Work-MAP Telehealth Metacognitive Work-Performance Intervention for Adults With ADHD: Randomized Controlled Trial

Area of Science:

• Occupational therapy
• Psychiatry
• Telehealth

Background:

• Adults with attention-deficit/hyperactivity disorder (ADHD) often face challenges with work participation.
• Evidence-based occupational therapy teleinterventions are needed to address these challenges.
• The Work-MAP intervention was developed to enhance work performance in adults with ADHD via telehealth.

Purpose of the Study:

• To assess the efficacy of a self-tailored, metacognitive, telehealth intervention (Work-MAP) for adults with ADHD.
• To evaluate improvements in work goal performance, executive functions, and quality of life.
• To determine the sustained effects of the intervention at a 3-month follow-up.

Main Methods:

• A randomized controlled trial was conducted with 46 adults diagnosed with ADHD.
• Participants were assigned to either an 11-week synchronous, hybrid-telehealth intervention group (Group A, n=31) or a waitlist control group (Group B, n=15).
• Outcome measures included self-reported efficacy and satisfaction with work goals, executive functions, and quality of life.

Main Results:

• Participants in the intervention group showed significant and sustained improvements across all measured outcomes.
• These improvements were maintained at the 3-month follow-up.
• Strong-to-moderate effect sizes were observed for the intervention's impact.

Conclusions:

• The Work-MAP teleintervention is effective in improving work participation for adults with ADHD.
• The intervention positively impacts executive functions and quality of life.
• Telehealth delivery of occupational therapy is a viable approach for supporting adults with ADHD in the workplace.