Personalising ADHD Medication Treatment for Children and Young People

ConditionADHD
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age6-17
SponsorUniversity of Southampton

About this trial

Attention deficit hyperactivity disorder (ADHD) is a common condition that affects children's behaviour, attention and activity levels. Medicines can be an effective treatment for ADHD, but it is often difficult to know which medicine will work best for a particular child. As a result, some children may need to try several medicines before finding one that is effective and well tolerated. This study aims to test a new online decision-support system called PETRA. The system is designed to help children, parents or carers, and doctors make shared decisions about ADHD medication. The study will assess whether it is practical and acceptable to run a larger clinical trial comparing this personalised approach with standard care.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged 6-17 years

With a clinical diagnosis of ADHD by a clinical team (using either DSM-5-TR or ICD-11 criteria)

On the waiting list for the pharmacological treatment of ADHD

Parental responsibility

Disqualifiers

Based on the clinical judgement of the prescribing clinician, any current condition that would be a contraindication for ADHD medication, including abnormal cardiovascular examination (i.e., BP>95th percentile (for stimulants) and low blood pressure for guanfacine/clonidine as well as tachycardia ) or any conditions that should be treated before starting pharmacological treatment for ADHD such as alcohol/substance dependence, active psychosis, and active mania

Immediate risk to self or others

Trial design

Design model

Parallel

Treatments tested in this trial

  • PETRA decision-aid tool

    Other intervention

    The PETRA decision-aid tool will use personalised data as well as data from meta-analysis to provide three best choices of ADHD medication. This will aid shared decision-making between clinician and patient.

  • Best-evidence decision-support tool

    Other intervention

    The output for this arm will look the same as the PETRA tool, providing three top choices of medication, each with respective pros and cons and margin of statistical uncertainty. However, the output of this tool will instead indicate the side effects that any medication is likely to cause, or not cause, based on population average data, regardless of the patients' individual characteristics.

Treatment groups

102 Participants
are divided into 3 treatment groups
Group A: PETRA decision-support toolExperimental treatment 1 intervention
Group B: Best-evidence decision-support toolActive comparator 1 intervention
Group C: Standard practiceNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Acceptability of PETRA decision-aid tool

measured using a qualitative interview shortly after the first medication appointment

Time frame
Enrolment to approximately 24 weeks
2

Recruitment Rate

measured using trial database at the end of study

Time frame
Enrolment to approximately 24 weeks
3

Withdrawal rates

Measured using trial database at the end of the study

Time frame
Enrolment to approximately 24 weeks
4

Data completeness

Measured using trial database at the end of the study

Time frame
Enrolment to approximately 24 weeks

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: