Evidence map›Paper›PMID 27874023›Full record

Trial reportNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2017

Methylphenidate and Memory and Attention Adaptation Training for Persistent Cognitive Symptoms after Traumatic Brain Injury: A Randomized, Placebo-Controlled Trial.

Brenna C McDonald, Laura A Flashman, David B Arciniegas, Robert J Ferguson, Li Xing, Jaroslaw Harezlak, Gwen C Sprehn, Flora M Hammond, Arthur C Maerlender, Carrie L Kruck and 5 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Effect of amphetamines on blood pressure.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Combined Use of Guanfacine andNeurotrauma reports · 2024
    Article
  9. Article
  10. Stability of extemporaneously prepared preservative-free methylphenidate 5 mg/mL intravenous solution.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2022
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Effects of Amphetamine on Sensorimotor Gating and Neurocognition in Antipsychotic-Medicated Schizophrenia Patients.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2018
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 1 country.

Brenna C McDonaldDepartment of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN, USA.
Laura A FlashmanDepartment of Psychiatry, Geisel School of Medicine, Hanover, NH, USA.
David B ArciniegasDepartments of Psychiatry, Neurology, and Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA.
Robert J FergusonDepartment of Medicine, Division of Hematology/Oncology, University of Pittsburgh, Pittsburgh, PA, USA.
Li XingDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.
Jaroslaw HarezlakDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.
Gwen C SprehnDepartment of Neurology, Indiana University School of Medicine, Indianapolis, IN, USA.
Flora M HammondDepartment of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, IN, USA.
Arthur C MaerlenderCenter for Brain, Biology and Behavior, University of Nebraska, Lincoln, Lincoln, NE, USA.
Carrie L KruckDepartment of Psychiatry, Geisel School of Medicine, Hanover, NH, USA.
Karen L GillockDepartment of Psychiatry, Geisel School of Medicine, Hanover, NH, USA.
Kim FreyDepartment of Speech-Language Pathology, Craig Hospital, Englewood, CO, USA.
Rachel N WallDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA.
Andrew J SaykinDepartment of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN, USA.ORCID http://orcid.org/0000-0002-1376-8532
Thomas W McAllisterDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA.
Indiana University School of MedicineDartmouth College · USCraig Hospital · USMemorial Hermann Institute for Rehabilitation and Research Foundation · USUniversity of Nebraska–Lincoln · USUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this multicenter, prospective, randomized, placebo-controlled study was to evaluate and compare the efficacy of two cognitive rehabilitation interventions (Memory and Attention Adaptation Training (MAAT) and Attention Builders Training (ABT)), with and without pharmacological enhancement (ie, with methylphenidate (MPH) or placebo), for treating persistent cognitive problems after traumatic brain injury (TBI). Adults with a history of TBI at least 4 months before study enrollment with either objective cognitive deficits or subjective cognitive complaints were randomized to receive MPH or placebo and MAAT or ABT, yielding four treatment combinations: MAAT/MPH (N=17), ABT/MPH (N=19), MAAT/placebo (N=17), and ABT/placebo (N=18). Assessments were conducted pre-treatment (baseline) and after 6 weeks of treatment (post treatment). Outcome measures included scores on neuropsychological measures and subjective rating scales. Statistical analyses used linear regression models to predict post-treatment scores for each outcome variable by treatment type, adjusting for relevant covariates. Statistically significant (P<0.05) treatment-related improvements in cognitive functioning were found for word-list learning (MAAT/placebo>ABT/placebo), nonverbal learning (MAAT/MPH>MAAT/placebo and MAAT/MPH>ABT/MPH), and auditory working memory and divided attention (MAAT/MPH>ABT/MPH). These results suggest that combined treatment with metacognitive rehabilitation (MAAT) and pharmacotherapy (MPH) can improve aspects of attention, episodic and working memory, and executive functioning after TBI.

Indexed as

Cognitive Behavioral TherapyAdultAttentionBrain Injuries, TraumaticCentral Nervous System StimulantsCognition DisordersCombined Modality TherapyDouble-Blind MethodExecutive FunctionFemaleHumansLinear ModelsMaleMemoryMethylphenidateNeuropsychological TestsCentral Nervous System StimulantsMethylphenidate

Identifiers

PMID27874023
PMCPMC5520776
OpenAlexW2553950074

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.