Willingness to use ADHD treatments: A mixed methods study of perceptions by adolescents, parents, health professionals and teachers
Open accessAbstract
Little is known about factors that influence willingness to engage in treatment for attention deficit/hyperactivity disorder (ADHD). From 2007 to 2008, in the context of a longitudinal study assessing ADHD detection and service use in the United States, we simultaneously elicited ADHD treatment perceptions from four stakeholder groups: adolescents, parents, health care professionals and teachers. We assessed their willingness to use ADHD interventions and views of potential undesirable effects of two pharmacological (short- and long-acting ADHD medications) and three psychosocial (ADHD education, behavior therapy, and counseling) treatments. In multiple regression analysis, willingness was found to be significantly related to respondent type (lower for adolescents than adults), feeling knowledgeable, and considering treatments acceptable and helpful, but not significantly associated with stigma/embarrassment, respondent race, gender and socioeconomic status. Because conceptual models of undesirable effects are underdeveloped, we used grounded theory method to analyze open-ended survey responses to the question: "What other undesirable effects are you concerned about?" We identified general negative treatment perceptions (dislike, burden, perceived ineffectiveness) and specific undesirable effect expectations (physiological and psychological side effects, stigma and future dependence on drugs or therapies) for pharmacological and psychosocial treatments. In summary, findings indicate significant discrepancies between teens' and adults' willingness to use common ADHD interventions, with low teen willingness for any treatments. Results highlight the need to develop better treatment engagement practices for adolescents with ADHD.
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Patients with ADHD experience low engagement during therapy because of difficulties with sustaining attention and motivation.
“Because of their difficulties with sustaining attention and motivation, patients with ADHD experience low engagement during therapy [21].”
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- Authors
- Bussing, R., Koro-Ljungberg, M., Noguchi, K., Mason, D., Mayerson, G., & Garvan, C. W.
- Affiliations
- University of Florida (US)
- University of Southern Mississippi (US)
- Corresponding author
- Bussing, Regina
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 74
- Issue
- 1
- Pages
- 92-100
- ISSN
- 0277-9536 (ISSN-L)
- PMC
- PMC3253014
- OpenAlex
- W2010120345
- Cited by
- 151
- References
- 47
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 8 · 2023: 7 · 2022: 12 · 2021: 13 · 2020: 10 · 2019: 12 · 2018: 15 · 2017: 17 · 2016: 12 · 2015: 9 · 2014: 12 · 2013: 12 · 2012: 4
- FWCI
- 6.13
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Aquila Digital Community (University of Southern Mississippi) (submittedVersion, cc-by-nc-nd)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- National Institute of Mental Health (RO1MH57399)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Keywords
- attention deficit hyperactivity disorder, ADHD treatment, treatment engagement, adolescents, parents, healthcare workers, teachers, treatment perceptions, ADHD medication, psychosocial interventions, stigma, treatment acceptability
- MeSH terms
- Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Attitude to Health, Faculty, Female, Health Personnel, Humans, Interviews as Topic, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Parents, Patient Acceptance of Health Care, Surveys and Questionnaires, Regression Analysis, United States, Young Adult
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