Evidence map›Paper›PMID 38868662›Full record

ArticlePCN reports : psychiatry and clinical neurosciences2022

Decision aid development and its acceptability among adults with attention-deficit/hyperactivity disorders regarding treatment discontinuation after remission.

Noa Tsujii, Takashi Okada, Masahide Usami, Hidenori Kuwabara, Junichi Fujita, Hideki Negoro, Junzo Iida, Yumi Aoki, Yoshikazu Takaesu, Takuya Saito

Abstract read
In one paragraph

Article in PCN reports : psychiatry and clinical neurosciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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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

3 citing papers in PubMed.

  1. Article
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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

10 authors.

Noa TsujiiDepartment of Child Mental Health and Development Toyama University Hospital Toyama Toyama Japan.
Takashi OkadaDepartment of Developmental Disorders, National Institute of Mental Health National Center of Neurology and Psychiatry Kodaira Tokyo Japan.
Masahide UsamiDepartment of Child and Adolescent Psychiatry, Kohnodai Hospital National Center for Global Health and Medicine Ichikawa Chiba Japan.ORCID 0000-0002-1145-9971
Hidenori KuwabaraSenogawa Hospital Hiroshima-shi Hiroshima Japan.
Junichi FujitaDepartment of Child Psychiatry Yokohama City University Hospital Yokohama Kanagawa Japan.
Hideki NegoroShigisan Hospital Herarland Shigisan Ikoma Nara Japan.
Junzo IidaMedical Corporation Nanfukai Manyo Clinic Child Mental Health Care Center Kizuna Kashihara Nara Japan.
Yumi AokiGraduate School of Nursing St. Luke's International University Chuo-ku Tokyo Japan.
Yoshikazu TakaesuDepartment of Neuropsychiatry, Graduate School of Medicine University of the Ryukyus Okinawa Japan.
Takuya SaitoDepartment of Child and Adolescent Psychiatry, Faculty of Medicine Hokkaido University Sapporo Hokkaido Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Current clinical guidelines for attention-deficit/hyperactivity disorder (ADHD) put shared decision making (SDM) at the center of care. However, there remain challenges in SDM in ADHD management, particularly regarding the decision to continue or discontinue medication after ADHD remission in adult patients. We aimed to develop a decision aid (DA) for adult patients with ADHD regarding the continuation or discontinuation of their ongoing ADHD medications after they have attained remission. Method: We systematically developed a DA according to the International Patient Decision Aid Standard (IPDAS). First, we created a DA prototype using the results of our previous systematic review and meta-analysis that identified the consequences of continuing and discontinuing ADHD medications. Second, we administered a mixed-method questionnaire (alpha acceptability testing) to adult patients with ADHD and healthcare providers to improve the DA prototype and develop it into a final version that is acceptable for clinical settings. Results: Our DA consisted of ADHD description, the option to continue or discontinue ADHD medications, the advantages and disadvantages of the consequences, as well as value clarification exercises for each option. Patients ( Conclusions: Our results could facilitate the SDM process between patients and healthcare providers on the continuation or discontinuation of ADHD medication following remission. Further studies should verify the effects of using the DA during the SDM process among patients across the age spectrum with ADHD and healthcare providers.

Indexed as

attention‐deficit/hyperactivity disorderdecision aidshared decision making

Identifiers

PMID38868662
PMCPMC11114424

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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.