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In conclusion, adolescents on long-term medication reported good adherence, mainly influenced by more beliefs in the necessity versus concerns of the medications, less experienced side effects and more perceived consequences of ADHD.

To our knowledge, MARS has not been used to study adherence in ADHD.

This is unfortunate, because MARS may contribute to existing knowledge by specifically exploring intentional and unintentional non-adherence [].

Varying definitions and methodological heterogeneity are responsible for the wide range of outcomes on adherence to ADHD medications.

Adherence investigators have used database information on refill intervals or pill counts, patient/care-giver surveys and semi-structured interviews, but there are few studies based on serum concentration measurements [].

Participants were recruited from two child and adolescent psychiatric clinics (CAP) in Sweden between March 2014 and June 2015.