A Pilot Study of the Efficacy of a Computerized Executive Functioning Remediation Training With Game Elements for Children With ADHD in an Outpatient Setting Outcome on Parent- and Teacher-Rated Executive Functioning and ADHD Behavior

Objective: This pilot study tested the short- and long-term efficacy (9 weeks follow-up) of an executive functioning (EF) remediation training with game elements for children with ADHD in an outpatient clinical setting, using a randomized controlled wait-list design. Furthermore, in a subsample, tha...

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Bibliographic Details
Published in:	Journal of attention disorders Vol. 18; no. 8; pp. 699 - 712
Main Authors:	van der Oord, S., Ponsioen, A. J.G. B., Geurts, H. M., Brink, E. L. Ten, Prins, P. J. M.
Format:	Journal Article
Language:	English
Published:	Los Angeles, CA SAGE Publications 01-11-2014
Subjects:	Ambulatory Care Attention Deficit Disorder with Hyperactivity - psychology Attention Deficit Disorder with Hyperactivity - rehabilitation Child Child Behavior Disorders - psychology Cognitive Therapy - methods Executive Function - physiology Female Humans Inhibition (Psychology) Male Memory, Short-Term - physiology Methylphenidate - therapeutic use Parents - psychology Pilot Projects Play and Playthings Reinforcement (Psychology) Treatment Outcome Waiting Lists Watchful Waiting ADHD ing cognitive executive functioning child
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Summary:	Objective: This pilot study tested the short- and long-term efficacy (9 weeks follow-up) of an executive functioning (EF) remediation training with game elements for children with ADHD in an outpatient clinical setting, using a randomized controlled wait-list design. Furthermore, in a subsample, that is, those treated with methylphenidate, additive effects of the EF training were assessed. Method: A total of 40 children (aged 8-12 years) were randomized to the EF training or wait-list. The training consisted of a 25-session training of inhibition, cognitive flexibility, and working memory. Treatment outcome was assessed by parent- and teacher-rated EF, ADHD, oppositional deviant disorder, and conduct disorder symptoms. Results: Children in the EF training showed significantly more improvement than those in the wait-list condition on parent-rated EF and ADHD behavior in the total sample and in the subsample treated with methylphenidate. Effects were maintained at follow-up. Conclusion: This pilot study shows promising evidence for the efficacy of an EF training with game elements.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23 ObjectType-Article-1 ObjectType-Feature-2
ISSN:	1087-0547 1557-1246
DOI:	10.1177/1087054712453167