Factors related to Medication Adherence according to Severity of Attention Deficit Hyperactivity Disorder in Children

Youn Kyoung Kwag

doi:10.0000/jkapmhn.2012.21.4.321

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Kwag: Factors related to Medication Adherence according to Severity of Attention Deficit Hyperactivity Disorder in Children

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2012; 21(4): 321-332.

Published online: 31 December 2012

DOI: https://doi.org/10.0000/jkapmhn.2012.21.4.321

Factors related to Medication Adherence according to Severity of Attention Deficit Hyperactivity Disorder in Children

Youn Kyoung Kwag

Department of Nursing, Yeungnam College of Science & Technology, Daegu, Korea.

Corresponding author: Kwag, Youn Kyoung. Department of Nursing, Yeungnam College of Science & Technology, 170 Hyeonchung-ro, Nam-gu, Daegu 705-703, Korea. Tel: +82-53-650-9437, Fax: +82-53-625-4705, k100479@ync.ac.kr

Received 22 October 2012 Revised 14 December 2012 Accepted 19 December 2012

Abstract

Purpose

The purpose of this study was to explore factors related to the medication compliance by severity levels of children on Attention Deficit Hyperactive Disorder (ADHD) medication.

Methods

The method employed in this study was a descriptive correlational and cross-sectional survey design using face-to-face interviews. The survey was conducted from September, to October, 25, 2010 through a self-report questionnaire following consent of 143 mothers. Interview instruments, which were used in the study were CARS, PAI, ADHD knowledge instrument, BDI, a maternal behavior instrument, TAQ, and TAB instrument. Descriptive statistics, t-test, analysis of variance, and Pearson' correlation were used for data analysis.

Results

Mothers who perceived their children as not hyperactive were significantly higher in accepting medication and positive maternal behaviors than mothers who perceived their children as hyperactive. The mother perceived their children as not hyperactive showed positive correlation to adherence with ADHD medication and ADHD knowledge but a negative correlation with depression and children's ADHD symptoms. There was, however, no correlation between medication adherence and any other variables in the mothers of children with hyperactivity.

Conclusion

The results of this study indicate that different approaches are needed according to the severity of ADHD in children on medication and children's medication adherence.

Keywords: Attention Deficit Hyperactivity Disorders, Adherence, Medication

Figures and Tables

Table 1

General Characteristics of Subjects (N=143)

Table 2

Levels of Major Variables (N=143)

Table 3

Mother's ADHD Knowledge & Support of Husband (N=143)

Table 4

Comparison of Hypo-symptom Child's Family and Hyper-symptom Child's Family

Table 5

Correlations among Major Variables

X1=ADHD medication adherence; X2=ADHD medication acceptability; X3=ADHD knowledge; X4=depression; X5=parenting behaviors; X6=symptom of ADHD child; X7=support of husband.

Notes

This article is an addition based on the first author's doctoral thesis from Yonsei University.

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