Date of Conferral







Dr Tracy Masiello


Oppositional defiant disorder (ODD) occurs in up to 16% of U.S. children and is characterized by defiant, disobedient, disruptive, and antisocial behavior toward adults or authority figures that persists for more than 6 months, which can be burdensome for parents. The purpose of this phenomenological study was to explore how parents of a child newly diagnosed with ODD select the treatment for their child. Social cognitive theory and decision theory provided the theoretical framework. A demographic questionnaire and semistructured interviews were used to collect data from 6 parents about their decision-making process. Data were analyzed using the 7-step procedure outlined by Moustakas. Results indicated parents' decisions about treatment were predicated by seeking information about different treatment options, seeking advice from professionals and other parents of children with a diagnosis of ODD, insurance coverage, and rapidity of response to treatment. Parents indicated that support from other parents of children diagnosed with ODD was an essential component of any decision they made about treatment. Findings may encourage parents of children with ODD to educate themselves and consult with others about treatment options. Practitioners may also use the findings to guide parents in making informed choices for their children. Knowledge, treatment, and education can properly advise parents of children diagnosed with ODD regarding appropriate treatment options.