Evidence map›Paper›PMID 42479852›Full record

ArticleJMIR formative research2026

Exploring the Relationship Between Parental Trauma, Parenting Style, and Children's Medical Treatment Adherence: Cross-Sectional Study.

Margaret Stull, Olga Vsevolozhskaya, Kristopher Collman, Rachael Steinken, Christina Rios, Amy L Meadows

Abstract read
In one paragraph

Article in JMIR formative research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Margaret StullDepartment of Psychiatry, College of Medicine, University of Kentucky, 245 Fountain Court, Lexington, KY, 40509, United States, 1 5025427512.ORCID 0000-0002-0983-199X
Olga VsevolozhskayaDepartment of Biostatistics, College of Public Health, University of Kentucky, Lexington, KY, United States.
Kristopher CollmanDepartment of Psychiatry, College of Medicine, The Ohio State University, Columbus, OH, United States.ORCID 0009-0008-4577-7039
Rachael SteinkenPeople's Health Center and Martindale-Brightwood Health Center, Health Net, Woodland Hills, IN, United States.ORCID 0009-0009-9084-4066
Christina RiosDepartment of Psychiatry, College of Medicine, University of Kentucky, 245 Fountain Court, Lexington, KY, 40509, United States, 1 5025427512.ORCID 0009-0007-5554-2578
Amy L MeadowsDepartment of Psychiatry, College of Medicine, University of Kentucky, 245 Fountain Court, Lexington, KY, 40509, United States, 1 5025427512.ORCID 0000-0002-7893-4335

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2M
Improving Opioid Use Disorder Treatment Retention Outcomes Using Mindfulness in Childhood Trauma SurvivorsK23DA054309 · NIDA · UNIVERSITY OF KENTUCKY · PI Amy Lynn Meadows · 2023 to 2026
$751k
NCATS NIH HHS UL1 TR001998NIDA NIH HHS K23 DA054309
6 · The paper itself

Abstract

Background: Medication adherence is defined as the degree to which the medications taken reflect the prescribed intention and is influenced by various factors. Different factors, such as parental trauma or parenting style, may influence their child or children's medical treatment adherence. Authoritative, or "flexible," parenting is known to develop the most nurturing relationship between parent and child or children. The relationship between parental factors, such as parenting style and trauma level, and their influence on child medication adherence is being explored. Objective: This study examines the relationship between parental trauma, parenting style, and their child or children's adherence to medical recommendations. Methods: Participants were recruited through Amazon's Mechanical Turk, an online crowdsourcing platform. Participants were aged 18 years or older, a caregiver for at least 1 child younger than the age of 18 years, and had at least 1 child who was prescribed medication within the past 3 months. Parental trauma level was measured via the Adverse Childhood Experiences Questionnaire, and parenting style was measured via the Parental Authority Questionnaire-Revised. Descriptive statistics, including chi-square tests, 2-tailed t tests, and adjusted logistic regressions, were used to determine the association between parental trauma, parenting style, and their child or children's medical adherence. Results: A total of 720 participant responses were analyzed. Children who were medically adherent were younger (P=.02). Caregivers' mean age was 36.8 (SD 7.97) years, and 35.4% (n=255) identified as male. An increase in caregivers' adverse childhood experiences score was marginally associated with an increased risk of medication nonadherence among their children (adjusted odds ratio 0.94; P=.07). Conclusions: Similar to other studies, this study showed that parents of children who adhere to medical treatment practice an authoritative parenting style. Uniquely, it also showed that an increased adverse childhood experiences score was only marginally associated with an increased risk of medical nonadherence.

Indexed as

Medication AdherenceParentingParentsTreatment Adherence and ComplianceAdolescentAdultChildChild, PreschoolCross-Sectional StudiesFemaleHumansMaleMiddle AgedParent-Child RelationsSurveys and QuestionnairesACEsadherenceadverse childhood experienceparentingtrauma

Identifiers

PMID42479852
PMCPMC13387418

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.