Eli Lilly and Company: New Surveys Suggest Gap in ADHD Care; Physician Treatment Meets Parent Reality
18 Dezembro 2003 - 11:05AM
UK Regulatory
Eli Lilly and Company
According to parents involved in a new survey, attention-deficit/hyperactivity
disorder (ADHD) doesn't start and end with the school day. Yet doctors surveyed
treat most of their patients during the school day, not the whole day.
In two new surveys conducted by Harris Interactive(R), 61 percent of parents
reported their children have ADHD symptoms all day into the next morning, yet on
average, physicians reported that they treat only 19 percent of their patients
for symptoms during the entire day. While it appears that doctors agree (96
percent) that controlling ADHD symptoms during school hours is a top priority,
only 8 percent of parents reported the only time of day their kids have symptoms
is during school. Most see symptoms during family time as well.
In fact, just 28 percent of doctors say controlling symptoms in the morning
before school is very important while many parents say their children have
symptoms in the morning. "We have to plan a lot of extra time, and there is
still a battle getting dressed and to school before the bell," said one parent
surveyed.
"Any normal activity becomes impossible. Everything revolves around getting my
child to cooperate and getting done what needs to be done," said another survey
respondent, a parent of a child with ADHD.
Although 62 percent of physicians surveyed said a child's ADHD symptoms have a
severe or moderately severe impact on the family's ability to function normally,
on average, physicians reported the majority of their patients, 68 percent, are
being treated during the school day, not the entire day.
"Managing ADHD during school is important, but we cannot overlook that managing
ADHD during family time plays a critical role as well," said Richard W. Geller,
M.D. of Norwich Pediatric Group, Norwich, Conn., and an assistant clinical
professor of pediatrics, University of Connecticut School of Medicine,
commenting on the survey results. "By exposing this gap in physician perception
and parent reality, we can take steps to expand the dialogue between physicians
and parents, so children with ADHD and their families get the treatment and
support they need."
Talking With Physicians Is Key
These survey results may indicate that parents may not be making their doctors
aware of the symptoms outside of school. Parents need to talk with their health
care providers about symptoms that interfere beyond school and how the child's
ADHD affects the family. In fact, most parents reported that they would be
interested in gaining more information that would help them to better care for
their child with ADHD, including 50 percent of parents who want more time to
talk with their health care professional.
"Parents need to share their concerns with their child's doctor," added Dr.
Geller. "The doctor and parents should work together to develop a treatment plan
that addresses the needs of the child and the family. There are treatment
options and behavioral strategies that may help."
Another parent survey respondent reported the evenings are frustrating for the
entire family, "Dinner time (and) evenings are spent trying to get her to do
homework then bath and bed. No time for myself or my wife to have time with each
other."
Practical Tips for Parents
-- If ADHD symptoms interfere with the child beyond school, talk to the
doctor about the child's ability to do homework later in the evening and
get ready in the morning.
-- Talk about how ADHD affects the entire family. A health care
professional may suggest books, classes, or behavior management that can
promote better understanding and streamline daily activities.
-- Keep a journal that tracks problematic symptoms, medication schedule,
sleep patterns and eating habits.
-- Prepare a list of questions before each doctor visit, and bring research
or news items to the doctor to discuss them together.
Survey Methodology
Parent Survey:
This November 2003 survey was conducted with 500 parents of children aged 6 to
18 years old, diagnosed and currently treated for ADHD. Parents were asked to
respond to this survey with information about when their child was unmedicated.
All of the child symptom data were reported with respect to when the child was
not on medication. The following questions were addressed: severity of symptoms,
when their child experienced ADHD symptoms (selecting one answer from the
choices listed in A), the degree of impact of their symptoms on the family's
overall ability to function normally, discuss the family functions that were
most impacted, the agreement with having adequate information to care for their
child, and sources they are interested in gaining more information from.
Physician Survey:
This November 2003 survey was conducted with approximately 125 physicians in
each of the following specialties: pediatrics, child psychiatry, general
psychiatry, and primary care. Physicians were asked to respond to this survey
about their 6 to 18 year old ADHD patients. The following questions were
addressed: percentage of currently treated patients being treated for symptom
relief (during times listed in A and totals were not required to equal 100
percent), the degree of impact of their symptoms on the families overall ability
to function normally, the degree of impact of ADHD symptoms (during times listed
in B), and the degree of importance of controlling symptoms (during times listed
in B).
A- School hours; school hours plus after school plus early evening; school
hours, after school/early evening plus late evening until bedtime; school hours,
after school/early evening, late evening until bedtime plus next morning until
school hours.
B- In the morning, prior to school hours; school hours; after school hours/early
evening; late evening until bedtime.
About ADHD
ADHD affects 3-7 percent of school-age children(1) and manifests itself in
levels of attention, concentration, activity, distractibility and impulsivity
that are inappropriate to the child's age.(2) In addition, 60 percent of
children with the disorder carry their symptoms into adulthood.(3) Experts
estimate 4 percent of adults in the United States, more than 8 million people,
have ADHD.(4)
About Lilly
Lilly, a leading innovation-driven corporation, is developing a growing
portfolio of first-in-class and best-in-class pharmaceutical products by
applying the latest research from its own worldwide laboratories and from
collaborations with eminent scientific organizations. Headquartered in
Indianapolis, Ind., Lilly provides answers - through medicines and information -
for some of the world's most urgent medical needs. Additional information about
Lilly is available at www.lilly.com.
About Harris Interactive
Harris Interactive (www.harrisinteractive.com) is a worldwide market research
and consulting firm best known for The Harris Poll(R) and for pioneering the
Internet method of conducting scientifically accurate market research.
Headquartered in Rochester, New York, U.S.A., Harris Interactive combines
proprietary methodologies and technology with expertise in predictive, custom
and strategic research. The company conducts international research through
wholly owned subsidiaries--London-based HI Europe (www.hieurope.com) and
Tokyo-based Harris Interactive Japan--as well as through the Harris Interactive
Global Network of local market- and opinion-research firms, and various U.S.
offices. EOE M/F/D/V
(1) American Psychiatric Association: Diagnostic and Statistical Manual of
Mental Disorders, fourth edition, text revision. Washington, DC,
American Psychiatric Association, 2000.
(2) American Psychiatric Association: Diagnostic and Statistical Manual of
Mental Disorders, fourth edition. Washington, DC, American Psychiatric
Association, 1994.
(3) American Psychiatric Association: DSM-IV-TR.2000.85-93 Schweitzer JB, et
al. Attention-deficit/hyperactivity disorder. Med Clin of North Am.
2001; 85(3):757-777
(4) Heiligenstein, et al. 1997 United States Census 2000. Census 2000
Summary File 1 (SF 1) 100-Percent Data
Eli Lilly and Company
Jennifer Gremmels, 317-655-8808
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