Treatment Drop-out and Missed Appointments Among Adults With ADHD
- Conditions
- Non-adherenceAttention-Deficit/Hyperactivity DisorderDrop-out
- Interventions
- Other: Combined ADHD medication and psychosocial counseling
- Registration Number
- NCT02226445
- Lead Sponsor
- University of Aarhus
- Brief 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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 153
- Referred to the ADHD Clinic and initiating assessment between September 1, 2010 and September 1, 2011
- No ADHD diagnosis as assessed by the ADHD Clinic
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description ADHD medication and psychosocial counseling Combined ADHD medication and psychosocial counseling -
- Primary Outcome Measures
Name Time Method Treatment drop-out Patients will be followed for the duration of outpatient treatment at the ADHD Clinic, an expected average of 1 year The outcome measure "treatment drop-out" is a binary outcome where participants at discharge are characterized as "drop-outs" or "non drop-outs".
"Drop-outs" are defined as those participants, who terminate treatment without any prior clinical or agreed resolution.
Logistic regression analyses is applied to calculate outcome odds ratios.Missed appointments Patients will be followed for the duration of outpatient treatment at the ADHD Clinic, an expected average of 1 year The outcome measure "missed appointments" is a binary outcome, dichomized into \<3 missed appointments during treatment and ≥3 missed appointments during treatment.
Logistic regression analyses is applied to calculate outcome odds ratios.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Psychiatric Research Unit West, Regional Psychiatric Services West
🇩🇰Herning, Denmark