Evidence map›Paper›PMID 35770861›Full record

Trial reportCurrent medical research and opinion2022

Paediatric adverse event rating scale: a measure of safety or efficacy? Novel analysis from the MADDY study.

Brenda M Y Leung, Priya Srikanth, Barbara Gracious, Irene E Hatsu, Gabriella Tost, Valerie Conrad, Jeanette M Johnstone, L Eugene Arnold

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Current medical research and opinion, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03252522 (Evaluating the Efficacy of Supplementation With Micronutrients for ADHD in Youth), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 53% 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.

NCT03252522 phase1 / phase2completednot on this map

Evaluating the Efficacy of Supplementation With Micronutrients for ADHD in Youth (MADDY) Study

TypeinterventionalSponsorOregon Health and Science UniversityRan2018 to 2021Enrolled135ConditionsAttention Deficit Hyperactivity DisorderArmsBroad Spectrum Micronutrients, a 36-ingredient blend of vitamins, minerals, amino acids, and antioxidants, Placebo
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
  2. Trial
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

8 authors at 4 institutions in 2 countries.

Brenda M Y LeungFaculty of Health Sciences, University of Lethbridge, Alberta Canada.ORCID 0000-0002-4699-8086
Priya SrikanthSchool of Public Health, Oregon Health & Science University-Portland State University, Portland, OR, USA.ORCID 0000-0002-0906-6757
Barbara GraciousHuman Sciences, The Ohio State University, Columbus, OH, USA.
Irene E HatsuDepartment of Human Sciences, The Ohio State University, Columbus, OH, USA.ORCID 0000-0003-0501-9088
Gabriella TostSchool of Public Health, Oregon Health & Science University-Portland State University, Portland, OR, USA.ORCID 0000-0003-1464-4918
Valerie ConradSchool of Public Health, Oregon Health & Science University-Portland State University, Portland, OR, USA.
Jeanette M JohnstoneSchool of Public Health, Oregon Health & Science University-Portland State University, Portland, OR, USA.ORCID 0000-0003-3947-5540
L Eugene ArnoldDepartment of Psychiatry & Behavioral Health, The Ohio State University, Columbus, OH, USA.ORCID 0000-0002-0886-0692
Portland State University · USThe Ohio State University · USArk Medical Center · USUniversity of Lethbridge · CA

Funding

Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
Oregon Clinical and Translational Research InstituteUL1TR000128 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLISON, DAVID H · 2012 to 2015
$28.7M
The Ohio State University Center for Clinical and Translational Science (UL1)UL1TR000090 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2012 to 2013
$7.9M
CAM Research Training in Neuroscience &StressT32AT002688 · NCCIH · OREGON HEALTH & SCIENCE UNIVERSITY · PI OKEN, BARRY S, SOUMYANATH, AMALA · 2005 to 2025
$7.2M
Building Research across Interdisciplinary Gaps (BRIDG) R90 Training Program - Administrative SupplementR90AT008924 · NCCIH · NATIONAL UNIVERSITY OF NATURAL MEDICINE · PI BRADLEY, RYAN D, ZWICKEY, HEATHER LEA · 2015 to 2025
$5.2M
Double-Blind Randomized Clinical Trial of EEG Neurofeedback for ADHDR01MH100144 · NIMH · OHIO STATE UNIVERSITY · PI ARNOLD, L EUGENE · 2014 to 2018
$3.5M
Optimizing Research Methodology in a Multinutrient Study of Racially and Ethnically Diverse Children with ADHD and Emotional DysregulationK23AT012068 · NCCIH · OREGON HEALTH & SCIENCE UNIVERSITY · PI JOHNSTONE, JEANETTE M · 2022 to 2025
$700k
NCATS NIH HHS UL1 TR000090NCATS NIH HHS UL1 TR000128NCATS NIH HHS UL1 TR002369NCCIH NIH HHS K23 AT012068NCCIH NIH HHS R90 AT008924NCCIH NIH HHS T32 AT002688NIMH NIH HHS R01 MH100144
6 · The paper itself

Abstract

objectiveThe Pediatric Adverse Event Rating Scale (PAERS) measured adverse events of children aged 6-12 years with ADHD and emotional dysregulation in the Micronutrients for ADHD in Youth (MADDY) study, an eight week multi-site randomized clinical trial of a broad-spectrum multinutrient treatment. Treatment sensitivity of the PAERS was assessed by calculating the treatment difference in change of the item scores from baseline to end of the RCT.

methodsPrincipal component analysis retained 14 "adverse events" (out of 43 in the PAERS) that reflected ADHD symptoms and emotional dysregulation and was used to group the variables of interest. A combined score ranging from 0 to 5 was created based on symptom presence, functional impairment, and severity. Mean score change was calculated from baseline to week 8 by treatment (multinutrient vs placebo) with intention-to-treat and per-protocol samples. The study has been registered on clinicaltrials.gov as Micronutrients for ADHD in Youth (MADDY) Study, trial registration # NCT03252522 (https://clinicaltrials.gov/ct2/show/NCT03252522

resultsThe 126 children in the ITT sample had a mean age of 9.8 (SD = 1.7), with majority (73%) male, and 72% diagnosed with ADHD prior to the study screening. Baseline presence of PAERS symptoms was similar between treatment groups: the highest proportion was ADHD symptoms, followed by Irritable symptoms. The micronutrient group showed a greater decrease (improvement) in the mean anxiety combined score than the placebo group with a between-group difference in change of -0.36 (95% CI: -0.67, -0.04;

conclusionThe multinutrient supplement did not result in more adverse events than placebo, suggesting it is a safe intervention. In addition to assessing actual adverse events, the PAERS may be a useful adjunct outcome measure for ADHD behaviors.

Indexed as

Attention Deficit Disorder with HyperactivityAdolescentChildDouble-Blind MethodFemaleHumansMaleMicronutrientsOutcome Assessment, Health CareTreatment OutcomeMicronutrientsADHDadverse eventsmicronutrientsPAERS

Identifiers

PMID35770861
PMCPMC10370369
OpenAlexW4283727242

What OpenQuestion holds

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Registered trials

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.