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Year : 2019 | Volume:  41 | Issue Number:  3

ORIGINAL ARTICLE

Factors associated with treatment adherence in children with attention deficit hyperactivity disorder

Safavi Parvin, Saberzadeh Mehrdad, Tehrani Afsaneh Malekpour

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1 zamyang palmo, 7/9/2019 9:40:28 AM
Sir,
The correspondence is made in reference to the original article, “Factors associated with Treatment adherence in children with attention deficit hyperactivity Disorder “by Parvin Safavi, Mehrdad Saberzadeh, Afsaneh Malekpour Tehrani. The paper was done to research the variables identified with treatment adherence in children with adhd since no examination has been finished tending to this issue in Iran.

This study population was focused on children with adhd who were referred to a child psychiatry clinic of University of Shhrekord, Iran. Children between the age of 6 to 12-year-old who were under medication treatment for at least 6 months. The sample size is less in number and the data collection done through questionnaires’ may not be as accurate as direct measurement. Also, there is no definite method to measure treatment adherence in patients on medication treatment.

The results showed that Children with fathers who graduated from high school had higher adherence to treatment. The positive correlation among the fathers but the correlation didn’t exist on mother’s education. This shows how women in Iran are not given enough role. The questionnaires were filled by the parents The questionnaires that were filled by teachers showed that inattention in classroom is more frequent with children with irregular drug use.

There was no significant correlation between the age of the children and their adherence to treatment. From the results of this study it was found out that children with parents having a history of drug treatment for mental disorders had a higher adherence to treatment.

Since the population of the study consisted of more boys (82.4%), girls (17.6%). The scores could’ve been different if both the genders were taken on equal proportion. This could’ve have resulted to see which gender is adherent and non-adherent towards the treatment. The results indicate that economic factors have an important role in drug use in Iran since the children in families with poor economic status had less adherence to treatment compared to average and good economic status. So, to increase the adherence treatment, patients and their families should be educated about the benefits of commitment to medication.
In this study the younger age group patients were taken which needs complete supervision of their parents for their child’s medication.

This is a cross sectional study. The study is done one time. The behavior and beliefs of the individuals might change in the near future. Also, the population taken was limited, the results showed in the study may not be generalizable to families who have completely discontinued their child’s medications and those who have not returned to the psychiatry clinic. The discontinuation could be because of the less effectiveness of the medication or

Based on the results, families who have had a history of psychotropic medication use in the family have higher adherence to treatment. Though there are various factors which may affect adherence treatment in populations with different socio-cultural background.
These factors may include the patient’s condition, the healthcare system, the therapies a child is getting, socio economic background, knowledge about the problem, education system, stigma, medical cost. The important medication factors influencing adherence are effectiveness and tolerability. Enhanced monitoring is the key to improving ADHD medicine adherence and optimizing lengthy-term consequences.


References:

Safavi P, Saberzadeh M, Tehrani AM. Factors associated with treatment adherence in children with attention deficit hyperactivity disorder. Indian J Psychol Med 2019;41:252-7

Bhang, Soo-Young et al. “Factors that Affect the Adherence to ADHD Medications during a Treatment Continuation Period in Children and Adolescents: A Nationwide Retrospective Cohort Study Using Korean Health Insurance Data from 2007 to 2011.” Psychiatry investigation vol. 14,2 (2017)...