Parental adherence to clinical recommendations in an ADHD evaluation clinic

Abstract

The present study examined perceived barriers to parental adherence with child psychological assessment recommendations. Eighty caregivers of children referred to an attention-deficit/hyperactivity disorder (ADHD) evaluation clinic completed a telephone interview 4 to 6 weeks after receiving evaluation feedback. Caregivers reported adherence to 81.5% of recommendations and were equally likely to engage in self-help recommendations (i.e., information on ADHD) and those for professional-nonpsychological services (i.e., medication consultation). Caregivers were least likely to follow through on recommendations for psychological services (e.g., parental behavior training, individual therapy for children with symptoms of anxiety/depression). Higher rather than lower levels of parenting stress were associated with greater adherence. The most commonly reported barriers were lack of time and perceptions that the child's teacher was uncooperative with implementing school-based recommendations.

Effect of a parent agreement on return rates of Vanderbilt assessments and treatment adherence in pediatric attention-deficit/hyperactivity disorder patients

“…Although there is evidence that treatment can improve patient outcomes, ADHD requires additional familial responsibilities including scheduling multiple follow-up appointments and collecting regular assessments from teachers. This is a large burden for many families, and many patients are unable to follow recommendations for appointment scheduling or returning questionnaires (Dreyer et al, 2010;Gardner et al, 2004). Despite the importance of symptom questionnaires for tracking the response to treatment, many providers continue to refill medications and adjust treatments without receiving these measures in follow-up.…”

Pharmacologic Intervention for Attention-Deficit Hyperactivity Disorder in Preschoolers

“…On the other hand, even though psychosocial interventions are advocated as a first-line of treatment for preschoolers with ADHD [18,19], poor attendance and compliance with parent training sessions may interfere with effectiveness of the intervention [20,21]. Compliance with psychosocial intervention recommendations was reported to be lower (58 %) than for medication consultation (78 %) in another study of 80 children between the ages of 5 and 13 years [22]. Age of the children did not predict adherence to different types of treatment recommendations (including psychologic services and medication consultation) in a sample of 93 children between the ages of 4 and 12 years [23].…”

The prevalance of attention deficit hyperactivity disorder and the frequency of medication use among preschool children in a district children hospital

“…Bu yaklaşımlardan yararlanmayan ve daha ciddi belirtileri olan çocuklarda ilaç tedavisi başlana-bileceğini bildirmektedir (10,(14)(15)(16) . Psikososyal yaklaşımların kolay ulaşılabilir olmaması, uzun zaman alması, ebeveynlerin bu tedaviye uyum sorunları ve maliyetinin yüksek olması nedeniyle uygulanabilirliğinde güçlükler mevcuttur (17) . Beş-on üç yaşları arasında 80 hasta ile yapılan bir çalışmada, davranışçı girişim önerilerine uyum %58, ilaç tedavisine uyum %78 oranlarında saptanmıştır (8,17) .…”

“…Psikososyal yaklaşımların kolay ulaşılabilir olmaması, uzun zaman alması, ebeveynlerin bu tedaviye uyum sorunları ve maliyetinin yüksek olması nedeniyle uygulanabilirliğinde güçlükler mevcuttur (17) . Beş-on üç yaşları arasında 80 hasta ile yapılan bir çalışmada, davranışçı girişim önerilerine uyum %58, ilaç tedavisine uyum %78 oranlarında saptanmıştır (8,17) . Ancak OÖ-DEHB'de ilaç tedavilerini de sınırlayan sorunlar vardır.…”