Cluster-randomized, controlled 12-month trial to evaluate the effect of a parental psychoeducation program on medication persistence in children with attention-deficit/hyperactivity disorder

Background: This multicenter, cluster-randomized, nonblinded study evaluated the effect of parental psychoeducation on medication persistence among children and adolescents with newly diagnosed attention-deficit/hyperactivity disorder (ADHD). Methods: Patients received standard medication alone or m...

ver descrição completa

Detalhes bibliográficos
Autores: Montoya, Alonso, Hervás, Amaia, Fuentes, Joaquín, Cardo, Esther, Polavieja, Pepa, Quintero Gutiérrez Del Álamo, Francisco Javier, Tannock, Rosemary
Formato: artículo
Fecha de publicación:2014
País:España
Recursos:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/97019
Acesso em linha:https://hdl.handle.net/20.500.14352/97019
Access Level:acceso abierto
Palavra-chave:616.831-053.2
adjunctive psychoeducation
attention-deficit/hyperactivity disorder
medication persistence
parents
psychoeducation
Ciencias Biomédicas
32 Ciencias Médicas
id ES_609484d234a2aba74bc06ae0d73848b3
oai_identifier_str oai:docta.ucm.es:20.500.14352/97019
network_acronym_str ES
network_name_str España
repository_id_str
spelling Cluster-randomized, controlled 12-month trial to evaluate the effect of a parental psychoeducation program on medication persistence in children with attention-deficit/hyperactivity disorderEnsayo controlado, aleatorizado por grupos, de 12 meses de duración para evaluar el efecto de un programa de psicoeducación parental sobre la persistencia de la medicación en niños con trastorno por déficit de atención e hiperactividadMontoya, AlonsoHervás, AmaiaFuentes, JoaquínCardo, EstherPolavieja, PepaQuintero Gutiérrez Del Álamo, Francisco JavierTannock, Rosemary616.831-053.2adjunctive psychoeducationattention-deficit/hyperactivity disordermedication persistenceparentspsychoeducationCiencias Biomédicas32 Ciencias MédicasBackground: This multicenter, cluster-randomized, nonblinded study evaluated the effect of parental psychoeducation on medication persistence among children and adolescents with newly diagnosed attention-deficit/hyperactivity disorder (ADHD). Methods: Patients received standard medication alone or medication plus a parental psychoeducation program, and were followed for 12 months. The primary endpoint was time to withdrawal or termination of medication due to any cause. Secondary endpoints included change in ADHD symptom severity, functional outcome, program satisfaction, and safety. Results: A total of 208 patients completed the study, which was terminated early because recruitment had ceased. At 12 months, there was no significant difference between the psychoeducation and control groups in the proportion of patients who discontinued pharmacologic treatment (13.2% versus 14.3%, respectively; size effect -0.3, P=0.34; hazard ratio 0.72, 95% confidence interval 0.36-1.43). Psychoeducation was associated with a significantly greater improvement in ADHD symptoms but not in functional outcome. Parental satisfaction with psychoeducation was high, and satisfaction with pharmacologic treatment was significantly greater in the psychoeducation group. There were no safety concerns. Conclusion: No significant advantage for parental psychoeducation plus medication over medication alone in terms of time to medication withdrawal was observed. Psychoeducation had inconsistent but interesting effects on other outcomes.Taylor & Francis GroupUniversidad Complutense de Madrid20142014-06-1320142014-06-13journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/97019reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/970192026-06-02T12:44:21Z
dc.title.none.fl_str_mv Cluster-randomized, controlled 12-month trial to evaluate the effect of a parental psychoeducation program on medication persistence in children with attention-deficit/hyperactivity disorder
Ensayo controlado, aleatorizado por grupos, de 12 meses de duración para evaluar el efecto de un programa de psicoeducación parental sobre la persistencia de la medicación en niños con trastorno por déficit de atención e hiperactividad
title Cluster-randomized, controlled 12-month trial to evaluate the effect of a parental psychoeducation program on medication persistence in children with attention-deficit/hyperactivity disorder
