Attention Deficit Hyperactivity Disorder Clinical Trial
Official title:
The Effects of Long-acting Methylphenidate on Academic Activity and Related Constructs in Children With ADHD: A Randomised Placebo Controlled Trial
This study aims at investigating the direct effects of methylphenidate on school performance of primary school children. Although behavioral effects of this frequently prescribed drug are thoroughly studied (and confirmed), the effects of methylphenidate on school performance are less clear. Recent overviews indicate that effects are mainly quantitative and subject-specific. To gain more insight in this issue, the current double blind placebo controlled crossover study investigates not only the effects of methylphenidate on school performance but also it's effect on related variables such as short term memory, motivation and behavior. 60 children with ADHD are included and tested twice (with medication and with placebo) at their primary school.
Rationale: ADHD (attention deficit hyperactivity disorder) is a common childhood
developmental disorder. Besides the behavioural symptoms of ADHD, many children with ADHD
experience problems with academic activities. More specifically, these children show
problems with math, spelling and reading. The most common treatment for ADHD is medical
treatment with methylphenidate (MPH). This treatment is effective in the reduction of ADHD
symptoms. However, it is unclear whether treatment with MPH can also improve academic
activity. If MPH improves academic activity, it is of great interest to understand which
variables influence or mediate this effect. The results from this study can give more
insight in the working mechanisms and effectiveness of MPH in reducing the academic problems
commonly observed in children with ADHD.
Objectives: The main objective of this study is to assess the impact of MPH on academic
activity and to estimate the role of three putative mediators in this relation.
Study design and population: This study is a randomised, double-blind, placebo-controlled
cross-over design with a patient group and a control group. Main study parameters/endpoints:
The main study parameters are changes in academic activity (ability, effort and engagement).
In addition, changes in putative mediators are assessed.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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