A comparative consecutive case series of 20 children with a diagnosis of ADHD receiving homeopathic treatment, compared with 10 children receiving usual care

Fibert, Philippa; Relton, Clare; Heirs, Morag; Bowden, Deborah

doi:10.1016/j.homp.2015.09.008

Cited by 7 publications

(6 citation statements)

References 26 publications

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“…26 Patient and public involvement The STAR project was preceded by a case series. 27 Families with children with ADHD participating in this preceding study expressed frustration at the lack of helpful treatment options and a desire to support research testing new treatments which might help their children. These families contributed to the design of the STAR project including: the design and piloting of the study questionnaire where an extra open-ended question 'use this space for anything else you would like to tell us' was added (see online supplemental appendix 1); and the generation of an interactive hip-hop rap performance called Lost Voices based on participating family's stories, which was widely shared on Facebook and helped increase recruitment.…”

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confidence: 99%

What families in the UK use to manage attention-deficit/hyperactivity disorder (ADHD): a survey of resource use

Fibert¹,

Relton

2020

bmjpo

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ObjectiveTo identify interventions being used to manage attention-deficit/hyperactivity disorder (ADHD) in the UK.DesignA survey within the Sheffield Treatments for ADHD Research project. A convenience sample of participants in the UK who consented to join an observational cohort were asked closed questions about medication, behavioural change programmes and service use, and an open-ended question about what else they used.SettingA broad variety of non-National Health Service, non-treatment seeking settings throughout the UK, including local authority organisations, schools, ADHD and autism spectrum condition support groups and social media.ParticipantsFamilies of children aged 5–18 with carer reported ADHD and Conners Global Index (CGI) T scores of 55+.ResultsResponses from 175 families were analysed. The mean age of the children was 10.21 (2.44), and two-thirds (n=114) had additional diagnoses. The majority used medications to manage ADHD (n=120) and had participated in a parenting class (n=130). Just over a quarter (28%, n=49) did not use ADHD medications, and used sleep medications. Just under half had consulted psychologists (n=83), and 32 had participated in other talking therapies such as psychotherapy, counselling and cognitive–behavioural therapy. A few used aids such as reward charts or fiddle toys (n=17) and participated in activities (mostly physical) (n=14). A substantial minority (78/175) had used non-mainstream treatments, the most popular being homoeopathy (n=32), nutritional interventions (n=21) and bodywork such as massage or cranial osteopathy (n=9).ConclusionsFamilies reported use of a wide variety of treatments to help with management of their children with ADHD in addition to their use of mainstream treatments.

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confidence: 99%

What families in the UK use to manage attention-deficit/hyperactivity disorder (ADHD): a survey of resource use

Fibert¹,

Relton

2020

bmjpo

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“…In analysis of a small consecutive sample of 20 children with a diagnosis of ADHD with concomitant diagnosis of ASD receiving homoeopathic treatment published by Fibert et al, the intervention was associated with improvements in criminality, and anger. 28 In these ASD cases with concurrent ADHD, there was simultaneous improvement in hyperkinetic symptoms, but it was not assessed quantitatively with any specific rating scale.…”

Section: Discussionmentioning

confidence: 99%

Autism Spectrum Disorder Managed with Individualised Homoeopathic Medicine—Analysis of 20 Cases

2022

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Background Autism spectrum disorder (ASD) is an umbrella term used to describe a constellation of early-appearing social communication deficits and repetitive sensory-motor behaviours. There is a dramatic increase in prevalence of ASD in the past few decades. Autism is a potentially lifelong impairing disorder usually managed with complementary therapies, symptomatic behavioural, sensory integration therapies and medical treatments. As there are currently no specific medicines that can address core disabilities of ASD, there is a desperate need to explore new interventions in ASD. Objectives The aim of this study is to assess the effectiveness of homoeopathic medicines in the usual care setting, i.e. regular OPD, for the management of ASD using Autism Treatment Evaluation Checklist (ATEC). Materials and Methods The present study is a case series analysis of 20 cases diagnosed as ASD and evaluated with ATEC in the outpatient unit of Department of Psychiatry, National Homoeopathy Research Institute in Mental Health. Individualised homoeopathic medicines were prescribed based on classical homoeopathic principles. Wilcoxon signed-rank test was used to compare ATEC scores at baseline to end of 12 months. Results The median baseline ATEC score of 110.0 (116.0–94.5) reduced to 33.5 (61.75–25.0) at p < 0.001, with an effect size of 0.88. There was statistically significant difference in all domains of speech language communication, sociability, sensory/cognitive awareness and health/physical/behaviour when compared from baseline to end of 12 months. Calcarea carbonica, Calcarea phosphorica, Carcinosinum, Mercurius solubilis, Natrum muriaticum, Silicea, Theridion, Tuberculinum, Zincum metallicum etc. were commonly indicated homoeopathic medicines. Conclusion Individualised Homoeopathic medicines are effective in the management of ASD. Well planned, methodically rigorous research is warranted to corroborate the evidence.

