Medication Adherence in Children with ADHD

Running head: MEDICATION ADHERENCE IN CHILDREN WITH ADHD
MEDICATION ADHERENCE IN CHILDREN WITH ADHD
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2MEDICATION ADHERENCE IN CHILDREN WITH ADHD
Executive Summary
The following report explores factors determining medication adherence in ADHD with the aid
of critically appraising a systematic review and a quantitative research article. Critical appraisal
revealed key insights concerning the various predictive and influencing factors underlying
increased adherence to medication and discontinuation of the same in children with ADHD,
which can be implemented by the APN during conductance of future evidence based nursing
practice. However, considering the research limitations and lack of validity observed, the APN
must conduct further research to apply sufficient evidence based strategies during future nursing
practice.

3MEDICATION ADHERENCE IN CHILDREN WITH ADHD
Table of Contents
Introduction..........................................................................................................................4
Quantitative Literature.........................................................................................................4
Systematic Review...............................................................................................................5
Quantitative Study...............................................................................................................7
Applicability to Practice and Future Research....................................................................9
Conclusion.........................................................................................................................10
References..........................................................................................................................11
Appendices........................................................................................................................14
Appendix 1: Evidence Matrix (as designed by the Author)..........................................14
Appendix 2: Critical Appraisal of Treuer et al., (2016) (Joanna Briggs Institute, 2019)
...................................................................................................................................................18
Appendix 3: Critical Appraisal for Zehgeer et al., (2018) (Joanna Briggs Institute,
2019)..........................................................................................................................................19

4MEDICATION ADHERENCE IN CHILDREN WITH ADHD
Introduction
As researched by Altszuler et al., (2017), common medications for ADHD management
include stimulants such as methylphenidate and amphetamine. However, consumption of such
medications often yield negative health outcomes like loss in weight, sleeplessness, stomach
aches or headaches and appetite hindrances which resulting in a discontinuation of
pharmacotherapy in children (Bachman et al., 2017). Considering additional complications
which may arise due to medication discontinuation, as examined by Sayal et al., (2018), there is
a need to increase medication adherence and explore factors affecting the same.
Thesis Statement: The following paper will aim to evaluate the factors which may contribute to
increased medication adherence in children with ADHD for the purpose incorporating the same
in future nursing practice.
Quantitative Literature
The research methodologies of quantitative research encompass the conductance of
evaluation empirically and systematically through collection of quantifiable, observable and
measurable data using mathematical, computational or statistical procedures (Bryman, 2017).
Quantitative data collection and research methods are conducted objectively through tools such
as surveys, questionnaires and polls or via computational manipulation of previously existing
numerical data (McCusker & Gunaydin, 2015). Advanced Practicing Nurses (APN) are required
to engage extensively in evidence based nursing practice which encompasses the implementation
of valid and recent research results in nursing practice. Evidence based quantitative research
provides numerical, objective and factual data representing changing patterns in healthcare and