Download or read book Future Research Needs for Attention Deficit Hyperactivity Disorder Effectiveness of Treatment in At risk Preschoolers Long term Effectiveness in All Ages and Variability in Prevalence Diagnosis and Treatment written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2013-04-04 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Future Research Needs (FRN) report is based on a draft Agency for Healthcare Research and Quality (AHRQ) comparative effectiveness review, “Attention Deficit Hyperactivity Disorder: Effectiveness of Treatment in At-risk Preschoolers; Long-Term Effectiveness in All Ages; and Variability in Prevalence, Diagnosis, and Treatment.” The Key Questions (KQs) were: KQ 1: Among children less than 6 years of age with Attention Deficit Hyperactivity Disorder or Disruptive Behavior Disorder, what are the effectiveness and adverse event outcomes following treatment? KQ 2: Among people ages 6 years or older with Attention Deficit Hyperactivity Disorder, what are the effectiveness and adverse event outcomes following 12 months or more of any combination of followup or treatment, including, but not limited to, 12 months or more of continuous treatment? KQ 3: How do (a) underlying prevalence of ADHD, and (b) rates of diagnosis (clinical identification) and treatment for ADHD vary by geography, time period, provider type, and sociodemographic characteristics? Findings in the draft review for KQ 1 supported the use of parent behavior training in preschoolers both for oppositional behaviors and for ADHD symptoms, with no adverse events reported. For preschoolers, psychostimulant medications are also generally safe and efficacious for improving behavior and can provide benefits in addition to parent training. However, adverse events, especially irritability and moodiness, can lead to discontinuation, and use for several months to a year slightly affects growth rate. For KQ 2, long-term effectiveness and safety studies of several psychostimulants in children over the age of 6 years and adolescents found they are efficacious for control of inattention and overactivity for extended periods of time. Few serious adverse events were noted. Publications from the Multimodal Treatment Study of Children with Attention Deficit Hyperactivity Disorder (MTA) study provide the best data for long-term outcomes. By 3 years, no single intervention group showed superior benefit, which is likely because of individuals obtaining a complex range of interventions in the community. The findings for KQ 3 included results from a systematic review and meta-regression that estimated the prevalence of ADHD among those ages 18 or younger at 5.29 percent, with more boys than girls identified and the highest rates of disorder occurring in 5- to 10-year-olds. Primary sources of variability were identified as methodological rather than geographic. Fewer studies are available that document prevalence in adult, adolescent, or preschool age groups. In this project, we worked with a group of stakeholders to refine 29 identified research gaps and transform them into eight highest-priority research needs in the field of ADHD. These highest-level needs included a broad range of issues cutting across age range (above and below 6 years of age), key clinical issues, and epidemiological and measurement concerns. Within this group of eight, clear themes emerged: the need for improved measurement tools, more generalizable study populations and settings, longer follow-up periods, more understanding of patient-level predictors of response, and more comparative evaluation of psychopharmacologic, psychosocial, and combination interventions across age ranges. PICOTS construction aided our consideration of study design issues and our sample power analyses demonstrated the clear pragmatic barriers that many of the potential designs will present. Advanced secondary data analysis methods may allow some of these complex questions to be addressed in a more cost effective manner but will not be able to fully replace the need for new large, long-term trials to evaluate these complex research needs in ADHD.
Download or read book Future Research Needs for Attention Deficit Hyperactivity Disorder written by U.S. Department of Health and Human Services and published by CreateSpace. This book was released on 2014-10-31 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report is based on research conducted by the RTI-UNC Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290 2007 10056 I). The findings and conclusions in this document are those of the author(s), who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Download or read book Future Research Needs for Attention Deficit Hyperactivity Disorder written by and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Future Research Needs for Attention Deficit Hyperactivity Disorder Effectiveness of Treatment in At Risk Preschoolers Long Term Effectiveness in All Ages and Variability in Prevalence Diagnosis written by and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Future Research Needs for Attention Deficit Hyperactivity Disorder written by Bradley N. Gaynes and published by . This book was released on 2012 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this Future Research Needs project is to work with a diverse group of stakeholders to: (1) identify the persisting evidence gaps that impede decisionmaking for clinicians, researchers, policymakers, and consumers, and (2) prioritize the stakeholders' research needs related to the prevalence, diagnosis, and treatment of Attention Deficit Hyperactivity Disorder (ADHD) in children and adults.
