title: Putting families in the center: family perspectives on decision making and ADHD and implications for ADHD care.
abstract: OBJECTIVE
  To examine components of family-centered care in families' stories about treatment decision making for their child with ADHD.
  
  
  METHODS
  Twenty-eight families participated in qualitative interviews that addressed families' perspectives on (a) the treatment decision-making process, (b) the cause and impact of their child's symptoms, and (c) treatment goals and preferences.
  
  
  RESULTS
  The majority of families preferred to be primary or shared decision makers regarding treatment decisions. Families' perspectives on the cause of the child's symptoms varied and often were not consistent with a biomedical framework. Families described multiple areas of impairment on child, family relationships, and family functioning. Perspectives toward evidence-based treatments were mixed, with families also expressing interest in and pursuing interventions not delineated in current treatment guidelines.
  
  
  CONCLUSIONS
  These findings reinforce the importance of eliciting families' perspectives and involving these important stakeholders in shared decision making as critical components of family-centered care for children with ADHD.
authors: Tufts Medical Center, Boston, MA, USA. cdavis1@tuftsmedicalcenter.org
authors: Catherine C
authors: CC
authors: Davis
authors: Milena
authors: M
authors: Claudius
authors: Lawrence A
authors: LA
authors: Palinkas
authors: John B
authors: JB
authors: Wong
authors: Laurel K
authors: LK
authors: Leslie
mesh_terms: D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity / Q000523:psychology / Q000628:therapy*; D002648:Child; D003657:Decision Making; D005190:Family / Q000523:psychology*; D005260:Female; D006040:Goals; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D057240:Patient Preference; D011368:Professional-Family Relations; D036301:Qualitative Research