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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 />

CTRS: inattentiveness <strong>and</strong> hyperactivity<br />

Devereux Elementary School Behaviour<br />

Rating Scale<br />

Conners’ Abbreviated Rating Scale (parents)<br />

Devereux Child Behaviour Rating Scale<br />

(parents)<br />

Werry–Weiss–Peters Activity Scale<br />

Inclusion criteria<br />

1. 7–13 years old<br />

2. IQ 80<br />

3. Diagnosis <strong>of</strong> both ADDH <strong>and</strong> Developmental Reading<br />

Disorder according to DSM-III criteria<br />

4. No additional Axis I psychiatric diagnosis<br />

5. No uncorrected hearing or visual deficits<br />

Arm 1<br />

Placebo plus non-drug intervention<br />

Placebo administered once daily<br />

One-to-one reading <strong>the</strong>rapy<br />

programme during weeks 3–14 <strong>and</strong><br />

16–27: weekly with reading <strong>the</strong>rapist<br />

<strong>and</strong> 5 days/week at home with parent<br />

(Administered by parent)<br />

Reference<br />

Kupietz et al., 1988 71<br />

Source<br />

AHRQ Report<br />

Setting<br />

USA<br />

Design<br />

Parallel trial<br />

Co-existent problems<br />

CTRS: aggressiveness<br />

Educational performance<br />

Not reported<br />

Arm 2<br />

MPH plus non-drug intervention<br />

0.3 mg/kg/day administered in one<br />

dose for weeks 1–14 <strong>and</strong> 16–27;<br />

placebo during week 15. One-to-one<br />

reading <strong>the</strong>rapy programme during<br />

weeks 3–14 <strong>and</strong> 16–27: weekly with<br />

reading <strong>the</strong>rapist <strong>and</strong> 5 days/week at<br />

home with parent<br />

(Administered by parent)<br />

Duration<br />

Study length: 8 weeks;<br />

total treatment period:<br />

6 months<br />

Psychological function<br />

Paired-Associated Learning task<br />

Short-term Memory task<br />

Diagnostic criteria<br />

DSM-III<br />

Number<br />

Total r<strong>and</strong>omised = 58 (male/female split not reported)<br />

Arm 1 = 16<br />

Arm 2 = 19<br />

Arm 3 = 12<br />

Arm 4 = 11<br />

Depression or anxiety<br />

Not reported<br />

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

Not reported<br />

Total withdrawals = 11<br />

Arm 1 = 4<br />

Arm 2 = 5<br />

Arm 3 = 1<br />

Arm 4 = 1<br />

Age<br />

116.9 months (mean); 20.1 months (SD)<br />

Purpose<br />

To investigate <strong>the</strong><br />

effects <strong>of</strong> 6-month MPH<br />

treatment on home <strong>and</strong><br />

school behaviour <strong>and</strong><br />

on cognitive<br />

performance in<br />

hyperactive, readingdisabled<br />

children<br />

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

Adverse events<br />

Not reported<br />

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

Additional outcomes<br />

Plasma assay using gas chromatography<br />

IQ<br />

93.8 (mean)<br />

Co-morbid disorders<br />

All children received a dual diagnosis <strong>of</strong> ADDH <strong>and</strong><br />

Developmental Reading Disorder<br />

(Reading Grade Level: mean = 2.3, SD = 1.0)<br />

Arm 3<br />

MPH plus non-drug intervention<br />

0.5 mg/kg/day administered in one<br />

dose for weeks 1–14 <strong>and</strong> 16–27;<br />

placebo during week 15. One-to-one<br />

reading <strong>the</strong>rapy programme during<br />

weeks 3–14 <strong>and</strong> 16–27: weekly with<br />

reading <strong>the</strong>rapist <strong>and</strong> 5 days/week at<br />

home with parent<br />

(Administered by parent)<br />

Diagnostic subtypes<br />

Not reported<br />

Additional information<br />

No relevant information reported<br />

Arm 4<br />

MPH plus non-drug intervention<br />

0.7 mg/kg/day administered in one<br />

dose for weeks 1–14 <strong>and</strong> 16–27;<br />

placebo during week 15. One-to-one<br />

reading <strong>the</strong>rapy programme during<br />

weeks 3–14 <strong>and</strong> 16–27: weekly with<br />

reading <strong>the</strong>rapist <strong>and</strong> 5 days/week at<br />

home with parent<br />

(Administered by parent)<br />

295

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