Evidence map›Paper›PMID 39394668›Full record

Trial reportJournal of psychopharmacology (Oxford, England)2024

Driving performance and ocular activity following acute administration of 10 mg methylphenidate: A randomised, double-blind, placebo-controlled study.

Blair Aitken, Luke A Downey, Serah Rose, Thomas R Arkell, Brook Shiferaw, Amie C Hayley

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of psychopharmacology (Oxford, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
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

6 authors.

Blair AitkenCentre for Mental Health and Brain Sciences, Swinburne University of Technology, Hawthorn, VIC, Australia.ORCID 0000-0001-7607-7344
Luke A DowneyCentre for Mental Health and Brain Sciences, Swinburne University of Technology, Hawthorn, VIC, Australia.
Serah RoseCentre for Mental Health and Brain Sciences, Swinburne University of Technology, Hawthorn, VIC, Australia.
Thomas R ArkellCentre for Mental Health and Brain Sciences, Swinburne University of Technology, Hawthorn, VIC, Australia.
Brook ShiferawCentre for Mental Health and Brain Sciences, Swinburne University of Technology, Hawthorn, VIC, Australia.
Amie C HayleyCentre for Mental Health and Brain Sciences, Swinburne University of Technology, Hawthorn, VIC, Australia.ORCID 0000-0002-4470-4718

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMethylphenidate is a routinely prescribed treatment for attention-deficit/hyperactivity disorder with misuse potential owing to its perceived performance-enhancing and euphoric properties. Although clinically effective, there is limited understanding of how methylphenidate affects safety-sensitive tasks such as driving when used by healthy individuals.

aimExplore the acute effects of 10 mg methylphenidate on driving performance and gaze behaviour.

methodsTwenty-five fully licensed, healthy adults (mean age = 33.5 ± 7.8 years, 64% male) took part in two 40-min simulated highway drives with simultaneous eye movements monitored using a proprietary automotive-grade driver monitoring system (Seeing Machines). Driving performance was assessed using the standard deviation of lateral position, standard deviation of speed and steering variability. Visual scanning efficiency was determined using ocular metrics, such as fixation duration and rate, gaze transition entropy, and stationary gaze entropy, were assessed to determine visual scanning efficiency.

resultsMethylphenidate significantly improved driving performance by reducing lane weaving and speed variation, particularly in the latter half of the drive. Although a significant reduction in fixation duration was observed, all other ocular metrics remained unchanged.

conclusionsMethylphenidate mitigates performance decrements typically associated with prolonged and monotonous driving. The absence of pronounced oculomotor effects suggests that a single 10 mg dose of methylphenidate has no deleterious impact on visual scanning behaviour during driving tasks with low-to-moderate cognitive demand. Future research should investigate the effects of methylphenidate under various dosing and driving conditions to better understand its impact.

trial registrationACTRN12620000499987.

Indexed as

Automobile DrivingCentral Nervous System StimulantsEye MovementsMethylphenidateAdultDouble-Blind MethodFemaleHumansMalePsychomotor PerformanceYoung AdultCentral Nervous System StimulantsMethylphenidatedriving performanceMethylphenidateocular monitoringpsychostimulantsroad safety

Identifiers

PMID39394668
PMCPMC11528951

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Registered trials

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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.