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 TeacherRated Executive Functioning and ADHD Behavior

作者：van der Oord S^*; Ponsioen A J G B; Geurts H M; Ten Brink E L; Prins P J M

来源：Journal of Attention Disorders, 2014, 18(8): 699-712.

DOI：10.1177/1087054712453167

• ADHD
• child
• executive functioning
• cognitive
• training

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.