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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-out

Missed 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

Page last updated: August 20, 2015

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