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APPENDICES. A systematic review and economic model of the ...

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Study Intervention Participants Outcomes<br />

Core symptoms<br />

Abbreviated Conners’ Questionnaire (parents,<br />

teachers)<br />

Loney <strong>and</strong> Milich’s Inattention/Overactivity<br />

<strong>and</strong> Aggression (non-compliance) scales<br />

(parents, teachers)<br />

Reference<br />

Klorman et al.,<br />

1987 66,304<br />

Source<br />

AHRQ Report<br />

Co-existent problems<br />

Not reported<br />

Inclusion criteria<br />

1. 2 SDs above mean on Abbreviated Conners’ Hyperactivity<br />

Questionnaire<br />

2. 2 SDs above mean on Home Activity Scale<br />

3. No evidence <strong>of</strong> organic brain disorder, psychosis or<br />

uncorrected sensory impairment<br />

4. IQ score =74 on WAIS-R or WISC-R<br />

5. No MPH treatment for 2 weeks or MPH/thioridazine<br />

treatment for 4 weeks preceding trial<br />

Arm 1<br />

MPH<br />

Week 1: 10 mg at breakfast <strong>and</strong><br />

lunch; 5 mg at 4 p.m.<br />

Weeks 2 <strong>and</strong> 3: 15 mg at breakfast<br />

<strong>and</strong> lunch; 10 mg at 4 p.m.<br />

(Individual administering medication<br />

not reported)<br />

Setting<br />

USA<br />

Educational performance<br />

Not reported<br />

Arm 2<br />

Placebo (PLA)<br />

Lactose capsules administered 3 times<br />

daily (breakfast, lunch, 4 p.m.)<br />

(Individual administering medication<br />

not reported)<br />

Design<br />

Crossover trial<br />

Psychological function<br />

Not reported<br />

Diagnostic criteria<br />

See inclusion criteria<br />

Number<br />

Total r<strong>and</strong>omised = 19 (male = 16)<br />

Arm 1 = 19<br />

Arm 2 = 19<br />

Duration<br />

Total treatment period:<br />

6 weeks (3 weeks per<br />

treatment arm)<br />

Depression or anxiety<br />

Mood ratings: dysphoria, euphoria, anxiety,<br />

differentness<br />

No withdrawals reported<br />

Quality <strong>of</strong> life<br />

Loney <strong>and</strong> Ordona Scale: response (patients,<br />

parents)<br />

Age<br />

14.80 years (mean); 1.91 years (SD); 12–19 years (range)<br />

Purpose<br />

To determine whe<strong>the</strong>r<br />

MPH has a similar<br />

beneficial impact on<br />

ADD adolescents as<br />

previously found for<br />

prepubertal ADD<br />

patients<br />

© Queen’s Printer <strong>and</strong> Controller <strong>of</strong> HMSO 2006. All rights reserved.<br />

Adverse events<br />

STESS (based on interviews with parent <strong>and</strong><br />

patient)<br />

IQ<br />

100.58 (mean)<br />

Health Technology Assessment 2006; Vol. 10: No. 23<br />

Co-morbid disorders<br />

Not reported<br />

Additional outcomes<br />

EKG recordings<br />

Diagnostic subtypes<br />

Not reported<br />

Additional information<br />

Previous medication:<br />

13/19 had been treated with MPH, sometimes supplemented<br />

with thioridazine. 5/19 had never received medication. 1/19 had<br />

previously received PEM<br />

Participants were required not to receive MPH for 2 weeks or<br />

combined MPH/thiroridazine treatment for 4 weeks preceding<br />

<strong>the</strong> trial<br />

283

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