"If he doesn't buy in, it's a waste of time": Perspectives from diverse parents and adolescents on engaging children in ADHD treatment.

ADHD Engagement in care Illness insight Qualitative research Self-esteem

Journal

Child psychiatry and human development
ISSN: 1573-3327
Titre abrégé: Child Psychiatry Hum Dev
Pays: United States
ID NLM: 1275332

Informations de publication

Date de publication:
19 Dec 2022
Historique:
received: 08 08 2022
accepted: 20 11 2022
revised: 25 10 2022
entrez: 19 12 2022
pubmed: 20 12 2022
medline: 20 12 2022
Statut: aheadofprint

Résumé

Engaging children and adolescents in ADHD care is critical for future independent disease management. However, there is a lack of evidence guiding health professionals and parents on how best to engage their children and adolescents in ADHD care. We recruited 41 diverse parents of children and adolescents with ADHD and 11 adolescents with ADHD from an urban, safety-net hospital to participate in in-depth, semi-structured qualitative interviews and then analyzed this data using thematic analysis. Children's level of illness insight about ADHD and self-esteem emerged as two major contributors to engagement of children and adolescents in ADHD care, and their intersection created four styles of engagement: proactive (high insight, high self-esteem), anxious (high insight, low self-esteem), apathetic (low insight, high self-esteem), and resistant (low insight, low self-esteem). This framework can help health professionals engage children and adolescents in care for ADHD and guide development of interventions to improve engagement in care.

Identifiants

pubmed: 36534302
doi: 10.1007/s10578-022-01473-x
pii: 10.1007/s10578-022-01473-x
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : NIMH NIH HHS
ID : K23 MH118478
Pays : United States
Organisme : NIMH NIH HHS
ID : K23MH118478
Pays : United States
Organisme : Gordon and Betty Moore Foundation
ID : 5300

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Nicole Zolli (N)

Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States.
University of Illinois at Chicago, Chicago, IL, United States.

J Krystel Loubeau (JK)

Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States.

Jennifer Sikov (J)

Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States.

Tithi D Baul (TD)

Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States.

Syeda Hasan (S)

Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States.

Katherine Rosen (K)

Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States.

Olivia Buonocore (O)

Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States.

Megan Rabin (M)

Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States.

Alison Duncan (A)

Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States.

Lisa Fortuna (L)

Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States.
Department of Psychiatry, University of California San Francisco School of Medicine, San Francisco, CA, United States.

Christina P C Borba (CPC)

Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States.

Michael Silverstein (M)

Hassenfeld Child Health Innovation Institute, Brown University, Providence, RI, United States.

Andrea E Spencer (AE)

Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States. aspencer@luriechildrens.org.
Pritzker Department of Psychiatry and Behavioral Health, Ann & Robert H. Lurie Children's Hospital of Chicago, IL, Chicago, USA. aspencer@luriechildrens.org.

Classifications MeSH