
working math problems, or playing a board game.
Behavior during free play or while getting individual
attention is given less importance in the evaluation.
In such situations, most children with ADHD are able
to control their behavior and perform better than in
more restrictive situations.

16. WHAT
WE LEARNED : DIAGNOSIS / ACCOMPANY TO ADHD
A correct diagnosis often resolves confusion about
the reasons for the child's problems that lets parents
and child move forward in their lives with more
accurate information on what is wrong and what can
be done to help. Once the disorder is diagnosed, the
child and family can begin to receive whatever
combination of educational, medical, and emotional
help they need. This may include providing
recommendations to school staff, seeking out a
more appropriate classroom setting, selecting the
right medication, and helping parents to manage
their child's behavior.
Some disorder which may accompany to ADHD that
we should work on in our system for having more
accurate test, but to be honest, these disorders can
really accompany with ADHD even when they bee
seen by Drs.

17. WHAT WE LEARNED : DIAGNOSIS
/ACCOMPANY TO ADHD
LEARNING DISABILITIES
CONDUCT DISORDER
TOUETTER SYNDROME
ANXIETY AND DEPRESSION
BIPOLAR DISORDER
OPPOSITIONAL DEFIANT DISORDER
A correct diagnosis often resolves confusion about
the reasons for the child's problems that lets parents
and child move forward in their lives with more
accurate information on what is wrong and what can
be done to help. Once the disorder is diagnosed, the
child and family can begin to receive whatever
combination of educational, medical, and emotional
help they need. This may include providing
recommendations to school staff, seeking out a
more appropriate classroom setting, selecting the
right medication, and helping parents to manage
their child's behavior.
Some disorder which may accompany to ADHD that
we should work on in our system for having more
accurate test, but to be honest, these disorders can
really accompany with ADHD even when they bee
seen by Drs.

18. SUMMERIZING
SYSTEM OPTIMIZATION
ü Making different user interface for different users,
ü Providing an access for the patent family
physiologist to access the patient test.
ü Connecting teachers with specialist in case the
student diagnosed by having ADHD through our
system
ü Working on some disorders, which may accompany
by our system as ADHD.
ü Make it more interactive and joyable for both
parents and patients.
ü Further interviews on regular base with above
interviews to optimize the system better and better.
ü And some, which we predicted its importance that
developers team are working hard to making it
happen.

19. ADHD+IR
Interactive, Informative and
D i a g n o s t i c A s s i s t a n t
System for Attention
Deficit / Hyper activity
Disorder
NOTE
We’ve interviewed all our
patients with recorded
cameras to work on their
observation but based on
the confidentiality of
patients records, we’ve not
released them yet for
public. So, maybe in future
we show some of them into
public.
PROJECT

20. THANKS !
FOR YOUR!
ATTENTION.!
www.adhd.ir/en
By Esfandiar Khaleghi.
http://www.esfandiar.co