TY - JOUR
T1 - “If he doesn’t buy in, it’s a waste of time”
T2 - Perspectives from diverse parents and adolescents on engaging children in ADHD treatment
AU - Zolli, Nicole
AU - Loubeau, J. Krystel
AU - Sikov, Jennifer
AU - Baul, Tithi D.
AU - Hasan, Syeda
AU - Rosen, Katherine
AU - Buonocore, Olivia
AU - Rabin, Megan
AU - Duncan, Alison
AU - Fortuna, Lisa
AU - Borba, Christina P.C.
AU - Silverstein, Michael
AU - Spencer, Andrea E.
N1 - Funding Information:
No honorarium, grant, or other forms of payment were given to anyone to produce this manuscript. The sponsors who provided the funding necessary to complete this research, the Gordon and Betty Moore Foundation (Grant #: 5300) and the National Institute of Mental Health (Grant #: K23 MH118478), had no involvement in study design, data collection, data analysis or interpretation, preparation of, or decision to submit this manuscript.
Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2022
Y1 - 2022
N2 - 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.
AB - 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.
KW - ADHD
KW - Engagement in care
KW - Illness insight
KW - Qualitative research
KW - Self-esteem
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U2 - 10.1007/s10578-022-01473-x
DO - 10.1007/s10578-022-01473-x
M3 - Article
C2 - 36534302
AN - SCOPUS:85144166394
SN - 0009-398X
JO - Child Psychiatry and Human Development
JF - Child Psychiatry and Human Development
ER -
