Service use in children aged 6-8 years with attention deficit hyperactivity disorder

Efron, Daryl, Moisuc, Olga, McKenzie, Vicki and Sciberras, Emma 2016, Service use in children aged 6-8 years with attention deficit hyperactivity disorder, Archives of disease in childhood, vol. 101, no. 2, pp. 161-165, doi: 10.1136/archdischild-2015-309520.

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Title Service use in children aged 6-8 years with attention deficit hyperactivity disorder
Author(s) Efron, Daryl
Moisuc, Olga
McKenzie, Vicki
Sciberras, EmmaORCID iD for Sciberras, Emma orcid.org/0000-0003-2812-303X
Journal name Archives of disease in childhood
Volume number 101
Issue number 2
Start page 161
End page 165
Total pages 6
Publisher BMJ Publishing Group
Place of publication London, Eng.
Publication date 2016-02
ISSN 0003-9888
1468-2044
Summary OBJECTIVE: This study investigated prevalence, types and predictors of professional service use in families of children identified with attention deficit hyperactivity disorder (ADHD) in the community.

DESIGN: SETTING: children with ADHD were identified through 43 schools using parent and teacher screening questionnaires (Conners 3 ADHD Index) followed by case confirmation using the Diagnostic Interview Schedule for Children Version IV. Parents completed a survey about professional service use in the last 12 months.

MAIN OUTCOME MEASURES: data on variables potentially associated with service use were collected from parents (interview and questionnaires), teachers (questionnaires) and children (direct assessment). Logistic regression was used to examine predictors of service use in univariate and multivariable analyses.

RESULTS: The sample comprised 179 children aged 6-8 years with ADHD. Over one-third (37%) had not received professional services in the last 12 months. The strongest predictors of service use were older child age (adjusted OR=3.0, 95% CI 1.0 to 8.9, p=0.05), and the degree to which the child's behaviour impacted on the family (adjusted OR=2.0, 95% CI 1.3 to 3.3, p=0.007), after controlling for ADHD subtype and severity, externalising comorbidities, academic achievement and parent-reported impairment.

CONCLUSIONS: A substantial proportion of children with ADHD are not accessing professional services. Our findings suggest that the child's age and the impact of the child's behaviour on the family are the strongest predictors of service use. Given the demonstrated benefits from various interventions in ADHD, there is a need to improve case identification and referral for services.
Language eng
DOI 10.1136/archdischild-2015-309520
Field of Research 170106 Health, Clinical and Counselling Psychology
111403 Paediatrics
111704 Community Child Health
1103 Clinical Sciences
1114 Paediatrics And Reproductive Medicine
1117 Public Health And Health Services
Socio Economic Objective 920209 Mental Health Services
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, BMJ Publishing Group
Persistent URL http://hdl.handle.net/10536/DRO/DU:30082186

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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Created: Mon, 14 Mar 2016, 14:10:28 EST

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