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Pharmacy 2018, 6(4), 122; https://doi.org/10.3390/pharmacy6040122

The Construction and Validation of Child, Adolescent and Parental Decision Aids for Considering Methylphenidate Drug Holidays in ADHD

1
NIHR CLAHRC Wessex, University Hospital Southampton NHS Foundation Trust, Faculty of Medicine, University of Southampton, Southampton SOA6 6YD, UK
2
Reading School of Pharmacy, University of Reading, P.O. Box 226, Whiteknights, Reading RG6 6AP, UK
*
Author to whom correspondence should be addressed.
Received: 18 September 2018 / Revised: 5 November 2018 / Accepted: 18 November 2018 / Published: 24 November 2018
Full-Text   |   PDF [197 KB, uploaded 24 November 2018]

Abstract

Guidelines recommend encouraging young people with attention deficit hyperactivity disorder (ADHD) who are taking medication long-term, to discuss their preferences for stopping or changing their treatment, including a discussion about ‘drug holidays’, with their doctor. Yet, to date, no written information has been available to empower children and adolescents with ADHD and their parents to make informed decisions about drug holidays. The aim of this study was to design and develop a suite of decision aids to help families decide if they want to take a drug holiday from methylphenidate. The material was designed with reference to the literature and in consultation with a secondary-care specialist, and validated with two panels composed of specialists and parents using content validity questionnaires and interviews; before being finished and branded by a design service. Three decision aids were produced, with parental and adolescent versions composed of a booklet and a pull-out form for self-completion, and the child version being a booklet for reading and self-completion. Existing research calls for suitable written materials to feasibly increase the uptake of practitioner-initiated planned drug holidays from methylphenidate. We envisage these materials will open up the space to discuss drug holidays in ADHD during annual reviews, in line with UK government guidelines. View Full-Text
Keywords: ADHD; drug holiday; decision aid; children and adolescents ADHD; drug holiday; decision aid; children and adolescents
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Ibrahim, K.; Randolph, G.; Doran, O.; Donyai, P. The Construction and Validation of Child, Adolescent and Parental Decision Aids for Considering Methylphenidate Drug Holidays in ADHD. Pharmacy 2018, 6, 122.

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