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Which factors determine clinicians’ policy and attitudes towards medication and parent training for children with Attention-Deficit/Hyperactivity Disorder?
- Source :
- European Child & Adolescent Psychiatry, 31(3), 483-493. D. Steinkopff-Verlag, European Child & Adolescent Psychiatry. SPRINGER
- Publication Year :
- 2022
- Publisher :
- D. Steinkopff-Verlag, 2022.
-
Abstract
- Behavioral parent and teacher training and stimulant medication are recommended interventions for children with attention-deficit/hyperactivity disorder (ADHD). However, not all children with ADHD receive this evidence-based care, and the aim of the current study was to find out why. More specifically, we investigated clinicians’ policy, guideline use, and attitudes towards medication and parent training when treating children with ADHD, as well as several factors that could affect this. A total of 219 Dutch clinicians (mainly psychologists, psychiatrists and educationalists) completed a survey. Clinicians were likely to recommend medication more often than parent training, and clinicians’ policy to recommend medication and parent training was positively associated with their attitudes towards these interventions. Less experienced clinicians and those with a non-medical background reported lower rates of guideline use, whereas clinicians with a medical background reported less positive attitudes towards parent training. Furthermore, a substantial portion of the clinicians based their decision to recommend parent training on their clinical judgement (e.g., prior estimations of efficacy, perceived low abilities/motivation of parents), and many clinicians reported barriers for referral to parent training, such as waiting lists or a lack of skilled staff. To achieve better implementation of evidence-based care for children with ADHD, guidelines should be communicated better towards clinicians. Researchers and policy-makers should further focus on barriers that prevent implementation of parent training, which are suggested by the discrepancy between clinicians’ overall positive attitude towards parent training and the relatively low extent to which clinicians actually advise parent training.
- Subjects :
- Parents
medicine.medical_specialty
Referral
medicine.medical_treatment
education
Psychological intervention
Attention-deficit
Guidelines
Medication
Affect (psychology)
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
mental disorders
Developmental and Educational Psychology
medicine
Child and adolescent psychiatry
Humans
Attention deficit hyperactivity disorder
0501 psychology and cognitive sciences
Child
Psychiatry
Children
Parent training
business.industry
05 social sciences
General Medicine
Guideline
medicine.disease
Stimulant
Psychiatry and Mental health
Policy
Attitude
Attention Deficit Disorder with Hyperactivity
Pediatrics, Perinatology and Child Health
hyperactivity disorder (ADHD)
Central Nervous System Stimulants
Psychosocial interventions
business
050104 developmental & child psychology
Subjects
Details
- Language :
- English
- ISSN :
- 10188827
- Volume :
- 31
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- European Child & Adolescent Psychiatry
- Accession number :
- edsair.doi.dedup.....8155913538c739afa56d6568358a9c23