Cited by 51Attention Deficit Hyperactivity DisorderHealth Literacy and Information AccessibilityPatient-Provider Communication in Healthcare

Do parents of children with attention-deficit/hyperactivity disorder (ADHD) receive adequate information about the disorder and its treatments? A qualitative investigation

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Ahmed, Rana, Borst, Jacqueline, Wei, Yong, Aslani, Parisa·2014·Patient Preference and Adherence

Abstract

BACKGROUND: Attention-deficit/hyperactivity disorder (ADHD) is the most prevalent pediatric neurodevelopmental condition, commonly treated using pharmacological agents such as stimulant medicines. The use of these agents remains contentious, placing parents in a difficult position when deciding to initiate and/or continue their child's treatment. Parents refer to a range of information sources to assist with their treatment decision-making. This qualitative study aimed to investigate 1) parents' ADHD-related knowledge pre- and post-diagnosis, 2) the information sources accessed by parents, 3) whether parents' information needs were met post-diagnosis, and 4) parents' views about strategies to meet their information needs. METHODS: Three focus groups (n=16 parents), each lasting 1.0-1.5 hours were conducted. Focus groups were audio-recorded and transcribed verbatim. Transcripts were analyzed using the framework method, coded, and categorized into themes. RESULTS: Generally, parents had limited ADHD-related knowledge prior to their child's diagnosis and perceived prescription medicines indicated for ADHD in a negative context. Parents reported improved knowledge after their child's diagnosis; however, they expressed dissatisfaction with information that they accessed, which was often technical and not tailored to their child's needs. Verbal information sought from health care professionals was viewed to be reliable but generally medicine-focused and not necessarily comprehensive. Parents identified a need for concise, tailored information about ADHD, the medicines used for its treatment, and changes to their child's medication needs with age. They also expressed a desire for increased availability of support groups and tools to assist them in sourcing information from health care professionals during consultations, such as question prompt lists. CONCLUSION: There are gaps in parents' knowledge about ADHD and its treatment, and an expressed need for tailored and reliable information. Future research needs to focus on providing parents with avenues to access concise, reliable, and relevant information and support in order to empower them to make the best treatment decision for their child.

