Parental preferences and goals regarding ADHD treatment
Alexander G Fiks1, Stephanie Mayne, Elena Debartolo
1MSCE, The Children's Hospital of Philadelphia, 3535 Market Street, Room 1546, Philadelphia, PA 19104. fiks@email.chop.edu.
Pediatrics
|September 4, 2013
Summary
Parental preferences for medication or behavior therapy (BT) influenced ADHD treatment initiation in children. Distinct goals, like academic achievement or behavioral compliance, guided these choices, with goals often met after treatment began.
Area of Science:
- Pediatric Psychology
- Neurodevelopmental Disorders
- Clinical Psychiatry
Background:
- Attention-deficit/hyperactivity disorder (ADHD) management requires understanding parental perspectives.
- Parental preferences and goals significantly shape treatment decisions for children with ADHD.
- Current ADHD treatment guidelines emphasize personalized approaches.
Observation:
- Parents of children (6-12 years) with ADHD, not on combined treatment, were surveyed.
- The ADHD Preference and Goal Instrument assessed baseline preferences and goals.
- Treatment receipt and goal changes were tracked over 6 months.
Findings:
- Preference for medication or BT was linked to initiating respective treatments.
- Specific goals, such as academic achievement, correlated with medication initiation.
- Behavioral compliance goals predicted behavior therapy initiation.
- Initiating treatment often led to goal attainment, with some goal adjustments observed.
Implications:
- Parental preferences and goals are crucial predictors of ADHD treatment initiation.
- Tailoring treatment discussions to parental goals can enhance engagement.
- Formal assessment of preferences and goals aligns with best practices in ADHD care.
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