Evidence map›Paper›PMID 39833716›Full record

Trial reportBMC pediatrics2025

The Effect of auriculotherapy on sleep quality in children with attention deficit hyperactivity disorder: a randomized clinical trial.

Laleh Mohammadi, Zahra Tagharrobi, Khadijeh Sharifi, Zahra Sooki, Mohammad Zare, Fatemeh Zare Joshaghani

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. 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.

Laleh MohammadiStudent Research Committee, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, IR, Iran.ORCID 0000-0003-1704-7510
Zahra TagharrobiTrauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran. tagharrobi_z@kaums.ac.ir.ORCID 0000-0002-7531-5440
Khadijeh SharifiTrauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.ORCID 0000-0003-3895-7409
Zahra SookiTrauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.ORCID 0000-0002-0758-4331
Mohammad ZareTrauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.ORCID 0000-0002-0663-9484
Fatemeh Zare JoshaghaniHealth Deputy, Kashan University of Medical Sciences, Kashan, Iran.

Funding

Kashan University of Medical Sciences 99258
6 · The paper itself

Abstract

introductionConsidering the importance of sleep disorders in children with attention-deficit/hyperactivity disorder (ADHD) and effective therapeutic strategies, the present study aimed to investigate the effects of auriculotherapy on sleep quality in children with ADHD. MATERIALS AND

methodsThis clinical trial was conducted in children with ADHD in Kashan, Iran, 2021-2022. Fifty-two eligible samples were selected using convenience sampling and randomly assigned to intervention and sham groups. The intervention group used Vacaria seeds to apply ear acupressure to Shenmen, Sympathetic, Subcortex, Heart, and Endocrine points for four weeks, while the sham group received adhesives without seeds and pressure. Sleep quality was assessed using children's sleep habits questionnaire at the beginning (T0), at the end of the intervention (T1), and one month later (T2). Data from 45 children (23 and 22 children in the intervention and sham groups, respectively) were analyzed using the per-protocol and intention-to-treat designs using repeated measures analysis of variance.

resultsThe background variables did not significantly differ between two groups. The between-group analysis revealed a significant interaction effect of time and intervention on sleep quality (Effect Size = 0.545, p < 0.0001). The sleep quality score in the intervention group was significantly greater than in the sham group at T1 and T2 (p < 0.0001). The within-group analysis of the intervention group revealed a significant difference in sleep quality scores at three time points (Effect Size = 0.672, p < 0.05). In the sham group, sleep quality score increased significantly over time (Effect Size = 0.511, p < 0.05).

conclusionsThe findings suggest that auriculotherapy may be a beneficial complementary treatment for improving sleep quality in children with ADHD.

Indexed as

Attention Deficit Disorder with HyperactivityAuriculotherapySleep QualitySleep Wake DisordersChildFemaleHumansIranMaleTreatment OutcomeADHDAuriculotherapyChildEar acupressureSleep

Identifiers

PMID39833716
PMCPMC11744890

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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.