Abena A. Adjei

Objective: To describe the questions youth with attention-deficit hyperactivity disorder (ADHD) checked on a question prompt list and evaluate the extent to which youth asked these questions during medical visits. Methods: English-speaking adolescents (N = 102) aged 11 to 17 years with ADHD were enrolled from 2 pediatric primary care clinics in North Carolina; this work focuses on the 52 adolescents in the intervention group. Adolescents who received the intervention watched an educational video and completed a prompt list before visits. Medical visits were recorded, transcribed, and coded for questions asked during visits. The questions adolescents checked on the prompt list were compared with the questions they asked during visits. Results: Adolescents checked an average of 5.6 questions on the prompt list. Forty percent of adolescents who checked a question asked at least 1 question they checked during visits. The most common questions adolescents checked and asked about ADHD were, “Should I reduce my screen time to help with ADHD?” (50.0%) and “Will I grow out of ADHD?” (34.4%). The most common questions adolescents checked and asked about ADHD treatment were, “Should I take my ADHD medicine before I play sports?” (33.3%), “Should I take my ADHD medicine while I am at school?” (28.6%), and “Would talking to a counselor help my ADHD?” (28.6%). Conclusion: Adolescents with ADHD have many questions about ADHD; however, about 60% (n = 31) did not ask any of the questions they checked on the prompt list. Future research should examine how to encourage youth who receive a question prompt list intervention to ask questions during visits.