Virta 2010.
Methods | Randomised controlled trial | |
Participants |
Country: Finland Setting: ambulatory Age: adults (18–49 years old) Sample size: 29 Sex: 15 women, 14 men Inclusion criteria: ADHD diagnosis made by a physician; no diagnosis of psychosis, severe depression or paranoia; deficits of attention, executive functions or working memory identified in an earlier neuropsychological evaluation; no current alcohol dependency or drug use; not receiving a disability pension; no participation in our previous group rehabilitation study; currently not undergoing any other psychological rehabilitation; no medication or medication that has been stable for at least three months Exclusion criteria: no neuropsychological examination; diagnosis of psychosis, severe depression or paranoia; older age, retired, or current psychological rehabilitation. |
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Interventions |
Intervention:
Control: control group (not specified) (n = 10; 7 participants with specific pharmacotherapy for ADHD and 3 without specific pharmacotherapy). Dosage, timing of dosage and administration of pharmacotherapy were not specified. |
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Outcomes |
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Notes | We contacted authors to get the information about random sequence generation and allocation concealment that we included in this table (Virta 2014 [pers comm]). Study start date: not specified Study end date: not specified Funding source: this study was supported by RAY, Finland's Slot Machine Association. Maarit Virta received funding for preparation of this manuscript from the Rinnekoti Research Foundation. Declarations of interest: the first author report no conflicts of interest in this work. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Comment: the randomisation was done before the study started by raffling/draw lots. The authors had a randomised list of the rehabilitation methods beforehand. They had 4 groups: 1. CBT; 2. computerised training; 3. hypnotherapy; and 4. control. So the list looked like: 2, 1, 1, 3, 4, 1, 4, etc. Then every enrolled participant was assigned to the next group. |
Allocation concealment (selection bias) | Unclear risk | Comment: not described |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Comment: it is not possible to blind personnel in a psychosocial intervention. |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Comment: the independent evaluator was a clinical psychologist who was blind to the actual study group of participants. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Comment: no dropouts |
Selective reporting (reporting bias) | Low risk | Comment: the study protocol is not available, but it is clear that the published reports include all expected outcomes, including those that were prespecified. |
Other bias | Low risk | Comment: there was no evidence of other bias. |
Conflict of interest | Low risk | Comment: the study authors report no conflicts of interest in this work. |
ADHD: attention deficit hyperactivity disorder; ANCOVA: analysis of covariance; ASRS: Adult ADHD Self‐Report Scale; CBT: cognitive‐behavioural therapy; CGI‐S: Clinical Global Impressions ‐ Severity; DBT: dialectical behaviour therapy; DSM: Diagnostic and Statistical Manual of Mental Disorders; ITT: intention‐to‐treat; LOCF: last observation carried forward; MBCT: mindfulness‐based cognitive therapy; SD: standard deviation; SH: skills handout; WL: waiting list.