title: A best-worst scaling experiment to prioritize caregiver concerns about ADHD medication for children.
abstract: OBJECTIVE
  The objective of this feasibility study was to develop and pilot an instrument to elicit caregivers' priorities when initiating attention-deficit hyperactivity disorder (ADHD) medication for their child.
  
  
  METHODS
  A best-worst scaling experiment was used to rank competing priorities when initiating ADHD medicine. Forty-six participants were recruited for a two-phase study involving survey development (phase 1, N=21) and the survey pilot (phase 2, N=25). Best-worst scores and 95% confidence intervals indicating the relative importance of 16 concerns were determined, and t tests were used to determine the scores' significance.
  
  
  RESULTS
  The significance of best-worst scores for most concerns indicated that the choices were purposeful. Concerns about helping the child become a successful adult, having a doctor who addresses caregivers' concerns, and improving school behavior were ranked highest.
  
  
  CONCLUSIONS
  The best-worst scaling method can elicit priorities for children's mental health treatment. Future work using this method will guide family-centered care.
authors: Ms. Ross, Ms. Ng, Dr. Wagner, and Dr. dosReis are with the Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore. Dr. Bridges is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Dr. Frosch is with the Division of Child and Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore. Dr. Reeves is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Send correspondence to Dr. dosReis (e-mail: sdosreis@rx.umaryland.edu ).
authors: Melissa
authors: M
authors: Ross
authors: John F P
authors: JF
authors: Bridges
authors: Xinyi
authors: X
authors: Ng
authors: Lauren D
authors: LD
authors: Wagner
authors: Emily
authors: E
authors: Frosch
authors: Gloria
authors: G
authors: Reeves
authors: Susan
authors: S
authors: dosReis
mesh_terms: D000293:Adolescent; D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity / Q000188:drug therapy*; D017028:Caregivers / Q000523:psychology*; D000697:Central Nervous System Stimulants / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D005190:Family / Q000523:psychology*; D005240:Feasibility Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009035:Mothers / Q000523:psychology; D010865:Pilot Projects
chemical_list: D000697:Central Nervous System Stimulants
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