ArticleAcademic pediatrics2023
Understanding Barriers and Facilitators of Attention-Deficit/Hyperactivity Disorder Treatment Initiation and Adherence in Black and Latinx Children.
Article in Academic pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Identification and Management of Binge-Eating Disorder and Bulimia Nervosa in Primary Care Settings: A Qualitative Systematic Review of Healthcare Professionals' and Patients' Perceptions.The International journal of eating disorders · 2026Pooled it
- Disparities in treatment initiation following diagnosis of attention-deficit/hyperactivity disorder: a systematic review.European child & adolescent psychiatry · 2026Review
- Parent Perspectives on Barriers to Behavioral Health Services for Children With ADHD.Journal of attention disorders · 2026Article
- The impact of social determinants of health and trajectories of medication use on functional outcomes in children with ADHD: study protocol.BJPsych open · 2026Article
- Editorial: Advances in the social determinants of health for college students with ADHD.Frontiers in psychiatry · 2026Article
- ADHD Diagnosis and Timing of Medication Initiation Among Children Aged 3 to 5 Years.JAMA network open · 2025Article
- Timing of Medication Treatment in Children 3-5-Years-old with ADHD: A PEDSnet Study.medRxiv : the preprint server for health sciences · 2025Article
- Perceived Barriers to Medication Adherence in Adolescents and Young Adults with Attention-Deficit Hyperactivity Disorder: Adapting the Customized Adherence Enhancement Intervention.Journal of developmental and behavioral pediatrics : JDBP · 2025Article
- Pharmaceutical Supply Chains: A Structural Determinant of Health for Children With ADHD.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersReview
- Time to Medication Initiation in School-age Children With ADHD in Developmental-Behavioral Pediatrics.Journal of developmental and behavioral pediatrics : JDBPArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 3 countries.
Funding
Abstract
objectiveDespite evidence that consistent treatment is important for Attention-Deficit/Hyperactivity Disorder (ADHD) management, ADHD treatment initiation and adherence remains suboptimal in minoritized children. The goal of this study was to explore barriers and facilitators to ADHD treatment initiation/adherence for minoritized children to further inform development of our family navigation intervention.
methodsUsing a virtual platform, we completed 7 focus group sessions (total n.ß=.ß26) and 6 individual interviews with representatives from 4 stakeholder groups: experienced caregivers of children with ADHD, caregivers of children newly diagnosed with ADHD, family navigators, and clinicians who care for children with ADHD. All caregivers identified as Black and/or Latinx. Separate sessions were conducted for each stakeholder group and caregivers had the option to attend an English or Spanish session. Using a thematic analysis strategy, barriers and facilitators to ADHD treatment initiation and/or adherence were coded in focus group/interview data and themes were identified across groups.
resultsThe primary barriers to ADHD treatment initiation and/or adherence identified for minoritized children were lack of support from school/healthcare/family members, cultural barriers, limited resources, limited access, and treatmentconcerns, with variability in endorsement across participants. Reported facilitators included caretakers having experience with ADHD, strong support, access to resources, andwitnessing their child...s functional improvement with treatment.
conclusionsCaregiver experience with and knowledge about ADHD, support, and access to resources facilitate ADHD treatment in minoritized children. The results from this study have the potential to improve ADHD treatment initiation/adherence and outcomes for minoritized children through the development of culturally tailored, multipronged interventions.
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Registered trials
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