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

Autor: 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., Loubeau JK; Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States., Sikov J; Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States., Baul TD; Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States., Hasan S; Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States., Rosen K; Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States., Buonocore O; Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States., Rabin M; Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States., Duncan A; Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States., 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., Borba CPC; Department of Psychiatry, Boston Medical Center and Boston University School of Medicine, Boston, MA, United States., Silverstein M; Hassenfeld Child Health Innovation Institute, Brown University, Providence, RI, United States., 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.
Jazyk: angličtina
Zdroj: Child psychiatry and human development [Child Psychiatry Hum Dev] 2024 Oct; Vol. 55 (5), pp. 1190-1200. Date of Electronic Publication: 2022 Dec 19.
DOI: 10.1007/s10578-022-01473-x
Abstrakt: 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.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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