Skip to main content

Should You Participate in an ADHD Clinical Trial?

Mention the words “clinical trial” and some people may immediately think that participating in one isn’t worth their time.

But Dr. L. Eugene Arnold, professor emeritus of psychiatry and behavioral health at the Nisonger Center at Ohio State University’s Wexner Medical Center, encourages people to think otherwise. He says that participating in one can assist others, including those with attention deficit hyperactivity disorder. “Everybody benefits,” he says. “You’re helping yourself and everyone else with the same problem. There’s a certain sense of satisfaction of being helpful to other people.”

Arnold, who is currently the principal investigator with a clinical trial focusing on neurofeedback, adds that people should also put concerns about wasting time by the wayside. While he says some trials, especially those involving medication, may require more frequent visits to the study location, such frequency often translates to more care, attention and detailed assessments.

[See: 10 of the Biggest Health Threats Facing Your Kids This School Year.]

The Benefits

Janette Patterson, a marriage and family therapist in Silver Spring, Maryland, says that detailed assessments, regardless of the frequency with which a person is involved in a clinical trial, are always a good reason to participate. Not only do individuals obtain insight about their condition, but she says there’s also a significant cost-benefit. Usually, most clinical trials are either free or have a minimal charge, Patterson notes. “If someone did this in the private sector,” she says, “the results of a psychoeducational evaluation, for example, could cost a few thousand dollars.” A psychoeducational evaluation, she explains, helps parents figure out academic struggles of their child; armed with the evaluation, they can ultimately become more of an advocate for their child in the school system.

Through clinical trials, “researchers can document findings and get more insight about how ADHD impacts an individual,” says Patterson, who’s currently involved in one, collaborating with a University of Maryland professor about how ADHD may impact other family members.

Whether for ADHD or other conditions, Arnold explains that ongoing clinical trials are necessary in order to “improve on the current state-of-the-art” treatments in place. “New treatments need to be investigated and researched before they’re widely disseminated,” he says, adding that this is especially the case with medication, but it’s also important for behavioral treatments.

“There are numerous benefits to participating in clinical trials,” adds Ken Getz, founder and board chair at the Center for Information and Study on Clinical Research Participation, a nonprofit group dedicated to educating patients and their families about the clinical research process. “In interviews and studies that CISCRP has conducted among patients and their families, there are a number of top benefits: to gain access to new treatments that are not yet available through pharmacies, to gain access to and receive attention from medical experts and clinical trial staff, and to help others in the future by advancing knowledge about a given disease and how to treat it,” he explains.

… And the Cons

At the same time, Getz warns of the potential downsides of clinical trial participation. “Drugs in clinical trials are experimental treatments that may cause side effects, including serious adverse events and even death,” he says. “Some patients are also concerned that their condition will worsen during the clinical trial if they are given a placebo, which is an inactive drug, or another medication that doesn’t work, instead of the study drug.” Getz says that knowing the pros and cons of a clinical trial can help patients and their families “weigh the benefits and the risks” and move forward accordingly.

[See: 9 Foods That Can Keep Your Brain Sharp.]

Ensuring an Ethical Process

When a new medication or other treatment method is being evaluated through a clinical trial, the process is extremely detailed, Arnold says. He outlines an elaborate series of methods that leaves no stone unturned, including — but not limited to — data analysis, evaluation of that data by a biostatistician, comparisons of real treatment with the placebo and analysis of possible long-term benefits. Several people are involved in ensuring a seamless clinical trial, such as coordinators, data management teams and biostatisticians. “There’s a lot of thought and effort that goes into it,” Arnold says.

All of this, he notes, abides by a guiding set of ethical principles in which all research goes through a review committee to ensure that fairness and safety of the clinical trial remains intact. Additionally, he says that the person conducting a trial or study has to take annual refresher classes on topics such as ethics and fairness.

Participant Satisfaction

But in the end, will participants be inclined to join another clinical trial or suggest to friends or family that they consider one?

It would appear likely, as participants often report high levels of satisfaction about their clinical trial experience. “Studies in literature consistently show that the vast majority — 88 to 90 percent — of patients who participate in clinical trials would be willing to participate again,” Getz says. “This speaks to the perceived value of the experience and the relationship that patients establish with the clinical trial team.”

For example, a satisfaction survey of a Treatment of Severe Childhood Aggression study published in the 2015 Journal of Child and Adolescent Psychopharmacology, which focused on kids with “severe physical aggression, disruptive behavior disorder and attention-deficit/hyperactivity disorder,” received high ratings overall. For example, when parents were asked if they would recommend the study to parents with children who have similar problems, 98 percent said they would. “The majority of participants were not only highly satisfied with the experience, but also indicated that they would enroll again if offered the choice,” the article notes. “This exemplifies both the willingness of families to engage in pediatric psychopharmacological research and their ability to comply with the rigors of such studies.”

[See: 8 Things You Didn’t Know About Counseling.]

Lists of Clinical Trials

If you’re interested in learning more for yourself or your child, Patterson suggests reviewing the National Institute of Mental Health’s comprehensive list of studies. There are several involving ADHD and children as well as ones for adults experiencing a variety of disorders. She also suggests looking into the clinical trials conducted at the University of Maryland Medical Center.

Another resource is ClinicalTrials.gov, where there are several ADHD studies that can be filtered based on your preferences.

More from U.S. News

8 Things You Didn’t Know About Counseling

10 Concerns Parents Have About Their Kids’ Health

9 Foods That Can Keep Your Brain Sharp

Should You Participate in an ADHD Clinical Trial? originally appeared on usnews.com

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. But don't forget to take advantage of local organizations and your school's financial aid office. Both may offer scholarships that you can't find with a national scholarship search. [Review these 10 sites to kick off your scholarship search.]For instance, organizations like the Elks Club, Knights of Columbus or the Rotary Club typically offer scholarships annually to local students. Just because you're going to school online doesn't mean you're ineligible. Visit your local library for scholarship listings, and ask around town. You might be surprised how many local organizations offer scholarships. While these scholarships typically aren't large, every little bit counts. Each dollar you receive in a scholarship is a dollar you don't have to borrow and pay interest on. -- Work-study: Another option for online students may be work-study awards. Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
Read Next Story