Examining the Relationship Between Family-centered Care and Family Resilience in Families of Children and Adolescents With Attention-Deficit Hyperactivity Disorder

Objectives: Attention-deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder with multilevel risk and prognostic factors. Family resilience (FR) has a positive impact on youth ADHD prognosis. Research suggests health care interventions can enhance FR. Family-centered care (FCC), a component of the Medical Home Model often missed in families of youth with ADHD, is 1 possible health care intervention. This secondary analysis examined the relationship between FCC and FR in families of youth with ADHD in the United States. Methods: The 2018 National Survey of Children's Health data on families of 6- to 17-year-olds with ADHD were analyzed. A cumulative logistic regression analysis was conducted to model the relationship between FCC and FR as defined by the Family Resilience and Connection Index (FRCI) in families of 6- to 17-year-olds with ADHD. Results: There is a significant association between FCC and FRCI. Although only 13.31% of families of 6- to 17 year-olds with ADHD had an FRCI of 6, the highest measure of FR in this study, families who reported receiving FCC were more likely to have an FRCI 6 when compared with similar families that did not report receiving FCC. Conclusion: Results suggest a positive association between FCC and FRCI in families of youth with ADHD in the United States, supporting FCC as an important health care factor in youth ADHD prognosis and management. Future research may consider measuring the impact of FCC on FRCI in families of youth with ADHD and/or implementation of FCC within youth ADHD health care management.