AAFP, % | ACHA, % | Pearson χ2 | ||
---|---|---|---|---|
Value | Sig. | |||
How do you monitor your ADHD patient's medication compliance (please select all that apply): | ||||
I use a state medication registry to track patient prescription drug use. | 62.1 | 40.2 | 20.31 | 0.00* |
I use random urine drug testing (UDT). | 42.3 | 21.3 | 18.96 | 0.00* |
I use pill counts. | 18.6 | 9.8 | 5.48 | 0.02* |
Which factors contribute to your decisions on which stimulant medication to use (can choose more than one answer): | ||||
Preference for fast acting over slow release stimulants. | 9.3 | 14.9 | 3.42 | 0.06 |
Preference for slow release over fast acting stimulants. | 40.1 | 35.5 | 0.9 | 0.34 |
Do you feel it is your responsibility to educate patients with ADHD? | 95.1 | 90.4 | 4.36 | 0.04* |
If yes, what do you feel you are responsible for? | ||||
Educating about legal risks of misusing the medicine. | 67.2 | 74.3 | 2.23 | 0.14 |
Educating about the health and physical risks of misusing the medicine. | 92.2 | 88.5 | 1.72 | 0.19 |
Educating about the mental effects of not using the medicine properly. | 73.2 | 72.6 | 0.02 | 0.89 |
Educating about how misusing medicine can affect social life and relationships such as family, job, friends and significant others. | 63.6 | 66.4 | 0.32 | 0.57 |
What do you feel is the best way to educate patients about ADHD (please select all that apply): | ||||
Pamphlets and handouts. | 47.9 | 38.7 | 3.54 | 0.06 |
Education or counseling session at visits where prescription is written. | 83 | 87.9 | 1.86 | 0.17 |
Give the patient links to web resources. | 46.7 | 48.4 | 0.13 | 0.72 |
Mass media such as television and magazines. | 6.4 | 4 | 1.01 | 0.32 |
Social media such as Facebook and Twitter. | 6.4 | 16.1 | 13.43 | 0.00* |
What do you feel you personally should be doing to reduce the misuse of ADHD medications (please select all that apply): | ||||
Evaluate each patient with suspected ADHD to confirm diagnosis before prescribing. | 83.5 | 67.2 | 17.42 | 0.00* |
Refer all ADHD patients to mental health professionals for care. | 26.9 | 37.7 | 5.87 | 0.02* |
Educate patients with ADHD about how the stimulants should and should not be used. | 76.9 | 79.5 | 0.38 | 0.54 |
Provide clear instructions regarding sharing and selling medications to patients with ADHD. | 67.4 | 59.8 | 2.62 | 0.11 |
Provide specific instructions on how to dispose of any unneeded medications. | 39.7 | 43.4 | 0.58 | 0.45 |
Strictly monitor patient's prescription medication use with urine drug tests and state registries. | 49 | 28.7 | 16.93 | 0.00* |
Educate all patients of college age about misuse and risk of misusing stimulants. | 66.5 | 76.2 | 4.49 | 0.03* |
Discourage “medication holidays.” | 11.1 | 18 | 4.53 | 0.03* |
AAFP, American Academy of Family Physicians; ACHA, American College Health Association; ADHD, attention deficit hyperactivity disorder.
↵* P < .05.