ADHD 青少年患者的 MTA 随访：定性访谈的设计与方法。
Follow-Up of Young Adults With ADHD in the MTA: Design and Methods for Qualitative Interviews.
机构信息
1 University of California, Los Angeles, USA.
2 Duke University Medical Center, Durham, NC, USA.
出版信息
J Atten Disord. 2018 Jul;22(9_suppl):10S-20S. doi: 10.1177/1087054717713639. Epub 2017 Jun 15.
Abstract
OBJECTIVE
Qualitative interviews with 183 young adults (YA) in the follow-up of the Multimodal Treatment Study of Children With and Without ADHD (MTA) provide rich information on beliefs and expectations regarding ADHD, life's turning points, medication use, and substance use (SU).
METHOD
Participants from four MTA sites were sampled to include those with persistent and atypically high SU, and a local normative comparison group (LNCG). Respondents were encouraged to "tell their story" about their lives, using a semistructured conversational interview format.
RESULTS
Interviews were reliably coded for interview topics. ADHD youth more often desisted from SU because of seeing others going down wrong paths due to SU. Narratives revealed very diverse accounts and explanations for SU-ADHD influences.
CONCLUSION
Qualitative methods captured the perspectives of YAs regarding using substances. This information is essential for improving resilience models in drug prevention and treatment programs and for treatment development for this at-risk population.
摘要
目的
对多动症治疗研究（MTA）中 183 名青年成年人（YA）的随访进行定性访谈，提供有关 ADHD 的信念和期望、生活转折点、药物使用和物质使用（SU）的丰富信息。
方法
从 MTA 的四个地点抽取参与者，包括持续存在且异常高 SU 的参与者和当地正常对照组（LNCG）。受访者被鼓励使用半结构化的对话式访谈格式“讲述自己的故事”。
结果
访谈内容经编码，用于访谈主题。ADHD 青少年因为看到其他人因 SU 而误入歧途，所以更经常避免 SU。叙述揭示了 SU-ADHD 影响的非常多样化的解释。
结论
定性方法捕捉了 YAs 对使用物质的看法。这些信息对于改善药物预防和治疗计划中的弹性模型以及为这一高危人群开发治疗方法至关重要。
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