Document Detail


Physician use of a participatory decision-making style with children with ADHD and their parents.
MedLine Citation:
PMID:  15893216     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to examine the extent to which physicians reported using a participatory decision-making (PDM) style with children and their parents during attention-deficit/hyperactivity disorder visits and the physician characteristics that were related to physician use of a PDM style. The survey was sent to a stratified random sample of 250 pediatricians and 250 family practitioners that were licensed and actively practicing in North Carolina. A second mailing of the survey was sent to non-responders approximately 3 weeks after the first mailing was sent. Approximately 47% of the physicians responded. Physicians were significantly more likely to rate themselves as more participatory with parents than with children. Younger physicians were more likely to use a participatory style with attention-deficit/hyperactivity disorder (ADHD) children. Physicians who rated themselves as using a more participatory style with parents, also rated themselves as being more participatory with children. Pediatricians and younger physicians were more likely to use a participatory style with parents of ADHD children. The majority of physicians believed that ADHD children could begin to contribute to decisions about the diagnosis and treatment of ADHD during medical visits from age 7 to 11 years.
Authors:
Chris Honeycutt; Betsy Sleath; Patricia J Bush; William Campbell; Gail Tudor
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Patient education and counseling     Volume:  57     ISSN:  0738-3991     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-16     Completed Date:  2005-08-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  327-32     Citation Subset:  N    
Affiliation:
Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Willowcrest Building, 101 Conner Drive, Suite 302, Chapel Hill, NC 27599-3386, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Attention Deficit Disorder with Hyperactivity / psychology*,  therapy
Attitude of Health Personnel*
Child
Child Psychology
Decision Making*
Family Practice / methods
Female
Humans
Linear Models
Logistic Models
Male
Middle Aged
Multivariate Analysis
North Carolina
Parents / psychology*
Patient Participation / methods,  psychology*
Patient-Centered Care
Pediatrics / methods
Physician-Patient Relations*
Professional-Family Relations
Questionnaires

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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