Willingness to Use ADHD Self-Management

Mixed Methods Study of Perceptions by Adolescents and Parents

Regina Bussing, Mirka Koro-Ljungberg, Tina Gurnani, Cynthia Wilson Garvan, Dana Mason, Kenji Noguchi, Dolores Albarracin

Research output: Contribution to journalArticle

Abstract

Little is known about perceptions surrounding self-management for attention deficit hyperactivity disorder (ADHD), although such interventions appear commonly used and are considered essential components of the chronic care model. Our research is part of a mixed methods study that followed students at high and low risk for ADHD over 11 years. During the final study years, area-representative samples of 148 adolescents (54.8 % participation; 97 ADHD high-risk group; 51 low-risk peers) and 161 parents (59.4 % participation; 108 parents of high-risk adolescent; 53 parents of low-risk peer) completed a cross-sectional survey on community-identified self-management interventions for ADHD (activity outlets, sleep regulation, dietary restriction, homework help, family rules, and prayer). Respondents also answered open-ended questions addressing undesirable self-management effects, which were analyzed using grounded theory methods. High-risk adolescents expressed significantly lower willingness towards all self-management interventions than did adult respondents, except for increased activity outlets. They also reported lower receptivity towards sleep regulation and dietary restriction than did their low-risk peer group. No gender or race differences in self-management willingness were found, except for higher receptivity to prayer in African American respondents. Cost, perceived ineffectiveness, disruptions to routines, causation of interpersonal conflicts, and reduced future self-reliance were seen as potential undesirable effects. Findings suggest that activity-based ADHD interventions appear particularly acceptable across all demographic and risk groups, unlike sleep regulation and dietary approaches. Further research on self-care effectiveness is needed to incorporate adolescents’ viewpoints about ADHD self-management, as interventions may be acceptable to adults, but resisted by adolescents.

Original languageEnglish (US)
Pages (from-to)562-573
Number of pages12
JournalJournal of Child and Family Studies
Volume25
Issue number2
DOIs
StatePublished - Feb 1 2016

Fingerprint

ADHD
Attention Deficit Disorder with Hyperactivity
Self Care
parents
Parents
adolescent
management
sleep
Sleep
Religion
regulation
Peer Group
participation
homework
peer group
Research
grounded theory
Causality
African Americans
Group

Keywords

  • Attention deficit hyperactivity disorder
  • Barriers to evidence-based treatment
  • Intervention willingness
  • Mixed methods research
  • Perceptions
  • Side effect perceptions

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Life-span and Life-course Studies

Cite this

Willingness to Use ADHD Self-Management : Mixed Methods Study of Perceptions by Adolescents and Parents. / Bussing, Regina; Koro-Ljungberg, Mirka; Gurnani, Tina; Garvan, Cynthia Wilson; Mason, Dana; Noguchi, Kenji; Albarracin, Dolores.

In: Journal of Child and Family Studies, Vol. 25, No. 2, 01.02.2016, p. 562-573.

Research output: Contribution to journalArticle

Bussing, Regina ; Koro-Ljungberg, Mirka ; Gurnani, Tina ; Garvan, Cynthia Wilson ; Mason, Dana ; Noguchi, Kenji ; Albarracin, Dolores. / Willingness to Use ADHD Self-Management : Mixed Methods Study of Perceptions by Adolescents and Parents. In: Journal of Child and Family Studies. 2016 ; Vol. 25, No. 2. pp. 562-573.
@article{405f36fe80184b60b2306cce91e05c31,
title = "Willingness to Use ADHD Self-Management: Mixed Methods Study of Perceptions by Adolescents and Parents",
abstract = "Little is known about perceptions surrounding self-management for attention deficit hyperactivity disorder (ADHD), although such interventions appear commonly used and are considered essential components of the chronic care model. Our research is part of a mixed methods study that followed students at high and low risk for ADHD over 11 years. During the final study years, area-representative samples of 148 adolescents (54.8 {\%} participation; 97 ADHD high-risk group; 51 low-risk peers) and 161 parents (59.4 {\%} participation; 108 parents of high-risk adolescent; 53 parents of low-risk peer) completed a cross-sectional survey on community-identified self-management interventions for ADHD (activity outlets, sleep regulation, dietary restriction, homework help, family rules, and prayer). Respondents also answered open-ended questions addressing undesirable self-management effects, which were analyzed using grounded theory methods. High-risk adolescents expressed significantly lower willingness towards all self-management interventions than did adult respondents, except for increased activity outlets. They also reported lower receptivity towards sleep regulation and dietary restriction than did their low-risk peer group. No gender or race differences in self-management willingness were found, except for higher receptivity to prayer in African American respondents. Cost, perceived ineffectiveness, disruptions to routines, causation of interpersonal conflicts, and reduced future self-reliance were seen as potential undesirable effects. Findings suggest that activity-based ADHD interventions appear particularly acceptable across all demographic and risk groups, unlike sleep regulation and dietary approaches. Further research on self-care effectiveness is needed to incorporate adolescents’ viewpoints about ADHD self-management, as interventions may be acceptable to adults, but resisted by adolescents.",
keywords = "Attention deficit hyperactivity disorder, Barriers to evidence-based treatment, Intervention willingness, Mixed methods research, Perceptions, Side effect perceptions",
author = "Regina Bussing and Mirka Koro-Ljungberg and Tina Gurnani and Garvan, {Cynthia Wilson} and Dana Mason and Kenji Noguchi and Dolores Albarracin",
year = "2016",
month = "2",
day = "1",
doi = "10.1007/s10826-015-0241-4",
language = "English (US)",
volume = "25",
pages = "562--573",
journal = "Journal of Child and Family Studies",
issn = "1062-1024",
publisher = "Springer New York",
number = "2",