spellingShingle Cluster-randomized, controlled 12-month trial to evaluate the effect of a parental psychoeducation program on medication persistence in children with attention-deficit/hyperactivity disorder
Montoya, Alonso
616.831-053.2
adjunctive psychoeducation
attention-deficit/hyperactivity disorder
medication persistence
parents
psychoeducation
Ciencias Biomédicas
32 Ciencias Médicas
title_short Cluster-randomized, controlled 12-month trial to evaluate the effect of a parental psychoeducation program on medication persistence in children with attention-deficit/hyperactivity disorder
title_full Cluster-randomized, controlled 12-month trial to evaluate the effect of a parental psychoeducation program on medication persistence in children with attention-deficit/hyperactivity disorder
title_fullStr Cluster-randomized, controlled 12-month trial to evaluate the effect of a parental psychoeducation program on medication persistence in children with attention-deficit/hyperactivity disorder
title_full_unstemmed Cluster-randomized, controlled 12-month trial to evaluate the effect of a parental psychoeducation program on medication persistence in children with attention-deficit/hyperactivity disorder
title_sort Cluster-randomized, controlled 12-month trial to evaluate the effect of a parental psychoeducation program on medication persistence in children with attention-deficit/hyperactivity disorder
dc.creator.none.fl_str_mv Montoya, Alonso
Hervás, Amaia
Fuentes, Joaquín
Cardo, Esther
Polavieja, Pepa
Quintero Gutiérrez Del Álamo, Francisco Javier
Tannock, Rosemary
author Montoya, Alonso
author_facet Montoya, Alonso
Hervás, Amaia
Fuentes, Joaquín
Cardo, Esther
Polavieja, Pepa
Quintero Gutiérrez Del Álamo, Francisco Javier
Tannock, Rosemary
author_role author
author2 Hervás, Amaia
Fuentes, Joaquín
Cardo, Esther
Polavieja, Pepa
Quintero Gutiérrez Del Álamo, Francisco Javier
Tannock, Rosemary
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 616.831-053.2
adjunctive psychoeducation
attention-deficit/hyperactivity disorder
medication persistence
parents
psychoeducation
Ciencias Biomédicas
32 Ciencias Médicas
topic 616.831-053.2
adjunctive psychoeducation
attention-deficit/hyperactivity disorder
medication persistence
parents
psychoeducation
Ciencias Biomédicas
32 Ciencias Médicas
description Background: This multicenter, cluster-randomized, nonblinded study evaluated the effect of parental psychoeducation on medication persistence among children and adolescents with newly diagnosed attention-deficit/hyperactivity disorder (ADHD). Methods: Patients received standard medication alone or medication plus a parental psychoeducation program, and were followed for 12 months. The primary endpoint was time to withdrawal or termination of medication due to any cause. Secondary endpoints included change in ADHD symptom severity, functional outcome, program satisfaction, and safety. Results: A total of 208 patients completed the study, which was terminated early because recruitment had ceased. At 12 months, there was no significant difference between the psychoeducation and control groups in the proportion of patients who discontinued pharmacologic treatment (13.2% versus 14.3%, respectively; size effect -0.3, P=0.34; hazard ratio 0.72, 95% confidence interval 0.36-1.43). Psychoeducation was associated with a significantly greater improvement in ADHD symptoms but not in functional outcome. Parental satisfaction with psychoeducation was high, and satisfaction with pharmacologic treatment was significantly greater in the psychoeducation group. There were no safety concerns. Conclusion: No significant advantage for parental psychoeducation plus medication over medication alone in terms of time to medication withdrawal was observed. Psychoeducation had inconsistent but interesting effects on other outcomes.
publishDate 2014
dc.date.none.fl_str_mv 2014
2014-06-13
2014
2014-06-13
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/97019
url https://hdl.handle.net/20.500.14352/97019
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Taylor & Francis Group
publisher.none.fl_str_mv Taylor & Francis Group
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869409317151571969
score 15,300719

Registos relacionados