Download or read book Attention Deficit Hyperactivity Disorder written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2013-04-06 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: Children with attention deficit hyperactivity disorder (ADHD), a condition characterized by inattention, overactivity, and impulsivity, are most frequently identified and treated in primary school. Population studies indicate that 5 percent of children worldwide show impaired levels of attention and hyperactivity. Boys are classified with ADHD approximately twice as frequently as girls, and primary school-age children approximately twice as frequently as adolescents. ADHD symptoms exist on a continuum in the general population and are considered a “disorder” to a greater or lesser degree, depending on the source of identification (e.g., parent or teacher), extent of functional impairment, diagnostic criteria, and the threshold chosen for defining a “case.” The developmentally excessive levels of inattention, overactivity, and impulsivity characteristic of ADHD are present from an early age. However, preschoolers with early signs of ADHD may also have co-occurring oppositional noncompliant behaviors, temper tantrums, and aggression that overshadow symptoms of inattention and overactivity and confound the diagnosis. These behaviors may be given the more general label of disruptive behavior disorder (DBD), which includes oppositional defiant disorder (ODD) and conduct disorder (CD), as well as ADHD. If not already identified at an early age, preschool youngsters with ODD frequently meet criteria for ADHD by grade school. The purpose of this review is to (1) critically examine the effectiveness and adverse events of interventions in preschool children with clinically significant disruptive behavior and therefore at high risk for ADHD; (2) critically examine the comparative long-term effectiveness and adverse events of interventions for ADHD (pharmacological, psychosocial, or behavioral, and the combination of pharmacological and psychosocial or behavioral interventions); and (3) summarize what is known about patterns of identification and treatment for the condition. Factors to be examined include geography, sociodemographics, temporal aspects, and provider background. This systematic appraisal also identifies gaps in the existing literature that will inform directions for future research. The Key Questions (KQs) are as follows. KQ1. Among children younger than 6 years of age with ADHD or DBD, what are the effectiveness and adverse event outcomes following treatment? KQ2. Among people 6 years of age or older with ADHD, what are the effectiveness and adverse event outcomes following 12 months or more of any combination of followup or treatment, including, but not limited to, 12 months or more of continuous treatment? KQ3. How do (a) underlying prevalence of ADHD and (b) rates of diagnosis (clinical identification) and treatment for ADHD vary by geography, time period, provider type, and sociodemographic characteristics?
Download or read book Attention Deficit Hyperactivity Disorder written by Alice Charach and published by . This book was released on 2011-10-27 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this review is to (1) critically examine the effectiveness and adverse events of interventions in preschool children with clinically significant disruptive behavior and therefore at high risk for ADHD; (2) critically examine the comparative long-term effectiveness and adverse events of interventions for ADHD (pharmacological, psychosocial, or behavioral, and the combination of pharmacological and psychosocial or behavioral interventions); and (3) summarize what is known about patterns of identification and treatment for the condition. Factors examined include geography, sociodemographics, temporal aspects, and provider background. This systematic appraisal also identifies gaps in the existing literature that will inform directions for future research. The Key Questions are as follows: (1) Among children younger than 6 years of age with ADHD or DBD, what are the effectiveness and adverse event outcomes following treatment?; (2) Among people 6 years of age or older with ADHD, what are the effectiveness and adverse event outcomes following 12 months or more of any combination of followup or treatment, including, but not limited to, 12 months or more of continuous treatment?; (3) How do (a) underlying prevalence of ADHD and (b) rates of diagnosis (clinical identification) and treatment for ADHD vary by geography, time period, provider type, and sociodemographic characteristics? Tables. This is a print on demand report.
