Bado Patricia, da Costa Raquel, Bernardes Camila, Tripp Gail, Mattos Paulo, Furukawa Emi
D'Or Institute for Research and Education, Rio de Janeiro, Brazil.
Department of Psychology, Pontifical Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil.
Front Psychiatry. 2023 Jul 27;14:1191289. doi: 10.3389/fpsyt.2023.1191289. eCollection 2023.
Attention-Deficit/Hyperactivity Disorder (ADHD) is a debilitating condition affecting children and their families worldwide. Behavioral parent training is a recommended form of empirically supported non-pharmacological intervention for young children with mild to moderate ADHD. However, access to such treatment is limited in many countries. Here we identify the treatment needs of Brazilian families with children demonstrating symptoms of ADHD, and the barriers families face in accessing behavioral treatment.
A qualitative needs assessment was undertaken with parents ( = 23), educators ( = 15), and healthcare providers ( = 16). Semi-structured telephone interviews were conducted, and common themes were identified through inductive coding of participants' responses.
Participants reported a lack of accessible behavioral treatment, and delays in accessing treatment when available. The majority of parents had not received behavioral parent training, despite it being a recommended form of treatment. Parents, educators and healthcare providers strongly endorsed a need for practical tools to manage the behavior of children with ADHD.
Existing services might not meet the needs of children with ADHD and their families in Brazil. Easily accessed behavioral parent training programs are recommended to address the identified treatment gap for Brazilian children with ADHD and their families.
注意力缺陷多动障碍(ADHD)是一种影响全球儿童及其家庭的致残性疾病。行为家长培训是一种推荐的、有实证支持的针对轻度至中度ADHD幼儿的非药物干预形式。然而,在许多国家,获得这种治疗的机会有限。在此,我们确定了巴西有ADHD症状儿童家庭的治疗需求,以及家庭在获得行为治疗方面面临的障碍。
对23名家长、15名教育工作者和16名医疗服务提供者进行了定性需求评估。进行了半结构化电话访谈,并通过对参与者回答的归纳编码确定了共同主题。
参与者报告称缺乏可获得的行为治疗,且在有治疗服务时获得治疗存在延迟。尽管行为家长培训是一种推荐的治疗形式,但大多数家长并未接受过此类培训。家长、教育工作者和医疗服务提供者强烈认可需要实用工具来管理ADHD儿童的行为。
巴西现有的服务可能无法满足ADHD儿童及其家庭的需求。建议提供易于获得的行为家长培训项目,以填补巴西ADHD儿童及其家庭已确定的治疗缺口。