Akademik Veri Yönetim Sistemi
Journal of Child and Family Studies, 2025 (SSCI)
Agreement between adolescents and their parents in health-related evaluations, including ADHD, is often low, thereby highlighting the importance of multi-informant assessments. This study evaluated the level of agreement regarding community participation patterns (participation frequency, involvement level, desire for change) and environmental factors that impact participation as a barrier or support between parent–adolescent dyads with and without ADHD. The study included 127 adolescents with and without ADHD (12−17 years, 72.4% male, M = 14.05, SD = 1.80) and their parents (93% mothers). All the participants completed the Participation and Environment Measurement for Children and Youth questionnaire to document community participation patterns and environmental factors. Weighted kappa values determined agreement between the ratings of the adolescents and parents. Adolescents with ADHD and their parents showed fair to substantial agreement (κ = 0.31−0.73, p <.001) for participation frequency and involvement rate in nearly 50% of the community activities, whereas adolescents without ADHD and their parents had fair to almost perfect agreement (κ = 0.25−0.87, p <.001) for participation frequency and involvement rate in almost 90% of the community activities. Adolescent−parent conflict in dyads with ADHD was higher in relationships with peers (d = 0.69), programs and services (d = 0.62), and money (d = 0.48) than in dyads without ADHD. with medium effect sizes. These findings highlight differences in the perception of adolescent−parent dyads with and without ADHD in respect of participation frequency, involvement rate, desire for change, and environmental supportiveness and resources in community settings.