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

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326<br />

Appendix 12<br />

Core symptoms Educational performance Quality <strong>of</strong> life Adverse events<br />

[Confidential information removed]<br />

Conclusions Authors’ conclusions: [Confidential information removed]<br />

Reviewer’s comments: [Confidential information removed]<br />

Study Intervention Participants Outcomes<br />

Core symptoms<br />

Abbreviated CTRS: total score<br />

On-task behaviour<br />

Reference<br />

Rapport et al., 1989 85<br />

Co-existent problems<br />

Not reported<br />

Arm 1<br />

MPH<br />

5 mg (range: 0.14–0.22 mg/kg); once<br />

daily (breakfast)<br />

(Individual administering medication<br />

not reported)<br />

Source<br />

CCOHTA Report<br />

Educational performance<br />

Academic efficiency score<br />

Inclusion criteria<br />

1. ADHD using DSM-III-R criteria<br />

2. Maternal report <strong>of</strong> a developmental history consistent with ADHD<br />

3. 2 SD above mean on <strong>the</strong> Werry–Weiss–Peters Activity Scale (maternal<br />

rating)<br />

4. ACTRS > 15 (teacher rating)<br />

5. No gross neurological, sensory or motor impairment<br />

6. No current medication<br />

Setting<br />

USA<br />

Psychological function<br />

Not reported<br />

Arm 2<br />

MPH<br />

10 mg (range: 0.28–0.44 mg/kg); once<br />

daily (breakfast)<br />

(Individual administering medication<br />

not reported)<br />

Design<br />

Crossover trial<br />

Diagnostic criteria<br />

DSM-III-R<br />

Depression or anxiety<br />

Not reported<br />

Number<br />

Total r<strong>and</strong>omised = 45 (male = 45)<br />

No withdrawals reported<br />

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

Not reported<br />

Age<br />

7.8 years (mean); 5–15 years (range), 1.5 years (SD)<br />

Adverse events<br />

Not reported<br />

IQ<br />

100 (mean)<br />

Arm 3<br />

MPH<br />

15 mg (range: 0.42–0.66 mg/kg); once<br />

daily (breakfast)<br />

(Individual administering medication<br />

not reported)<br />

Additional outcomes<br />

Not reported<br />

Co-morbid disorders<br />

Not reported<br />

Duration<br />

Treatment periods: 6<br />

consecutive days;<br />

washout period: 1 day<br />

Purpose<br />

To examine directly <strong>the</strong><br />

dose–response<br />

relationship between<br />

MPH <strong>and</strong> gross body<br />

weight in a large sample<br />

<strong>of</strong> children with ADHD<br />

Diagnostic subtypes<br />

Not reported<br />

Arm 4<br />

MPH<br />

20 mg (range: 0.56–0.88 mg/kg); once<br />

daily (breakfast)<br />

(Individual administering medication<br />

not reported)<br />

Additional information<br />

R<strong>and</strong>omisation method:<br />

Three groups <strong>of</strong> 15 children were each r<strong>and</strong>omised: low-weight group<br />

(22–26 kg), mid-weight group (27–31 kg), high-weight group (32–36 kg)<br />

Concurrent medication:<br />

Participants were required not to be receiving concurrent medication

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