Download or read book Attention Deficit Hyperactivity Disorder written by and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: OBJECTIVES: (1) Compare effectiveness and adverse events of interventions (pharmacological, psychosocial, or behavioral, and the combination of pharmacological and psychosocial or behavioral interventions) for preschoolers at high risk for attention deficit hyperactivity disorder (ADHD); (2) compare long-term effectiveness and adverse events of interventions for ADHD among persons of all ages; and (3) describe how identification and treatment for ADHD vary by geography, time period, provider type, and sociodemographic characteristics, compared with endemic prevalence. DATA SOURCES: MEDLINE(r), Cochrane CENTRAL, EMBASE, PsycInfo, and ERIC (Education Resources Information Center) were searched from 1980 to May 31, 2010. Reference lists of included studies and gray literature were searched manually. REVIEW METHODS: Reviewers applied preset criteria to screen all citations. Decisions required agreement between two independent reviewers, with disagreements regarding inclusion or exclusion resolved by a third. The Effective Public Health Practice Project (EPHPP) process was used to evaluate internal validity of publications regarding interventions for preschoolers at high risk of ADHD and long-term outcomes following interventions for ADHD in persons of all ages. Overall strength of the evidence (SOE) was assessed using the GRADE approach, accounting for risk of bias and study design, consistency of results, directness of evidence, and degree of certainty regarding outcomes of interest. RESULTS: Of included studies, only a subset could be pooled statistically using meta-analytic techniques. For the first objective, we rated as "good" quality eight studies of parent behavior training (PBT) with 424 participants. These demonstrated high SOE for improving child behavior (standardized mean difference [SMD] = 0.68; 95-percent confidence interval [CI], 0.88 to 0.47). A single "good" quality study of methylphenidate (MPH) with 114 preschool children provided low SOE for improving child behavior (SMD = -0.83; 95-percent CI, -1.21 to -0.44). Adverse effects were present for preschool children treated with MPH; adverse effects were not mentioned for PBT. For the second objective, the majority of studies were open extension trials without continuation of untreated comparison groups. Evidence from the single "good" quality study of MPH demonstrated low SOE for reduction of symptoms, with SMD = 0.54 (95-percent CI, 0.79 to 0.29). Evidence from the single "good" quality study of atomoxetine demonstrated low SOE for reduction of symptoms, with SMD = 0.40 (95-percent CI, 0.61 to 0.18). Evidence from the single "good" quality study of combined psychostimulant medication with behavioral/psychosocial interventions provided low SOE, with SMD = 0.70 (95-percent CI, 0.95 to 0.46). Safety reports for pharmacological interventions derived from observational studies on uncontrolled extensions of clinical trials, as well as from administrative databases, provided inconclusive evidence for growth, cerebrovascular, and cardiac adverse effects. Evidence that psychostimulant use in childhood improves long-term outcomes was inconclusive. For the third objective, a discussion of contextual issues and factors relating to underlying prevalence and rates of diagnosis and treatment was included. Population-based data were relatively scarce and lacked uniform methods and settings, which interfered with interpretation. The available evidence suggested that underlying prevalence of ADHD varies less than rates of diagnosis and treatment. Patterns of diagnosis and treatment appeared to be associated with such factors as locale, time period, and patient or provider characteristics. CONCLUSIONS: The SOE for PBT as the first-line intervention for improved behavior among preschoolers at risk for ADHD was high, while the SOE for methylphenidate for improved behavior among preschoolers was low. Evidence regarding long-term outcomes following interventions for ADHD was sparse among persons of all ages, and therefore inconclusive, with one exception. Primary school-age children, mostly boys with ADHD combined type, showed improvements in symptomatic behavior maintained for 12 to 14 months using pharmacological agents, specifically methylphenidate medication management or atomoxetine. Other subgroups, interventions, and long-term outcomes were under-researched. Evidence regarding large-scale patterns of diagnosis and treatment compared with endemic rates of disorder was inconclusive.
Download or read book Attention Deficit Hyperactivity Disorder written by and published by . This book was released on with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Guidance on Strategies to Promote Best Practice in Antipsychotic Prescribing for Children and Adolescents written by U.S. Department of Health and Human Services and published by Lulu.com. This book was released on 2019-11-19 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: The safe and effective use of antipsychotic medications for children and adolescents [hereafter youth] in the United States is a critical issue in mental and substance use treatment. Antipsychotic medication use is substantially higher for youth in the United States when compared to rates of use among youth in most other developed countries. In response to the emergence of safety concerns in pediatric antipsychotic medication use, Federal, State, and public
Download or read book ADHD in Preschool Children written by Jaswinder Ghuman and published by Oxford University Press. This book was released on 2014 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Attention Deficit Hyperactivity Disorder (ADHD) is one of the most frequently diagnosed psychiatric disorders in children and adolescents. This book focuses on preschool-age children and provides the most comprehensive and up-to-date information regarding assessment including diagnostic interview, neuropsychological testing, comorbidity and differential diagnosis, sleep problems, and treatment interventions including psychosocial, pharmacological and complementary and alternative treatments.
