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Asian Indian American Parental Help-Seeking Intentions for ADHD

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Abstract

Minoritized ethnic groups experience both delay to treatment and low rate of treatment contact for attention deficit/hyperactivity disorder (ADHD). To date, Asian Indian Americans have been excluded completely from ADHD help-seeking research. To fill this void, the Theory of Planned Behavior (TPB) was used to investigate the influence of race/ethnicity on parents’ help-seeking intentions for their child’s elevated ADHD symptoms. Parents (n = 191, 53% Asian Indian American, 47% European American; 63.9% fathers) of treatment naïve children at high risk for ADHD completed an online survey to assess their recognition of ADHD, knowledge of ADHD etiology, attitudes towards ADHD treatment, subjective norms regarding ADHD treatment, perceived control over their ADHD help-seeking behavior, and intention to seek help for their child’s elevated ADHD symptoms. Hierarchical linear regressions demonstrated that perceived behavioral control independently predicted intention to seek help in the total sample and may be more impactful for European American parents than Asian Indian American parents. In contrast, subjective norms were more influential for help-seeking intentions among Asian Indian American parents. However, attitudes towards ADHD were not significantly associated with the intention to seek help among both ethnicities. Asian Indian American parents endorsed lower levels of biopsychosocial etiology beliefs. Together, the results inform possible methods of increasing treatment engagement for both groups of parents who have children at high risk for ADHD.

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The authors did not receive support from any organization for the submitted work.

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The study was conceptualized and designed by Nandini Jhawar under the supervision of Kevin Antshel. Material preparation, data collection and analyses were performed by Nandini Jhawar. The first draft of the manuscript was written by Nandini Jhawar, and both authors commented on previous versions of the manuscript. Both authors read and approved the final manuscript.

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Correspondence to Nandini Jhawar.

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The authors have no conflicts of interest or competing interests to declare.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This study was approved by the institutional review board at Syracuse University (#20–356).

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Informed consent was obtained from all individual participants included in the study.

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Jhawar, N., Antshel, K. Asian Indian American Parental Help-Seeking Intentions for ADHD. Res Child Adolesc Psychopathol 51, 1551–1563 (2023). https://doi.org/10.1007/s10802-023-01108-2

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  • DOI: https://doi.org/10.1007/s10802-023-01108-2

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