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Evaluation ViewAttendees 3

Category: ADHD - Child

Symposium 11 - Getting and Benefiting from Treatment: Promoting Family Engagement in Evidence-based Treatments for ADHD

Friday, November 17, 2023
10:30 AM – 12:00 PM PST
Location: Beckler (302), Level 3
CE: 1.5

Keywords: Adherence, ADHD, Evidence-Based Practice
Level of Familiarity: Basic to Moderate
Recommended Readings: Danielson et al. (2018). A National Description of Treatment among United States Children and Adolescents with ADHD. Journal of Pediatrics, 192, 240-146.,   Nissley-Tsiopinis, J., Normand, S., Mautone, J.A., Fogler, J.M., Featherston, M., Power, T.J.: Preparing Families for Evidence-Based Treatment of ADHD: Development of Bootcamp for ADHD. Cognitive and Behavioral Practice 2022 Notes: E-pub ahead of print. https://doi.org/10.1016/j.cbpra.2022.02.022,   Pfiffner et al. (2022). Improving adherence to behavioral parent training for ADHD Using Digital Health Tools. J. Psychiatr Brain Sci, 7, e220005, doi: 10.20900/jpbs.20220005, PMCID: PMC9473542,   Power, T.J., Mautone, J.A., Marshall, S.A., Jones, H.A., Cacia, J., Tresco, K., Cassano, M.C., Jawad, A.F., Guevara, J.P., Blum, N.J.: Feasibility and potential effectiveness of integrated services for children with ADHD in urban primary care practices. Clinical Practice in Pediatric Psychology 2(4): 412-426, 2014 Notes: DOI: http://dx.doi.org/10.1037/cpp0000056.,  

ADHD affects about 10% of youth and its effects can be highly impairing in the present and future. Fortunately, there are highly effective interventions for this disorder. Pharmacological treatments generally are effective in reducing ADHD symptoms but may be less successful in reducing impairments. Psychosocial interventions, including behavioral parent training (BPT), can be effective in improving skills and strengthening relationships but may be less effective in reducing symptoms. Some children with ADHD respond well to psychosocial interventions alone, but many children need a combined approach. 

 

Regrettably, children with ADHD often do not receive evidence-based treatments. For example, challenges to obtaining BPT include poor access to services, operational challenges in obtaining care, and parental questions about the appropriateness of interventions and cultural humility of providers.  Further, when families initiate BPT, its effectiveness may be mitigated due to inconsistent attendance at sessions and implementation of parenting strategies for a variety of reasons (e.g., insufficient mastery of parenting skills, time constraints, variable parental organization, parental exhaustion related to chronic stress and trauma).

 

The purpose of this symposium is to present research on strategies to promote family engagement in evidence-based treatments for ADHD. The research presented will focus on strategies to promote initiation of evidence-based treatment as well as ongoing engagement in care and consistent implementation of parenting strategies. The first paper describes findings of a small-scale randomized controlled trial investigating the effectiveness of a program to improve parental empowerment in collaborating with systems of care as well as their intent to pursue and actual initiation of evidence-based interventions for ADHD. The second paper describes findings of a study examining the effectiveness of digital health tools in improving the implementation of parenting strategies in the context of school-based BPT for ADHD. The third paper describes findings of a qualitative study to understand caregiver perceptions of the cultural humility and family centeredness of behavioral health clinicians and helpfulness of a patient navigator in supporting family engagement in a family behavioral intervention for minoritized families of children with ADHD.

Learning Objectives:

At the end of the session, the learner will be able to:
  • Identify factors contributing to difficulties with intervention initiation and ongoing engagement in care for families of children with ADHD.
  • Learn strategies to promote family empowerment and initiation of evidence-based interventions for ADHD.
  • Learn about innovative opportunities to use digital health tools to support consistent use of parenting strategies.
  • Discuss methods to understand caregiver perceptions of cultural humility of clinicians and family centeredness of intervention programs.
  • Consider opportunities to involve patient navigators to promote family engagement and implementation of parenting strategies for ADHD.