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Shared Decision Making and Treatment for Minority Children With ADHD.
Melanie Sberna Hinojosa1, Ramon Hinojosa1, Jenny Nguyen2
1University of Central Florida, Orlando, FL, USA.
Summary
Shared decision making (SDM) in ADHD treatment benefits White and Multiracial families. However, SDM did not increase ADHD treatment odds for Black and Latinx families, suggesting different decision-making dynamics.
Area of Science:
- Pediatric Health
- Health Services Research
- Mental Health Disparities
Background:
- Shared decision making (SDM) is crucial for patient-centered care.
- Understanding SDM's impact on treatment disparities in pediatric ADHD is essential.
Purpose of the Study:
- To investigate if family engagement in SDM increases ADHD treatment for children.
- To determine if SDM reduces racial and ethnic disparities in pediatric ADHD treatment.
Main Methods:
- Utilized the 2016 National Survey of Children's Health data.
- Employed multivariate logistic regression to analyze treatment odds.
- Controlled for sociodemographic and health-related variables across racial/ethnic groups.
Main Results:
- White and Multiracial families using SDM were twice as likely to report ADHD treatment.
- Black and Latinx families showed no significant difference in ADHD treatment with SDM.
- SDM's association with treatment varied by racial and ethnic background.
Conclusions:
- SDM may not be equally influential for all racial/ethnic groups in pediatric ADHD treatment decisions.
- Further research is needed to understand barriers and facilitators for Black and Latinx families.
- Addressing disparities in ADHD care requires culturally sensitive approaches to decision-making.
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