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Mediated Online Awareness Among Adolescents With and Without ADHD: Using the Occupational Performance Experience
Orit Fisher1, Itai Berger1,2, Ephraim S Grossman3
1The Hebrew University of Jerusalem, Israel.
Adolescents with attention-deficit hyperactivity disorder (ADHD) show less coherent self-awareness of their daily activities. Brief interventions can improve this online awareness, suggesting a new target for occupational therapy.
Area of Science:
- Cognitive Psychology
- Neurodevelopmental Disorders
- Occupational Therapy
Background:
- Online awareness is crucial for adaptive self-management, yet it is often impaired in adolescents with attention-deficit hyperactivity disorder (ADHD).
- Understanding the nuances of occupational performance awareness in ADHD is vital for developing effective interventions.
- Previous research highlights challenges in self-awareness and executive functions among individuals with ADHD.
Purpose of the Study:
- To investigate the online awareness of occupational performance in adolescents with and without ADHD.
- To explore the modifiability of this online awareness following a brief attention-redirecting mediation in adolescents with ADHD.
Main Methods:
- Seventy adolescents, with and without ADHD, completed the Occupational Performance Experience Analysis (OPEA) after cognitive assessments.
- The OPEA involved verbal descriptions of experiences, scored for coherence, temporal context, and action representation.
- Participants with ADHD repeated the OPEA after a brief mediation intervention.
Main Results:
- Adolescents with ADHD exhibited significantly less coherent descriptions of their occupational performance compared to controls.
- Following the mediation, adolescents with ADHD demonstrated significantly improved coherence in their OPEA descriptions.
- The study identified specific areas of occupational performance awareness that are affected by ADHD.
Conclusions:
- Online awareness of occupational performance is a potential target for occupational therapy interventions in adolescents with ADHD.
- Brief mediation strategies focusing on task demands and context can enhance self-awareness in this population.
- Findings contribute to a deeper understanding of self-management challenges and therapeutic avenues for ADHD.
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