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. 2016 Feb 4;2016(2):CD009996. doi: 10.1002/14651858.CD009996.pub2

Shekim 1986.

Methods Single‐center, randomized, double‐blind, placebo‐controlled, cross‐over trial
 Country: United States
Number of study sites: 1
 Statistical methods: NR
Participants Sample size: 22 children/adolescents with an ADHD diagnosis according to DSM‐III criteria
 Dropouts: NR
 Psychiatric comorbid disorders: 0
 Age range: 6 years to 12 years
 Mean age (SD): 9.75 (2.08) years
 Sex: 22 (100%) males
 ADHD subtype: NR
Interventions Two interventions (all 22 children/adolescents participated in both interventions):
  1. Dextroamphetamine (short acting), weight‐based at 0.3 mg/kg twice a day, and titrated upwards during trial period, (n = 22)

  2. Placebo (n = 22)


Duration: 28 days (2 x 14‐day treatment periods)
Outcomes Relevant outcomes:
  1. Academic performance, assessed with Wide Range Achievement Test ‐ math subset


Other outcomes:
  1. Wide Range Achievement Test ‐ spelling and reading subsets

  2. Monoamine oxidase activity

  3. Attention and impulsivity, assessed with Conners' Contininuous Performance Test

Notes ClinicalTrials.gov identifier: not available
Authors' affiliation: university
 Study funding: public funds
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method of sequence generation not described
Allocation concealment (selection bias) Unclear risk Method of allocation concealment not described
Incomplete outcome data (attrition bias) 
 All outcomes High risk Reasons for exclusions from the analysis not provided. Methods of analysis not described. Number of individuals included in the analyses not reported
Selective reporting (reporting bias) Unclear risk Study protocol not available and the possibility of reporting bias could not be assessed
Other bias Low risk Study appears to be free of other biases
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Blinding of participants and personnel not described
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Blinding of outcome assessment not described