Community-based approach boosts family engagement in ADHD care
Peer-Reviewed Publication
Updates every hour. Last Updated: 19-Aug-2025 04:10 ET (19-Aug-2025 08:10 GMT/UTC)
Much previous work in the social sciences has involved researchers – often but not always from the Global North – collecting data from rural communities in the Global South on a wide range of topics from public health to education, agriculture and climate change. Such ‘helicopter’ research is not good practice as it often involves an asymmetry of power and knowledge that invariably disadvantages local communities. So how can research be made more equitable? This is the topic of an analysis undertaken by Jasper Knight from the Wits School of Geography, Archaeology and Environmental Studies, who is also chair of the University’s Non-Medical Ethics Committee, in a new research study published in the International Journal of Qualitative Methods.
This study examines how catastrophic health expenditure (CHE) affects health-related quality of life (HRQoL) in patients with chronic diseases, highlighting the moderating role of family doctor contract services. It finds that patients experiencing CHE had significantly lower HRQoL scores compared to those without, but family doctor services helped mitigate these negative effects. Older age, multiple chronic conditions, and higher healthcare utilization were linked to poorer HRQoL, while higher education and stable employment offered protective benefits. The study suggests that expanding family doctor services for chronic disease patients can help break the "poverty-disease" cycle and improve overall health outcomes.