Jenny Guy, Jada Johnson, Delesha Carpenter, Kathleen C Thomas, Imelda Coyne, Izabela E Annis, Nacire Garcia, Betsy Sleath
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引用次数: 0
Abstract
Objective: To identify and describe medication-related problems reported by adolescents with ADHD and their caregivers, and to examine how demographic factors are associated with reported problems and medication adherence.
Method: Adolescents aged 11 to 17 years with ADHD and their caregivers were recruited from two pediatric clinics in North Carolina. Adolescents completed interviews while caregivers completed questionnaires. Bivariate analyses and multivariable linear regressions were conducted.
Results: Among 90 adolescents taking ADHD medication, 91% reported at least one medication-related problem. The most common problems included appetite suppression, dislike of medication, difficulty remembering doses, and feeling "out of it." Adolescent- and caregiver-reported problems were moderately correlated (r = 0.43, p < 0.001). Older adolescents reported fewer problems with ADHD medications than younger adolescents (standardized beta=-0.27, p<0.05). Adolescents with higher trust in their providers also reported fewer problems (standardized beta= -0.22, p< 0.05). Adolescent- and caregiver-reported adherence were significantly correlated (r = 0.30, p < 0.005). Caregivers with more years of education were more likely to report lower adolescent ADHD medication adherence (standardized beta = -2.6, p<0.01), whereas adolescents who disliked taking medication reported significantly lower adherence (standardized beta= -0.22, p <0.05).
Conclusion: Medication-related problems and adherence challenges are common among adolescents with ADHD. Factors such as age, provider trust, caregiver education, and medication attitude influence these outcomes. These findings highlight the importance of discussing medication experiences, side effects, and treatment preferences with adolescents and caregivers during ADHD medication management.
期刊介绍：
Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
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