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A pilot study of the efficacy of a computerized executive functioning remediation training with game elements for
S van der Oord1, A J G B Ponsioen2, H M Geurts3
1Leuven University, Belgium University of Amsterdam, Netherlands Saskia.vanderoord@ppw.kuleuven.be.
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.
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