Enhancing ADHD Driving Performance With Stimulant Medication
1 other identifier
interventional
14
1 country
1
Brief Summary
Among children, attention-deficit/hyperactivity disorder (ADHD) is associated with an increased risk for accidents, especially bicycle and pedestrian (Leibson 2001; Jensen 1988; DiScala 1998). Anywhere from 40% to 80% of children diagnosed with ADHD continue to display symptoms of the disorder into adolescence(Barkley 1990; Gittelman 1985). Adolescents with ADHD are also at an increased risk for driving-related accidents, being 2 to 4 times more likely to experience a motor vehicle accident (Barkley 1993; Barkley 1996; Cox 2000), 4 times as likely to be at fault in the accident (Barkley 1993), and over 3 times more likely to incur associated injuries as a result of the accident(Murphy 1996). Stimulant treatment with immediate-release methylphenidate (IR MPH) has been demonstrated to improve driving performance in adolescents with ADHD. Hypothesis to be Tested:
- Main study: Just as stimulant medication improves simulation and on-road driving performance of ADHD teenagers, it is hypothesized that stimulant medication will improve routine driving performance.
- Substudy - Extended wear (15 hours) of Daytrana will lead to safer driving late in the evening (22:00 and 01:00), when the most dangerous driving mishaps are most likely to occur, and the next morning at 09:00.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jul 2007
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2007
CompletedFirst Submitted
Initial submission to the registry
December 10, 2007
CompletedFirst Posted
Study publicly available on registry
December 12, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2009
CompletedSeptember 3, 2009
September 1, 2009
2 years
December 10, 2007
September 2, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Video recording of driving mishaps
6 months
Study Arms (2)
1
EXPERIMENTALDaytrana
2
NO INTERVENTIONNo treatment for ADHD
Interventions
Daytrana wear time up to 15 hours
Eligibility Criteria
You may qualify if:
- ADHD diagnosis
- Valid driver's license
- Not taking any medication for their ADHD
- Have access to a car of which they are the primary driver
- Have a history of approximately two driving collisions or citations
- Have a history of responsiveness to methylphenidate
You may not qualify if:
- Older than 25 years of age
- Bi-polar disease
- Psychosis
- Satisfy the DSM IV criteria of active depressive or anxiety disorders
- Have any medical condition that might impair driving or be contra-indicated for the use of methylphenidate
- Pregnant or intending to get pregnant for the duration of the study,breastfeeding or intending to breastfeed for the duration of the study
- Have skin allergies or skin condition that could be exacerbated by wearing the medication patch
- Have documented allergy, hypersensitivity, or intolerance to methylphenidate
- Have documented hypersensitivity to the Daytrana® adhesive backing
- Have (history of):
- seizures (except febrile seizure in infancy)
- liver or renal disease
- glaucoma
- chronic skin conditions or contact sensitivities
- current symptoms suggestive of cardiac disease
- +13 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Virginia
Charlottesville, Virginia, 22908, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Daniel J Cox, PhD
University of Virginia
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
December 10, 2007
First Posted
December 12, 2007
Study Start
July 1, 2007
Primary Completion
July 1, 2009
Study Completion
July 1, 2009
Last Updated
September 3, 2009
Record last verified: 2009-09