Feasibility of School-Based ADHD Interventions: A Mixed-Methods Study of Perceptions of Adolescents and Adults

J Atten Disord. 2016 May;20(5):400-13. doi: 10.1177/1087054713515747. Epub 2014 Jan 21.

Abstract

Objective: Little is known about perceptions surrounding academic interventions for ADHD that determine intervention feasibility.

Method: As part of a longitudinal mixed-methods research project, representative school district samples of 148 adolescents (54.8%), 161 parents (59.4%), 122 teachers (50.0%), 46 health care providers (53.5%), and 92 school health professionals (65.7%) completed a cross-sectional survey. They also answered open-ended questions addressing undesirable intervention effects, which were analyzed using grounded theory methods.

Results: Adolescents expressed significantly lower receptivity toward academic interventions than adult respondents. Stigma emerged as a significant threat to ADHD intervention feasibility, as did perceptions that individualized interventions foster inequality.

Conclusion: Findings suggest that adolescents' viewpoints must be included in intervention development to enhance feasibility and avoid interventions acceptable to adults, but resisted by adolescents.

Keywords: academic; adolescent ADHD; parent–teacher agreement; stigma; treatment acceptability.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Attention Deficit Disorder with Hyperactivity / diagnosis
  • Attention Deficit Disorder with Hyperactivity / psychology*
  • Cross-Sectional Studies
  • Feasibility Studies
  • Female
  • Health Personnel / psychology*
  • Humans
  • Male
  • Parents / psychology*
  • Patient Acceptance of Health Care*
  • Perception
  • Qualitative Research
  • Schools*
  • Social Stigma*
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • United States
  • Young Adult