A Model of Care Service Management for Children with ADHD Through Family and Community Participation, Yangsisurat District, Mahasarakham Province.
Keywords:
Model, Children with ADHD, Family and Community ParticipationAbstract
This action study aims to develop and evaluate a care model for children with attention deficit hyperactivity disorder (ADHD), incorporating family and community participation in Yangsisurat District, Mahasarakham Province. Research tools included focus group discussion guides, general information questionnaires, ADHD care assessment forms, ADHD behavior assessment forms, follow-up and medication side effects record forms, and satisfaction surveys. The study was conducted from October 2021 to September 2023, with data analyzed using descriptive statistics and content analysis.
The research findings revealed a practical and contextually aligned model for ADHD care, termed the 3C4R Model, which integrates family, teacher, and health network collaboration (Collaboration, C); capacity building for teachers and parents in behavior modification, supported by technology-based innovation (Competency, C); careful monitoring of medication side effects (Careful monitoring, C); ADHD screening by teachers, parents, and health teams (Realized screening, R); the establishment of a multidisciplinary care system within child mental health clinics (Readiness system, R); behavioral monitoring at home and school (Regulation, R); and a referral system for inter-hospital consultations (Referral system, R). The study showed that all parents and teachers received comprehensive training, achieving a 100% adherence rate in care practices among parents and health teams. Healthcare personnel provided complete coverage for ADHD care, resulting in improved behaviors among children with ADHD. Cases requiring urgent attention were referred appropriately, and no incidents of medication allergies or severe side effects were reported. Parents, teachers, and health teams expressed high satisfaction with the ADHD care system.
References
Doulou A, Drigas A. ADHD: Causes and alternative types of intervention. Sci Electron Arch. 2022;15(2):49-57. doi:10.36560/15220221514.
Núñez-Jaramillo L, Herrera-Solís A, Herrera-Morales WV. ADHD: Reviewing the causes and evaluating solutions. J Pers Med. 2021;11(3):166. doi:10.3390/jpm11030166.
Popit S, Serod K, Locatelli I, Stuhec M. Prevalence of attention-deficit hyperactivity disorder (ADHD): systematic review and meta-analysis. Eur Psychiatry. 2024;67(1):1-23. doi:10.1192/j.eurpsy.2024.1786.
Danielson ML, Bitsko RH, Ghandour RM, Holbrook JR, Kogan MD, Blumberg SJ. Prevalence of parent-reported ADHD diagnosis and associated treatment among US children and adolescents, 2016. J Clin Child Adolesc Psychol. 2018;47(2):199-212. doi:10.1080/15374416.2017.1417860.
Visanuyothin T, Pavasuthipaisit C, Wachiradilok P, Arunruang P, Buranasuksakul T. The prevalence of attention deficit/hyperactivity disorder in Thailand. J Ment Health Thai. 2013;21(2):66-75.
Caye A, Swanson JM, Coghill D, Rohde LA. Treatment strategies for ADHD: an evidence-based guide to select optimal treatment. Mol Psychiatry. 2019;24(3):390-408. doi:10.1038/s41380-018-0116-3.
สถาบันพัฒนาการเด็กราชครินทร์. คู่มือการคัดกรองและปรับพฤติกรรมเด็กที่มีอาการสมาธิสั้น สำหรับผู้ปกครอง. เชียงใหม่: สยามพิมพ์นานา; 2560.
Breaux R, Waschbusch DA, Marshall R, Rothe E, Humphery H, Pelham WE, et al. The role of parental knowledge and attitudes about ADHD and perceptions of treatment response in the treatment utilization of families of children with ADHD. Evid Based Pract Child Adolesc Ment Health. 2020;5(1):102-14. doi:10.1080/23794925.2020.1727797.
Ward RJ, Bristow SJ, Kovshoff H, Cortese S, Kreppner J. The effects of ADHD teacher training programs on teachers and pupils: A systematic review and meta-analysis. J Atten Disord. 2022;26(2):225-44. doi:10.1177/1087054720972801.
Kemmis S, McTaggart R. The action research planner. 3rd ed. Victoria: Deakin University; 1988.
ชาญวิทย์ พรนภดล, วัจนินทร์ โรหิตสุข, มะลิรมย์ หัสดินรัตน์, นิรมล ยสินทร. คู่มือวิทยากรการฝึกอบรมผู้ปกครองวิธีปรับพฤติกรรมเด็ก. กรุงเทพฯ: ภาควิชาจิตเวชศาสตร์ คณะแพทยศาสตร์ศิริราชพยาบาล; 2549.
ณัทธร พิทยรัตน์เสถียร, ธันวรุจน์ บูรณะสุขสกุล, ดุษฎี จึงศิรกุลวิทย์, ทรงภูมิ เบญญากร. คุณสมบัติของแบบคัดกรองโรคสมาธิสั้นชื่อ Swanson, Nolan, and Pelham IV Scale (SNAP-IV) และ Strengths and Difficulties Questionnaire ส่วนที่เกี่ยวข้องกับพฤติกรรมอยู่ไม่นิ่ง/สมาธิสั้น (SDQ-ADHD) ฉบับภาษาไทย. วารสารสมาคมจิตแพทย์แห่งประเทศไทย. 2557;59(2):97-110.
Duangpetsang J. Development of Integrated Care for Children with Attention Deficit Hyperactivity Disorder among Parents and Teachers in Kaeng Khro District, Chaiyaphum Province. Reg Health Promot Cent 9 J. 2024;18(1):339-50.