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  1. [2]Braaten EB Rosén LA Self-regulation of affect in attention deficit-hyperactivity disorder (ADHD) and non-ADHD boys: differences in empathic responding J Consult Clinl Psych 2000 68 2 313 321 10780132
  2. [3]Daley D Birchwood J ADHD and academic performance: why does ADHD impact on academic performance and what can be done to support ADHD children in the classroom? Child Care Health Dev 2009 36 4 455 464 20074251
  3. [4]American Psychiatric Association Diagnostic and statistical manual of mental disorders, Fourth Edition, Text Revision Washington, DC American Psychiatric Association 2000
  4. [5]Polderman TJC Boomsma DI Bartels M Verhulst FC Huizink AC A systematic review of prospective studies on attention problems and academic achievement Acta Psychiatr Scand 2010 122 271 284 20491715
  5. [6]Rowles BM Findling RL Review of pharmacotherapy options for the treatment of attention-deficit/hyperactivity disorder (ADHD) and ADHD-like symptoms in children and adolescents with developmental disorders Dev Disabil Res Rev 2010 16 273 282 20981766
  6. [7]Lien MT Carlson JS Hunter-Oehmke S Knapp KA A pilot investigation of teachers’ perceptions of psychotropic drug use in schools J Attention Disord 2007 11 2 172 178 17709816
  7. [8]Culpepper L Primary care treatment of attention-deficit/hyperactivity disorder J Clin Psychiat 2006 67 Suppl 8 51 58 16961431
  8. [9]DeNisco S Tiago C Kravitz C Evaluation and treatment of pediatric ADHD Nurse Pract 2005 30 8 14 23 16094198
  9. [10]Sawyer MG Whaites L Rey JM Hazell PL Graetz BW Baghurst P Health related quality of life of children and adolescents with mental disorders J Am Acad Child Adolesc Psychiatry 2002 41 5 530 537 12014785
  10. [11]Salmeron PA Childhood and adolescent attention-deficit hyperactivity disorder: diagnosis, clinical practice guidelines and social implications J Am Acad Nurse Pract 2008 21 488 497 19845806
  11. [12]Barkley RA Attention Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment New York Guildford Press 1990
  12. [13]Knutson KC O’Malley M Adult attention-deficit/hyperactivity disorder: a survey of diagnosis and treatment practices J Am Acad Nurse Pract 2009 22 593 601 21054633
  13. [14]Murray DW Treatment of preschoolers with attention-deficit/hyperactivity disorder Curr Psychiatry Rep 2010 12 374 381 20676944
  14. [15]Faraone SV Biederman J Spencer TJ Aleardi M Comparing the efficacy of medications for ADHD using meta-analysis Med Gen Med 2006 8 4 4 PMC1868385 17415287
  15. [16]Wigal SB Chae S Patel A Steinberg-Epstein R Advances in the treatment of attention-deficit/hyperactivity disorder: a guide for pediatric neurologists Semin Pediatr Neurol 2010 17 230 236 21183129
  16. [17]Jadad AR Booker L Gauld M The treatment of attention-deficit hyperactivity disorder: An annotated bibliography and critical appraisal of published systematic reviews and metaanalyses Can J Psychiat 1999 44 10 1025 1035 10637682
  17. [18]Kaplan G Newcorn JH Pharmacotherapy for child and adolescent attention-deficit hyperactivity disorder Pediatr Clin North Am 2011 58 99 120 21281851
  18. [19]Singer-Leshinsky S Attention-deficit/hyperactivity disorder: helping families to achieve success JAAPA 2011 24 3 52 57 21434500
  19. [20]Bussing R Gary FA Practice guidelines and parental ADHD treatment evaluations: friends or foes? Harvard Rev Psychiat 2001 9 223 233 11553526
  20. [21]Daley D Attention deficit hyperactivity disorder: a review of the essential facts Child Care Health Dev 2006 32 2 193 204 16441854
  21. [22]Olaniyan O dosReis S Garriett V Community perspectives of childhood behavioral problems and ADHD among African American parents Ambul Pediatr 2007 7 3 226 231 17512883
  22. [23]Peters K Jackson D Mothers’ experiences of parenting a child with attention deficit hyperactivity disorder J Adv Nurs 2009 65 1 62 71 19120583
  23. [24]Ahmed R McCaffery KJ Aslani P Factors influencing parental decision-making about stimulant treatment for attention deficit hyperactivity disorder J Child Adolesc Psychopharmacol 2013 23 3 163 178 23560602
  24. [25]McGuinness TM Helping parents decide on ADHD treatment for their children J Psychosoc Nurs Ment Health Serv 2008 46 8 23 27 18777965
  25. [26]Sloper P Service needs of families of children with severe physical disability Child Care Health Dev 1992 18 259 282 1394855