Download or read book ADHD Rating Scale 5 for Children and Adolescents written by George J. DuPaul and published by Guilford Publications. This book was released on 2016-02-15 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preceded by ADHD rating scale-IV / George J. DuPaul ... [et al.]. 1998.
Download or read book Attention Deficit Hyperactivity Disorder in Children and Adolescents written by Somnath Banerjee and published by BoD – Books on Demand. This book was released on 2013-06-27 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: ADHD in children and adolescents is a neurodevelopmental disorder, which is recognized by the clinicians all over the world. ADHD is a clinical diagnosis based on reliable history, reports from home and school and a physical examination to rule out any other underlying medical conditions. ADHD can cause low self-esteem in the child and impair quality of life for the child and the family. It is known that ADHD is a chronic illness and that clinicians needed to use chronic illness principles in treating it. The last 10 years have seen an increase in the number of medications that have been approved for the treatment of ADHD. This book has tried to address some of the issues in ADHD.
Download or read book Essential Evidence Based Psychopharmacology written by Dan Stein and published by Cambridge University Press. This book was released on 2012-07-05 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume presents up-to-date, comprehensive and high quality reviews of the psychopharmacological evidence-base for each of the major psychiatric disorders, written by expert psychopharmacologists from around the world. Building on the success of the first edition, the volume summarizes the wealth of new developments in the field and sets them within the context of day-to-day clinical practice. All chapters have been fully updated and new contributions on personality disorders and substance dependence added. Each chapter provides information about optimal first line pharmacological interventions, maintenance pharmacotherapy and the management of treatment-refractory patients. The content is organized according to the DSM-V listing of psychiatric disorders, and covers all major conditions including schizophrenia, mood disorders, anxiety disorders, eating disorders and Alzheimer's disorder. These issues lie at the heart of clinical psychopharmacology, making this book invaluable to all practising and trainee clinicians, in a mental health setting or a less specialised environment.
Download or read book Attention Deficit Hyperactivity Disorder written by Lily Trokenberg Hechtman and published by Oxford University Press. This book was released on 2017 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensive description of adult outcome in educational, occupational, emotional, social, substance use, legal, antisocial functioning is described via the best well-controlled prospective follow-up studies of children with ADHD into adulthood. Predictors of outcome, e.g., medication and psychosocial treatment, IQ, severity of ADHD, comorbidity, SES, parental pathology and family functioning are all explored. Prognosis and issues that need to be addressed to promote more positive outcome are thus addressed.
Download or read book Organizational Skills Training for Children with ADHD written by Richard Gallagher and published by Guilford Publications. This book was released on 2014-03-19 with total page 426 pages. Available in PDF, EPUB and Kindle. Book excerpt: This indispensable manual presents an easy-to-implement intervention with proven effectiveness for children with ADHD in grades 3 to 5. Organizational skills training helps kids develop essential skill sets for organizing school materials, tracking assignments, and completing homework and other tasks successfully. Clinicians are provided with detailed session-by-session instructions and all of the tools needed to implement the program in collaboration with parents and teachers. In a large-size format for easy photocopying, the book includes nearly 100 reproducible handouts and forms. Purchasers also get access to a Web page where they can download and print the reproducible materials. See also the related parent guide from Gallagher et al., The Organized Child: An Effective Program to Maximize Your Kid's Potential/m-/in School and in Life.
Download or read book Young Children with ADHD written by George J. DuPaul and published by American Psychological Association (APA). This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the first book to describe empirically-supported early intervention with children aged 2-5 years who have or are at risk for ADHD, the authors present a three-tiered model for prevention and intervention that can be implemented at home or in preschool settings. This promising model can be adjusted to the degree of difficulty the child is experiencing and consists of universal intervention strategies, small group skills instruction, and assessment-based behavioral interventions. Lively case examples drawn from the authors' clinical experience illustrate common challenges of implementation. The authors also describe how to foster children's early academic skills and promote their physical safety.
