Limitations
ADHD
Current findings must be considered in light of the following. This study represents initial implementation efforts and screening completion and rates of identifying multiplex ADHD families may vary with additional implementation supports and inclusion of a larger sample. Although the involvement of the stakeholder group provided the opportunity to gather perspectives of individuals occupying diverse roles within the pediatric primary care system, the group format precluded us from more in-depth interviews with individuals to fully understand their varying perspectives. Further, having a combined advisory group may have inadvertently created power differentials and impacted participants’ comfort level with sharing within the larger group. The stakeholder group was also limited in its sample representation (e.g., only two to three individuals from each representative category, members were not randomly selected, which limits the racial/ethnic and gender diversity of members), which may limit the generalizability of qualitative themes.