{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:34:25Z","timestamp":1792787665312,"version":"4.5.0"},"reference-count":67,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Netherlands Organization for Scientific Research","award":["406-13-039"],"award-info":[{"award-number":["406-13-039"]}],"id":[{"id":"https:\/\/ror.org\/04jsz6e67","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Atten Disord"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>ADHD imposes substantial societal costs. This randomized controlled trial examined the cost-effectiveness of family mindfulness training (\u201cMYmind\u201d) versus medication in childhood ADHD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      An economic evaluation with a 10-month time horizon was conducted from a societal perspective. Children (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 88,\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      = 11.27\u2009years, 70% boys) with ADHD were randomized to MYmind (8 weekly 1.5-hr group mindfulness sessions for children and parallel for their parents, plus a 2-months follow-up) or medication (4-months immediate-release methylphenidate). During the following 6\u2009months, families had free treatment choice, allowing crossover. Costs were assessed using retrospective cost-questionnaires. Primary outcome measures were children\u2019s inattention and quality-adjusted life years (QALYs). Secondary analyses included: hyperactivity\/impulsivity, internalizing and externalizing problems as outcome measures, taking a healthcare (payers) perspective, shorter time horizons (2 and 4\u2009months), a different inattention questionnaire, per protocol analyses, and exclusion of crossover participants.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>At 10\u2009months, primary cost-effectiveness analyses indicated that MYmind was inferior to medication for inattention but had higher QALY gains at higher costs. Specifically, MYmind had a 27% probability of being cost-effective for inattention and a 30% probability for QALYs. Secondary analyses showed similar results with even lower chances for mindfulness being cost-effective in the shorter-term horizons. Notably, in the subgroup excluding crossover participants, MYmind was dominant over medication, with an 81% chance to be cost-effective for both outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>MYmind was less cost-effective than medication in the short and medium term. Long-term cost-effectiveness of MYmind remained low for the total group, but was high among participants who did not crossover to the alternative treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10870547261469623","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T10:28:07Z","timestamp":1787567287000},"page":"1452-1468","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cost-Effectiveness of a Child and Parent Mindfulness-Based Training Versus Medication for Childhood ADHD"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4363-1921","authenticated-orcid":false,"given":"Rachel T.","family":"van der Meulen","sequence":"first","affiliation":[{"name":"University of Amsterdam, The Netherlands"},{"name":"UvA Minds, Academic Treatment Center, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisca J. 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