Treatment Drop-out and Missed Appointments Among Adults With ADHD
Information source: University of Aarhus
ClinicalTrials.gov processed this data on August 20, 2015 Link to the current ClinicalTrials.gov record.
Condition(s) targeted: Attention-Deficit/Hyperactivity Disorder; Drop-out; Non-adherence
Intervention: Combined ADHD medication and psychosocial counseling (Other)
Phase: N/A
Status: Completed
Sponsored by: University of Aarhus Official(s) and/or principal investigator(s): Hans Jørgen Søgaard, MD, Ph.d., Study Chair, Affiliation: Psychiatric Research Unit West, Regional Psychiatric Services West, Central Denmark Region Helle Møller Søndergaard, MSc, Principal Investigator, Affiliation: Psychiatric Research Unit West, Regional Psychiatric Services West, Central Denmark Region Per Hove Thomsen, Professor, Study Chair, Affiliation: Center for Child and Adolescent Psychiatry, Aarhus University Hospital, Central Denmark Region Erik Pedersen, MD, Study Chair, Affiliation: Regional Psychiatric Services West, Central Denmark Region
Summary
The investigators knowledge of factors associated with treatment drop-out and missed
appointments among adults with Attention-Deficit/Hyperactivity Disorder (ADHD) within a
naturalistic, clinical setting is very limited. Drop-out rates among adult ADHD patients in
randomised controlled trials (RCT´s) have been reported to be 26. 6% - 50%, and similar rates
are reported in two naturalistic studies of medication adherence.
Based on proposed hypotheses that past behaviour patterns are more predictive of current
behaviours of treatment drop-out and missed appointments than are sociodemographic and
clinical characteristics, the aim of the present study is to examine the associations of 1)
sociodemographic variables, 2) clinical variables, 3) risk-taking behaviour 4) educational
and occupational instability and 5) behaviours during primary/lower secondary school with
treatment drop-out and number of missed appointments.
The target group of the study consists of all patients who initiates assessment at the adult
ADHD Clinic at Regional Psychiatric Services West, Herning, Central Denmark Region in the
period from September 1, 2010 to September 1, 2011. The patients are referred to this Clinic
from general practitioners and specialised psychiatric authorities. The investigators study
is designed as an observational, cohort study in which the patients are offered medical and
non-manualised psychosocial treatment as it is usually offered in this tertiary ADHD Clinic
from which the data are collected.
Data regarding sociodemography, clinical symptoms and impairments, risk-taking behaviour,
educational and occupational instability and behaviours during primary/lower secondary
school are collected using a semistructured protocol.
In the investigators study the investigators define treatment drop-out as premature
termination of ongoing treatment, without any prior clinical or agreed resolution. No
standardized definition of treatment drop-out is used through out the literature of
adherence to treatment among patients in the psychiatric care system.
Clinical Details
Official title: Treatment Drop-out and Missed Appointments Among Adults With Attention-Deficit/Hyperactivity Disorder: Associations With Patient- and Disorder-related Factors
Study design: Observational Model: Cohort, Time Perspective: Prospective
Primary outcome: Treatment drop-outMissed appointments
Eligibility
Minimum age: 18 Years.
Maximum age: 64 Years.
Gender(s): Both.
Criteria:
Inclusion Criteria:
- Referred to the ADHD Clinic and initiating assessment between September 1, 2010 and
September 1, 2011
Exclusion Criteria:
- No ADHD diagnosis as assessed by the ADHD Clinic
Locations and Contacts
Psychiatric Research Unit West, Regional Psychiatric Services West, Herning DK - 7400, Denmark
Additional Information
Starting date: September 2010
Last updated: August 26, 2014
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