}

TY - JOUR

T1 - Willingness to Use ADHD Self-Management

T2 - Mixed Methods Study of Perceptions by Adolescents and Parents

AU - Bussing, Regina

AU - Koro-Ljungberg, Mirka

AU - Gurnani, Tina

AU - Garvan, Cynthia Wilson

AU - Mason, Dana

AU - Noguchi, Kenji

AU - Albarracin, Dolores

PY - 2016/2/1

Y1 - 2016/2/1

N2 - Little is known about perceptions surrounding self-management for attention deficit hyperactivity disorder (ADHD), although such interventions appear commonly used and are considered essential components of the chronic care model. Our research is part of a mixed methods study that followed students at high and low risk for ADHD over 11 years. During the final study years, area-representative samples of 148 adolescents (54.8 % participation; 97 ADHD high-risk group; 51 low-risk peers) and 161 parents (59.4 % participation; 108 parents of high-risk adolescent; 53 parents of low-risk peer) completed a cross-sectional survey on community-identified self-management interventions for ADHD (activity outlets, sleep regulation, dietary restriction, homework help, family rules, and prayer). Respondents also answered open-ended questions addressing undesirable self-management effects, which were analyzed using grounded theory methods. High-risk adolescents expressed significantly lower willingness towards all self-management interventions than did adult respondents, except for increased activity outlets. They also reported lower receptivity towards sleep regulation and dietary restriction than did their low-risk peer group. No gender or race differences in self-management willingness were found, except for higher receptivity to prayer in African American respondents. Cost, perceived ineffectiveness, disruptions to routines, causation of interpersonal conflicts, and reduced future self-reliance were seen as potential undesirable effects. Findings suggest that activity-based ADHD interventions appear particularly acceptable across all demographic and risk groups, unlike sleep regulation and dietary approaches. Further research on self-care effectiveness is needed to incorporate adolescents’ viewpoints about ADHD self-management, as interventions may be acceptable to adults, but resisted by adolescents.

AB - Little is known about perceptions surrounding self-management for attention deficit hyperactivity disorder (ADHD), although such interventions appear commonly used and are considered essential components of the chronic care model. Our research is part of a mixed methods study that followed students at high and low risk for ADHD over 11 years. During the final study years, area-representative samples of 148 adolescents (54.8 % participation; 97 ADHD high-risk group; 51 low-risk peers) and 161 parents (59.4 % participation; 108 parents of high-risk adolescent; 53 parents of low-risk peer) completed a cross-sectional survey on community-identified self-management interventions for ADHD (activity outlets, sleep regulation, dietary restriction, homework help, family rules, and prayer). Respondents also answered open-ended questions addressing undesirable self-management effects, which were analyzed using grounded theory methods. High-risk adolescents expressed significantly lower willingness towards all self-management interventions than did adult respondents, except for increased activity outlets. They also reported lower receptivity towards sleep regulation and dietary restriction than did their low-risk peer group. No gender or race differences in self-management willingness were found, except for higher receptivity to prayer in African American respondents. Cost, perceived ineffectiveness, disruptions to routines, causation of interpersonal conflicts, and reduced future self-reliance were seen as potential undesirable effects. Findings suggest that activity-based ADHD interventions appear particularly acceptable across all demographic and risk groups, unlike sleep regulation and dietary approaches. Further research on self-care effectiveness is needed to incorporate adolescents’ viewpoints about ADHD self-management, as interventions may be acceptable to adults, but resisted by adolescents.

KW - Attention deficit hyperactivity disorder

KW - Barriers to evidence-based treatment

KW - Intervention willingness

KW - Mixed methods research

KW - Perceptions

KW - Side effect perceptions

UR - http://www.scopus.com/inward/record.url?scp=84958171144&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84958171144&partnerID=8YFLogxK

U2 - 10.1007/s10826-015-0241-4

DO - 10.1007/s10826-015-0241-4

M3 - Article

VL - 25

SP - 562

EP - 573

JO - Journal of Child and Family Studies

JF - Journal of Child and Family Studies

SN - 1062-1024

IS - 2

ER -