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“…Sample size for the pilot trial is calculated to recruit at least 30 participants in each arm in order to estimate the pooled standard deviation of the outcome with a reasonable degree of precision for the full trial [ 48 , 49 ]. We have estimated that attrition will be 20% based on a preliminary feasibility-controlled case series [ 50 ] and that a further 20% joining the STAR cohort will either not meet the first trial inclusion criteria or not accept the offer of treatment.…”

Section: Methodsmentioning

confidence: 99%

Protocol for the STAR (Sheffield Treatments for ADHD) project: an internal pilot study assessing the feasibility of the Trials within Cohorts (TwiCs) design to test the effectiveness of interventions for children with ADHD

Fibert

Relton

Peasgood

et al. 2018

Pilot Feasibility Stud

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BackgroundAttention deficit hyperactivity disorder (ADHD) is a common and growing problem and a leading cause of child referrals to Child and Adult Mental Health Services (CAMHS). It is a drain on resources across nationally funded support agencies and associated with negative outcomes such as early criminality, school disruption and antisocial behaviour. Mainstream interventions (pharmacological and behavioural) demonstrate effectiveness whilst implemented, but are costly, often have unwanted side effects and do not appear to be affecting long-term outcomes.Development of a robust evidence base for the effectiveness of current and novel interventions and their impact over the long term is required. The aim of the Sheffield Treatments for ADHD Research (STAR) project is to facilitate a rigorous evidence base in order to provide information about the comparative (cost) effectiveness and acceptability of multiple interventions to key stakeholders.MethodsThe Trials within Cohorts (TwiCs) design was used to build a cohort of children with a diagnosis of ADHD and conduct a three-armed pilot trial of the clinical and cost effectiveness of two novel interventions: (a) treatment by nutritional therapists and (b) treatment by homoeopaths, compared to (c) treatment as usual.Participants are recruited to the STAR long-term observational cohort, and their outcomes of interest (ADHD symptoms, health-related quality of life, school disruption, resource use and criminality) are measured every 6 months by carers and (blinded) teachers. Two promising interventions were identified for the first randomised controlled trial embedded in the cohort. A random selection of eligible participants is offered treatments (a) and (b). The outcomes of those offered treatment are compared to those not offered treatment using intention to treat (ITT) analysis.The feasibility of recruiting to the cohort and the trial, delivering the interventions, the effectiveness of the interventions and the appropriateness, sensitivity and collectability of outcomes is trialled.DiscussionThe results of this trial will provide information on the feasibility of the TwiCs design to facilitate multiple trials of potential interventions for children with ADHD, and the acceptability, clinical and cost effectiveness of two potential interventions for ADHD to ADHD stakeholders including service providers. Future stages of the STAR project will test other treatments informed by the results in stage 1.Trial registrationISRCTN number 17723526. 10.1186/ISRCTN17723526. Date assigned 27/4/15.

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A comparative consecutive case series of 20 children with a diagnosis of ADHD receiving homeopathic treatment, compared with 10 children receiving usual care

Cited by 7 publications

References 26 publications

What families in the UK use to manage attention-deficit/hyperactivity disorder (ADHD): a survey of resource use

What families in the UK use to manage attention-deficit/hyperactivity disorder (ADHD): a survey of resource use

Autism Spectrum Disorder Managed with Individualised Homoeopathic Medicine—Analysis of 20 Cases

Protocol for the STAR (Sheffield Treatments for ADHD) project: an internal pilot study assessing the feasibility of the Trials within Cohorts (TwiCs) design to test the effectiveness of interventions for children with ADHD

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