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. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Abikoff 2004.

Methods Design: three group parallel trial 
 Purpose: study the effect of methylphenidate and multimodal psychological treatment on children with attention‐deficit/hyperactivity disorder
Participants Patients: children with attention‐deficit/hyperactivity disorder 
 Baseline comparability: yes (except for socioeconomic status)
Interventions Placebo: sessions with attention control interventions with no social skills training 
 Untreated: no sessions 
 Experimental: sessions with social skills training 
 (Co‐intervention: All patients received methylphenidate)
Outcomes Social skills rating scale (parents) 
 Social skills rating scale (children) 
 Taxonomy of problem situations (teachers) 
 Direct school observations 
 Parental practices 
 Academic achievements 
 Emotional status
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider High risk Not described as double‐blind (attention control placebo/multimodal psychological intervention)
Blinding? 
 Outcome assessor Unclear risk Not relevant as patient (parents) reported outcome
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out > 15% or NS
Free of selective reporting? Unclear risk No protocol available
Free of other bias? Low risk  
No signs of variance inequality or skewness? Low risk No variance inequality (F‐test not statistically significant) and no skewness (1.64 standard deviations does not exceed the mean)
Trial size > 49? Low risk N = 69
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Drop‐out > 15% or NS