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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 />

CPRS: hyperactivity index<br />

ACTeRs: attention <strong>and</strong> hyperactivity<br />

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

(teachers)<br />

Teacher ratings: attention <strong>and</strong> impulsivity<br />

Inclusion criteria<br />

1. CTRS or CPRS score <strong>of</strong> at least 15<br />

Arm 1<br />

MPH plus attention control<br />

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

daily; mean dosage 20.08 mg/day<br />

(10–40 mg/day); 22 1-hour sessions<br />

[Administered by trainer (attention<br />

control)]<br />

Reference<br />

Brown et al., 1986 42<br />

Source<br />

AHRQ Report<br />

Setting<br />

USA<br />

Co-existent problems<br />

ACTeRS: oppositional <strong>and</strong> social skills<br />

Humphrey scale: self-control<br />

Diagnostic criteria<br />

DSM-III<br />

Number<br />

Total r<strong>and</strong>omised = 40 (male = 28/33)<br />

Arm 1 = 7<br />

Arm 2 = 10<br />

Arm 3 = 9<br />

Arm 4 = 7<br />

Arm 2<br />

Placebo plus cognitive <strong>the</strong>rapy<br />

22 1-hour sessions twice weekly on<br />

an individual basis<br />

[Administered by trainer (cognitive<br />

<strong>the</strong>rapy)]<br />

Design<br />

Parallel trial<br />

Educational performance<br />

WRAT: Reading, Arithmetic <strong>and</strong> Spelling<br />

Durell Analysis <strong>of</strong> Reading Difficulty: listening<br />

comprehension<br />

Total withdrawals = 7<br />

40 children began <strong>the</strong> study. Baseline characteristics <strong>and</strong> results<br />

are given only for <strong>the</strong> 33 who completed <strong>the</strong> study <strong>and</strong> for<br />

whom follow-up indicators are available<br />

Duration<br />

Treatment programme:<br />

3 months; follow-up:<br />

3 months after<br />

termination <strong>of</strong><br />

treatment programme<br />

Psychological function<br />

Weschler Intelligence Scale for Children –<br />

Revised: Freedom from Distractibility Factor<br />

(WISC-R, FFD)<br />

Matching Familiar Figures Test (MFFT)<br />

Children’s Checking Test (CCT)<br />

Detroit Tests <strong>of</strong> Learning Ability: three<br />

attention subtests 49,71,296<br />

Age<br />

9 years 1 month (mean); 5 years 8 months–13 years 1 month<br />

(range); 1 year 10 months (SD)<br />

Arm 3<br />

MPH plus cognitive <strong>the</strong>rapy<br />

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

daily; mean dosage 20.08 mg/day<br />

(10–40 mg/day); 22 1-hour sessions<br />

twice weekly on an individual basis<br />

[Administered by trainer (cognitive<br />

<strong>the</strong>rapy)]<br />

Purpose<br />

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

efficacy <strong>of</strong><br />

methylphenidate <strong>and</strong> an<br />

adjunctive cognitive<br />

behavioural<br />

management<br />

programme<br />

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

IQ<br />

96.73 (mean)<br />

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

Depression or anxiety<br />

Not reported<br />

Co-morbid disorders<br />

Conduct disorder: 16%<br />

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

Not reported<br />

Diagnostic subtypes<br />

ADD: 8 children; ADD-H: 25 children<br />

Arm 4<br />

Placebo plus attention control<br />

22 1-hour sessions<br />

[Administered by trainer (attention<br />

control)]<br />

Adverse events<br />

Not reported<br />

Additional information<br />

No relevant information reported<br />

Additional outcomes<br />

Not reported<br />

221

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