title: Parents' Perspectives About Factors Influencing Adherence to Pharmacotherapy for ADHD.
abstract: The aim of the present study was to explore factors influencing parents' decisions to adhere and persist with ADHD pharmacotherapy in children.
  
  
  
  Focus groups ( n = 3) were conducted with 16 parents recruited from metropolitan Sydney. Group discussions explored factors impacting on treatment initiation, continuation, and cessation. Focus groups were audio-recorded, transcribed verbatim, and thematically content analyzed.
  
  
  
  Parents commenced and continued pharmacotherapy due to its positive impact on their child's behavior. Improvements in the child's academic performance and social interactions encouraged persistence with therapy. Parents elected to cease therapy after their children experienced side effects including appetite suppression, weight loss, and sleep disturbances. Concerns about long-term effects of ADHD medication use including potential for addiction and growth stunting, in addition to the stigma surrounding ADHD also contributed to parents ceasing treatment.
  
  
  
  The findings highlight a need for the provision of accurate information about ADHD and its treatments to parents to empower their treatment decisions and promote adherence.
authors.affiliation: 1 University of Sydney, NSW, Australia.
authors.forename: Rana
authors.initials: R
authors.lastname: Ahmed
authors.affiliation: 2 University of Utrecht, The Netherlands.
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Borst
authors.affiliation: 3 University of Nottingham, UK.
authors.forename: Yong C
authors.initials: YC
authors.lastname: Wei
authors.affiliation: 1 University of Sydney, NSW, Australia.
authors.forename: Parisa
authors.initials: P
authors.lastname: Aslani
mesh_terms: D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity / Q000188:drug therapy*; D001294:Attitude to Health; D000697:Central Nervous System Stimulants / Q000627:therapeutic use; D002648:Child; D003657:Decision Making; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D055118:Medication Adherence; D008774:Methylphenidate / Q000627:therapeutic use; D008875:Middle Aged; D009042:Motivation; D009517:New South Wales; D010290:Parents / Q000523:psychology*; D057545:Social Stigma
chemical_list: D000697:Central Nervous System Stimulants; D008774:Methylphenidate
keywords: ADHD; adherence; attention-deficit/hyperactivity disorder; parents; pharmacotherapy