Improved medication adherence and health literacy in parents of children with ADHD: Effects of a targeted educational program

IF 1.8 Q3 PHARMACOLOGY & PHARMACY

Exploratory research in clinical and social pharmacy Pub Date : 2025-07-09 DOI:10.1016/j.rcsop.2025.100634

Nafiseh Valaei Sharif , Peivand Ghasemzadeh , Niayesh Mohebbi , Sogand Ghasemzadeh

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引用次数: 0

Abstract

Background

Although medication is important for children with Attention Deficit Hyperactivity Disorder (ADHD), medication adherence is low among parents. One of the key factors affecting medication adherence and disorder management is health literacy.

Objective

This study aimed to assess the effectiveness of an educational program for parents of children with ADHD in improving medication adherence and health literacy.

Methods

An educational program was developed that covered four main topics: general disorder information, treatment, parenting based on emotional needs, and basic health information. A total of 191 parents were screened and assigned 108 eligible participants to either the intervention group (n = 74) or the control group (n = 35). The intervention group received a two-month educational program delivered via messenger application, while the control group received general counseling. Medication adherence and health literacy were measured before and after the intervention. t-test, ANOVA, ANCOVA, and chi-square test were used to compare group differences.

Results

Post-intervention, the intervention group showed significantly higher medication adherence (6.87 ± 1.36) than the control group (5.46 ± 1.45). The intervention group also demonstrated higher health literacy scores (82.34 ± 6.96) than the control group (72.15 ± 6.52). Covariance analysis revealed significant improvements in health literacy (F = 162.73, p < 0.001, eta squared = 0.657) and medication adherence (F = 40.41, p < 0.001, eta squared = 0.322) scores. A significant difference was found in medication adherence improvement based on economic status (p = 0.037) in the intervention group. However, no significant differences in medication adherence and health literacy were observed based on parental gender, education level, or insurance status.

Conclusion

The educational program showed improvement in medication adherence and health literacy among parents of children with ADHD.

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改善ADHD儿童父母的药物依从性和健康素养：目标教育计划的效果

背景：虽然药物治疗对患有注意缺陷多动障碍（ADHD）的儿童很重要，但家长的药物依从性很低。影响药物依从性和障碍管理的关键因素之一是健康素养。目的本研究旨在评估ADHD儿童家长教育计划在提高药物依从性和健康素养方面的有效性。方法制定了一个教育计划，包括四个主要主题：一般障碍信息、治疗、基于情感需求的养育和基本健康信息。共筛选了191名家长，并将108名符合条件的参与者分配到干预组（n = 74）和对照组（n = 35）。干预组通过信使应用程序接受为期两个月的教育计划，而对照组接受一般咨询。在干预前后测量药物依从性和健康素养。采用t检验、ANOVA、ANCOVA、卡方检验比较组间差异。结果干预后，干预组患者的药物依从性（6.87±1.36）明显高于对照组（5.46±1.45）。干预组健康素养得分（82.34±6.96）高于对照组（72.15±6.52）。协方差分析显示健康素养显著提高(F = 162.73, p <；0.001， eta平方= 0.657)和药物依从性(F = 40.41, p <；0.001， eta平方= 0.322)分数。干预组经济状况对药物依从性的改善差异有统计学意义（p = 0.037）。然而，在药物依从性和健康素养方面，没有观察到基于父母性别、教育水平或保险状况的显著差异。结论该教育方案提高了ADHD患儿家长的药物依从性和健康素养。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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