  26. [27]Starke M Möller A Parents’ needs for knowledge concerning the medical diagnosis of their children J Child Health Care 2002 6 4 245 257 12503895
  27. [28]Davies S Hall D “Contact a family”: professionals and parents in partnership Arch Dis Child 2005 90 1053 1057 16177162 PMC1720107
  28. [29]Hummelinck A Pollock K Parents’ information needs about the treatment of their chronically ill child: a qualitative study Patient Educ Couns 2006 62 2 228 234 16139981
  29. [30]Sciberras E Iyer S Efron D Green J Information needs of parents of children with attention-deficit/hyperactivity disorder Clin Pediatr 2010 49 2 150 157 20080521
  30. [31]Morton RL Tong A Howard K Snelling P Webster AC The views of patients and carers in treatment decision making for chronic kidney disease: systematic review and thematic synthesis of qualitative studies BMJ 2010 340 c112 20085970 PMC2808468
  31. [32]Ahmed R Borst J Wei YC Aslani P Parents’ perspectives about factors influencing adherence to pharmacotherapy for ADHD J Atten DisordEpub 8 30 2013 23995052
  32. [33]Cameron J Focusing on the focus group Hay I Qualitative Research Methods in Human Geography Melbourne Oxford University Press 2005 156 182
  33. [35]Summers JA Caplan PJ Laypeople’s attitudes toward drug treatment for behavioural control depend on which disorder and which drug Clin Pediatr 1987 26 258 263 3568531
  34. [36]Fisher HR The needs of parents with chronically sick children: a literature review J Adv Nurs 2001 36 4 600 607 11703555
  35. [37]Coulter A Entwistle V Gilbert D Sharing decisions with patients: is the information good enough? BMJ 1999 318 318 322 9924064 PMC1114785
  36. [39]Pain H Coping with a child with disabilities from the parents’ perspective: the function of information Child Care Health Dev 1999 25 4 299 312 10399034
  37. [40]Caminiti C Diodati F Filiberti S Cross-cultural adaptation and patients’ judgments of a question prompt list for Italian-speaking cancer patients BMC Health Serv Res 2010 10 16 20078873 PMC2821383
  38. [41]Dimoska A Tattersall MHN Butow PN Shepherd H Kinnersley P Can a “prompt list” empower cancer patients to ask relevant questions? Cancer 2008 113 2 225 237 18484592
  39. [42]Clayton J Butow P Tattersall M Asking questions can help: development and preliminary evaluation of a question prompt list for palliative care patients Br J Cancer 2003 89 2069 2077 14647140 PMC2376858
  40. [43]Clayton JM Butow PN Tattersall MHN Randomized controlled trial of a prompt list to help advanced cancer patients and their caregivers to ask questions about prognosis and end of life care J Clin Oncol 2007 25 6 715 723 17308275
  41. [44]Spiegle G Al-Sukhni E Schmocker S Patient decision aids for cancer treatment: are there any alternatives? Cancer 2013 119 1 189 200 22811383
  42. [45]Bennet DS Power TJ Rostain AL Carr DE Parent acceptability and feasibility of ADHD interventions: assessment, correlates and predictive validity J Pediatr Psychol 1996 21 5 643 657 8936894
  43. [46]Powell RA Single HM Focus groups Int J Qual Health Care 1996 8 5 499 504 9117204
  44. [48]Ahmed R Aslani P Attention-deficit/hyperactivity disorder: an update on medication adherence and persistence in children, adolescents and adults Expert Rev Pharmacoecon Outcomes Res 2013 13 6 791 815 24219052

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Authors
Ahmed, R., Borst, J., Wei, Y., & Aslani, P.
Affiliations
  • The University of Sydney (AU)
  • Utrecht University (NL)
  • University of Nottingham (GB)
Corresponding author
Ahmed, Rana
Venue
Patient Preference and Adherence
Published
2014-05
Volume
8
Pages
661
ISSN
1177-889X (ISSN-L)
OpenAlex
W2063465045
Cited by
51
References
3
Citations by year
2026: 4 · 2025: 3 · 2024: 6 · 2023: 5 · 2022: 5 · 2021: 6 · 2020: 2 · 2019: 6 · 2018: 1 · 2017: 6 · 2016: 4 · 2015: 1 · 2014: 1
FWCI
3.05
Type
journal article
Language
en
Open access
Locations
  • Patient Preference and Adherence (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • RMIT Research Repository (RMIT University Library) (submittedVersion)
  • Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
  • Figshare (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Keywords
attention deficit hyperactivity disorder, parents, parental knowledge, ADHD treatment, stimulant medication, information needs, information sources, treatment decision-making, patient information, support groups, question prompt list, pediatric neurodevelopmental disorders

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