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Attention-deficit/hyperactivity disorder: parent/carer perceptions of barriers to healthcare access
Emma Rezel-Potts1, Maria Kordowicz2, Johnny Downs3
1School of Population Health and Environmental Sciences, King's College London, London, UK emma.rezel-potts@kcl.ac.uk.
Insights
Parents of children with attention-deficit/hyperactivity disorder (ADHD) experience difficulties accessing services. They feel overlooked by professionals and propose solutions like early information on navigating the ADHD support system.
Area of Science:
- Pediatric Healthcare
- Child Psychology
- Public Health
Background:
- Children and young people (CYP) with attention-deficit/hyperactivity disorder (ADHD) often face diagnostic delays and barriers to accessing interventions.
- Limited research exists on how parents and carers perceive these barriers to ADHD care.
Purpose of the Study:
- To explore the perspectives of parents and carers of CYP with ADHD regarding barriers to accessing healthcare services.
- To identify potential solutions for improving service accessibility for children with ADHD.
Main Methods:
- Qualitative study involving focus groups with parents and carers of CYP with ADHD in South London.
- Thematic analysis using a hybrid inductive/deductive approach was applied to the collected data.
Main Results:
- Parents reported challenges navigating a fragmented, multiagency system for their child's ADHD and broader health needs.
- Participants felt judged and overlooked by healthcare professionals, impacting their child's well-being and progress.
- Proposed solutions included providing early information to parents on service navigation for recognized ADHD symptoms.
Conclusions:
- Parents/carers desire improved continuity of care within and across different services for their children with ADHD.
- Parents and carers are crucial stakeholders for developing interventions to enhance access to care for CYP with ADHD.
Background:
Children and young people (CYP) with attention-deficit/hyperactivity disorder (ADHD) face delays in diagnosis and barriers to accessing appropriate interventions. Evidence is limited on how these barriers are perceived by their parents and carers.
Methods:
Focus group in South London with parents/carers of CYP with ADHD. Data were thematically analysed using an inductive/deductive hybrid approach.
Results:
Participants (n=8) described the challenge of accessing services within a disjointed, multiagency system for their CYP's ADHD and broader health needs. They described feeling judged and overlooked by healthcare professionals, which could negatively impact the health, relationships and educational progress of their children. Pragmatic solutions were proposed, including providing parents with information on navigating services at an early stage of ADHD symptom recognition.
Conclusions:
Parents/carers sought improved continuity of care within and between services. They are a key group for consultation on the development of interventions to improve access for CYP with ADHD.
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