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    Adhering to medication for attention-deficit/hyperactivity disorder in children

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    Litzenburg_ku_0099D_13796_DATA_1.pdf (1019.Kb)
    Issue Date
    2014-12-31
    Author
    Litzenburg, Catrina C.
    Publisher
    University of Kansas
    Format
    115 pages
    Type
    Dissertation
    Degree Level
    Ph.D.
    Discipline
    Psychology
    Rights
    Copyright held by the author.
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    Abstract
    Despite the availability of well-established psychosocial and pharmacological treatments for attention-deficit/hyperactivity disorder (ADHD), it remains a disorder with substantial impact on public health and individual families. Though the rate of adherence to ADHD medication is similar to that of other pediatric chronic conditions, research with this population is more limited. The current study explored the hypothesis that recognition by caregivers of child functional impairment, and caregiver perception of the doctor's medication recommendation as "hasty" would account for statistically significant variance in adherence to ADHD medication. Fourteen caregivers of children between the ages of 6 and 12 years diagnosed with ADHD and prescribed an index medication within 6 months of recruitment participated in the current study. Measures included medication recommendation visual analog scale, Southampton ADHD Medication Behaviour and Attitudes Scale, Stimulant Adherence Measure, Vanderbilt ADHD Diagnostic Parent Rating Scale, and pharmacy data (i.e., medication possession ratios [MPR]). We found significant correlations between adherence (i.e., MPR) and the following: number of days included in the MPR, τ = - .41, p (one-tailed) = .05, percent of children at Title 1 school considered low-income, τ = - .50, p (two-tailed) = .07, and highest grade-level completed by participant being greater than high school, τ = - .41, p (two-tailed) = .10. While the hypothesis was not supported, the relationships were in the hypothesized direction and warrant further investigation with a larger sample size. Clinicians who wish to improve adherence to ADHD medication in children may do so by working toward improving interactions between physician and caregivers (e.g., increasing shared decision-making between physician and caregivers).
    URI
    http://hdl.handle.net/1808/18663
    Collections
    • Dissertations [4475]
    • Psychology Dissertations and Theses [459]

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    785-864-8983

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    1425 Jayhawk Blvd
    Lawrence, KS 66045
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    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

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