Table 15KQ2 summary of findings and strength of evidence for youth-directed psychosocial treatment

Intervention and ComparisonOutcomeNumber of Studies; Study Design and IDsFindingsReasons for DowngradingSoE
KQ2 psychosocial treatment vs controlBehavior9 RCTs and CTs335, 358, 392, 522, 523, 532, 533, 535, 594No systematic effect (SMD −0.18, CI ‑0.48, 0.12; 8 studies, n=947)S, ILow for no effect
KQ2 psychosocial treatment vs controlBroadband measures2 RCTs106, 476Results favor intervention (SMD 0.62, CI −0.24, 0.99; 1 study, n=120)SInsufficient
KQ2 psychosocial treatment vs controlADHD symptoms18 RCTs and CTs199, 204, 334, 335, 392, 426, 476, 485, 521523, 530, 532, 533, 535, 565, 594, 643Results favor intervention (SMD −0.35, CI −0.51, −0.19; 14 studies, n=1686; RR 1.75; CI 1.14, 2.71; 1 study, n=114)SModerate for benefit
KQ2 psychosocial treatment vs controlFunctional impairment4 RCTs106, 476, 485, 523No systematic effect and no meaningful summary effect could be derived (SMD 0.42, CI −1.13, 1.97; 2 studies, n=245)C, IInsufficient
KQ2 psychosocial treatment vs controlAcceptability of treatment1 RCT261No systematic effect (SMD 0.19, CI −0.12, 0.49; 1 study, n=164)S, C, IInsufficient
KQ2 psychosocial treatment vs controlAcademic performance4 RCTs532, 533, 565No systematic effect (SMD 0.07, CI −0.52, 0.66; 3 studies, n=459)SLow for no effect
KQ2 psychosocial treatment vs controlAppetite suppression0 studiesNo dataCInsufficient
KQ2 psychosocial treatment vs controlParticipants with adverse events1 RCT565No systematic effect and no meaningful summary effect could be derived (RR 0.97; CI 0.02, 47.01; 1 study, n=55)CInsufficient

Notes: ADHD = attention deficit hyperactivity disorder, CI = 95% confidence interval, C = inconsistency, CT = controlled trial without random assignment, I = imprecision, KQ = Key Question, RCT = randomized controlled trial, RR = relative risk, S = study limitation, SMD = standardized mean differences, SoE = strength of evidence

From: 5, Results: Treatment of ADHD

Cover of ADHD Diagnosis and Treatment in Children and Adolescents
ADHD Diagnosis and Treatment in Children and Adolescents [Internet].
Comparative Effectiveness Review, No. 267.
Peterson BS, Trampush J, Maglione M, et al.

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