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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 />

Not reported<br />

Reference<br />

Barkley et al., 1990 39<br />

Co-existent problems<br />

Not reported<br />

Source<br />

AHRQ Report<br />

Educational performance<br />

Not reported<br />

Arm 1<br />

MPH<br />

0.3 mg/kg/dose; administered twice<br />

daily (a.m. <strong>and</strong> noon)<br />

(Individual administering medication<br />

not reported)<br />

Setting<br />

USA<br />

Psychological function<br />

Not reported<br />

Arm 2<br />

MPH<br />

0.5 mg/kg/dose; administered twice<br />

daily (a.m. <strong>and</strong> noon)<br />

(Individual administering medication<br />

not reported)<br />

Design<br />

Crossover trial<br />

Depression or anxiety<br />

Not reported<br />

Inclusion criteria<br />

1. IQ > 80 (Peabody Picture Vocabulary)<br />

2. Parental <strong>and</strong>/or teacher complaints <strong>of</strong> significant problems<br />

with inattention, overactivity <strong>and</strong> impulsivity<br />

3. Placement at <strong>the</strong> 93rd percentile on <strong>the</strong> hyperactivity scales<br />

using <strong>the</strong> Child Behaviour Checklist<br />

4. Appearance <strong>of</strong> symptoms before age 7 years<br />

5. Symptoms persisting for at least 12 months<br />

6. No gross sensory or motor disabilities, epilepsy, autism,<br />

psychosis, tic disorders or Tourette syndrome, or significant<br />

cardiac problems<br />

Diagnostic criteria<br />

See inclusion criteria<br />

Duration<br />

Treatment periods:<br />

7–10 days<br />

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

Not reported<br />

Adverse events<br />

Stimulant Drug Side Effects Questionnaire:<br />

17-item list<br />

Number<br />

Total r<strong>and</strong>omised = 83 (male = 71)<br />

Total withdrawals = 3<br />

Arm 3<br />

Placebo<br />

(Individual administering medication<br />

not reported)<br />

Additional outcomes<br />

Not reported<br />

Reasons for withdrawals:<br />

3 children were unable to complete <strong>the</strong> drug protocol owing to<br />

serious adverse reactions.<br />

Purpose<br />

To assess <strong>the</strong> frequency<br />

<strong>and</strong> severity <strong>of</strong> sideeffects<br />

associated with<br />

two <strong>the</strong>rapeutic doses<br />

<strong>of</strong> MPH in children with<br />

ADHD<br />

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

Age<br />

8.2 years (mean), 5–13 years (range), 2.2 years (SD)<br />

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

IQ<br />

105.1 (mean)<br />

Co-morbid disorders<br />

Not reported<br />

Diagnostic subtypes<br />

Not reported<br />

Additional information<br />

No relevant information reported<br />

213

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