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A randomized controlled study of remote computerized cognitive, neurofeedback, and combined training in the treatment of children with attention-deficit/hyperactivity disorder.
- Source :
-
European Child & Adolescent Psychiatry . Aug2023, Vol. 32 Issue 8, p1475-1486. 12p. 1 Diagram, 1 Chart, 3 Graphs. - Publication Year :
- 2023
-
Abstract
- There is an increasing interest in non-pharmacological treatments for children with attention-deficit/hyperactivity disorder (AD/HD), especially digital techniques that can be remotely delivered, such as neurofeedback (NFT) and computerized cognitive training (CCT). In this study, a randomized controlled design was used to compare training outcomes between remotely delivered NFT, CCT, and combined NFT/CCT training approaches. A total of 121 children with AD/HD were randomly assigned to the NFT, CCT, or NFT/CCT training groups, with 80 children completing the training program. Pre- and post-training symptoms (primary outcome), executive and daily functions were measured using questionnaires as well as resting EEG during eyes-closed (EC) and eyes-open (EO) conditions. After 3 months of training, the inattentive and hyperactive/impulsive symptoms, inhibition, working memory, learning and life skills of the three groups of children were significantly improved. The objective EEG activity showed a consistent increase in the relative alpha power in the EO condition among the three training groups. Training differences were not observed between groups. There was a positive correlation between pre-training EO relative alpha power and symptom improvement scores of inattention and hyperactivity/impulsivity, as well as a negative correlation between pre-training inattention scores and change in EO relative alpha. This study verified the training effects of NFT, CCT, and combined NFT/CCT training in children with AD/HD and revealed an objective therapeutic role for individual relative alpha activity. The verified feasibility and effectiveness of home-based digital training support promotion and application of digital remote training. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TREATMENT of attention-deficit hyperactivity disorder
*THERAPEUTICS
*COMPUTERS in medicine
*MEMORY
*ELECTROENCEPHALOGRAPHY
*DIGITAL technology
*BIOFEEDBACK training
*ACTIVITIES of daily living
*TREATMENT effectiveness
*RANDOMIZED controlled trials
*PRE-tests & post-tests
*FUNCTIONAL assessment
*LEARNING
*QUESTIONNAIRES
*RESEARCH funding
*STATISTICAL sampling
*COGNITIVE therapy
*CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 10188827
- Volume :
- 32
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- European Child & Adolescent Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 164747534
- Full Text :
- https://doi.org/10.1007/s00787-022-01956-1