Factor Effecting Access to Health Services of Attention Deficit Hyperactivity Disorder in Phochai District, Roi-Et Province.

Abstract

     This study was survey research by cross Sectional  study aimed to study  factors affecting access to the health  service system  for ADHD in children  in Phochai hospital Roi-Et Province. The sample consisted  of 82 pediatric patients  under 15 years of age who were diagnosed with ADHD from October 1,2023 to March 31,2024.Data were collected by completing a general information questionnaire. of family Parents' knowledge and attitude  including the behavioral assessment form SNAP-IV(Short Form) before and after 8 weeks of treatment and then analyzing the data to find relationships between knowledge,attitude  of parents and other  factors and access to the health service system for ADHD in children using Logistic regression Analysis
     Main findings : Most parents were female 51.21%, male 48.79, age ranged from 30-39 years, 45.12%, secondary education 39.03%, father/mother relationship 81.71%, general information of the children. Most of the children with ADHD were 5-10 years old, 53.66 percent, 80.49 percent male, 63.41 percent lower primary school. The children's intelligence level (IQ) was at the normal level, 86.58 percent. Most had side effects from taking medication. That is, 68.29% had anorexia. The top 3 highest scores for parents' knowledge and understanding about ADHD were: Medications used to treat ADHD will help ADHD children's symptoms improve, 93.90%. Short, often restless Sitting still, interrupting, working in a disorganized manner (90.24%), and arranging the environment, such as working in a quiet corner, will it helped children with ADHD a lot, 86.58%. The top 3 highest scores in attitudes towards ADHD among parents were that children with ADHD need extra help with learning, 84.14%, followed by children with ADHD having normal intelligence. Can develop 82.92 percent and when children with ADHD do well should receive the same rewards as other children, 82.92 percent, respectively. SNAP-IV behavioral assessment of children during the first period of receiving services and being diagnosed with ADHD found that Evaluate symptoms of attention deficit Found a risk of 51.22%. Assessment of restless symptoms. impulsive The risk was found to be 56.10%, and the assessment of resistance symptoms found a risk of 36.59%. As for the SNAP-IV behavioral assessment, after 8 weeks of treatment, scores in all 3 areas decreased, including: Assessment of attention deficit symptoms Found a risk of 13.42 percent. Assessment Restless and impulsive symptoms Found a risk of 18.30% and assessment of resistance symptoms found a risk of 9.76%. and found factors affecting access to the health service system for ADHD in children using general information of children's parents with the results of treatment for ADHD. It was found that parents' knowledge and understanding of ADHD was statistically significant.