Term of Award
Doctor of Public Health in Epidemiology (Dr.P.H.)
Document Type and Release Option
Dissertation (open access)
Copyright Statement / License for Reuse
This work is licensed under a Creative Commons Attribution 4.0 License.
Department of Biostatistics, Epidemiology, and Environmental Health Sciences
Committee Member 1
Committee Member 2
Studies have shown that family social routines improve behavioral outcomes and sleep quality among children and adolescents. Few studies have delved into how family social routines can reduce the risks of Attention Deficit Hyperactivity Disorder (ADHD) and improve sleep duration among children diagnosed with ADHD. This study intends to examine the relationship between the frequency of family social routines, ADHD, ADHD severity, parent-reported ADHD medication use, parent-reported ADHD behavioral treatment, parent-reported frequency of physical activities, and the recommended age-appropriate sleep duration. To contrive feasible, practicable, and cost-efficient interventions that affected families can implement to reduce the burden of ADHD to them and society at large. This study used combined data from the 2016 and 2017 National Survey of Children's Health (NSCH). This is a cross-sectional study that collected health information on children from age 0-17 years. Data from 61339 children with a history of ADHD, parent-rated ADHD severity, parent-reported frequency of social routines, parent-reported sleep duration, parent-reported ADHD medication use, parent-reported ADHD behavioral treatment, and parent-reported frequency of physical activities were used for analysis. Statistical analysis was done using regression analysis. There is no association between the frequency of family social routines (read to and singing /lullaby/storytelling) and ADHD or ADHD severity, except for a strong association between the frequency of family mealtime and ADHD (adjusted OR 1.25, 95% CI (1.06 – 1.49). However, there was no significant association between the frequency of family mealtime and ADHD severity (adjusted OR 1.23, 95% CI (0.93 – 1.63). All family social routines were associated with sleep duration, albeit ADHD severity, did not modify these associations. There was an association between the frequency of physical activity and ADHD across all levels of physical activities (adjusted OR (4-6 days) 0.85, 95% CI (0.74–0.98). However, ADHD severity did not modify these associations. Family social routines and physical activities, when adopted at the appropriate doses of at least 4-6 days a week, could be an inexpensive alternative to ADHD medication for alleviating sleep problems among children and adolescents with ADHD.
Adedokun, Adeyemi, "Sleep Duration in Children with ADHD: Role of Family Social Routines among Children and Adolescents 3–17-year-olds in the United States." (2020). Electronic Theses and Dissertations. 2196.
Research Data and Supplementary Material
Available for download on Friday, November 20, 2026
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