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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Parental preferences and goals regarding ADHD treatment
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Parental preferences and goals regarding ADHD treatment

机译:关于ADHD治疗的父母偏好和目标

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Objectives: To describe the association between parents' attentiondeficit/hyperactivity disorder (ADHD) treatment preferences and goals and treatment initiation. Methods: Parents/guardians of children aged 6 to 12 years diagnosed with ADHD in the past 18 months and not currently receiving combined treatment (both medication and behaviortherapy [BT]) were recruited from 8 primary care sites and an ADHD treatment center. Parents completed the ADHD Preference and Goal Instrument, a validated measure, and reported treatment receipt at 6 months. Logistic regression was used to analyze the association of baseline preferences and goals with treatment initiation. Using linear regression, we compared the change in preferences and goals over 6 months for children who initiated treatment versus others. Results: The study included 148 parents/guardians. Baseline medication and BT preference were associated with treatment initiation (odds ratio [OR]: 2.6 [95% confidence interval (CI):1.2-5.5] and 2.2 [95% CI: 1.0-5.1], respectively). The goal of academic achievement was associated with medication initiation (OR: 2.1 [95% CI: 1.3-3.4]) and the goal of behavioral compliance with initiation of BT (OR: 1.6 [95% CI: 1.1-2.4]). At 6 months, parents whose children initiated medication or BT compared with others had decreased academic and behavioral goals, suggesting their goals were attained. However, only those initiating BT had diminished interpersonal relationship goals. Conclusions: Parental treatment preferences were associated with treatment initiation, and those with distinct goals selected different treatments. Results support the formal measurement of preferences and goals in practice as prioritized in recent national guidelines for ADHD management.
机译:目的:描述父母注意力/多动障碍(ADHD)治疗偏好与目标和治疗开始之间的关联。方法:在过去18个月内诊断患有ADHD的6至12年儿童的父母/监护人,并从8个初级保健网站和ADHD治疗中心招募了患有ADHD且目前没有接受的组合治疗(药物和行为术[BT])。父母在6个月内完成了ADHD偏好和目标文书,经验证明的措施和报告的治疗收据。物流回归用于分析基线偏好和目标与治疗开始的关联。使用线性回归,我们将6个月的偏好和目标的变化与启动治疗与他人进行治疗的儿童进行了比较。结果:该研究包括148名家长/监护人。基线药物和Bt偏好与治疗开始(多数倍率[或]:2.6 [95%置信区间(CI):1.2-5.5]和2.2 [95%CI:1.0-5.1]相关)。学术成果的目标与药物启动有关(或:2.1 [95%CI:1.3-3.4]),行为依从性的目的与BT开始(或:1.6 [95%CI:1.1-2.4])。在6个月内,儿童发起药物或BT与他人相比的父母已经减少了学术和行为目标,这表明他们的目标得到了达到。然而,只有那些启动BT的人已经减少了人际关系的关系目标。结论:父母治疗偏好与治疗开始有关,并选择不同的目标不同的治疗。结果支持在近期国家ADHD管理指南的实践中正式测量偏好和目标。

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