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Effectiveness of Virtual Reality-Based Cognitive Control Training Game for Children With
Hyunjoo Song1, Yunhye Oh2, JongIn Choi3
1Division of Psychology and Cognitive Science, Seoul Women's University, Hwarang Ro 621, Nowon Goo, Seoul, 01797, Republic of Korea, 82 029705888.
JMIR Pediatrics and Parenting
|September 19, 2025
Summary
Virtual reality (VR) training improved cognitive control and ADHD symptoms in children. The positive effects were sustained at a 3-month follow-up, showing VR’s potential for ADHD interventions.
Area of Science:
- Digital Health Interventions
- Neuroscience
- Child Psychology
Background:
- Digital technologies, particularly virtual reality (VR), are increasingly used for psychological interventions.
- VR application expanded during the COVID-19 pandemic, showing promise for treating attention-deficit/hyperactivity disorder (ADHD).
- Previous studies indicate VR interventions can enhance inhibitory control in children with ADHD.
Purpose of the Study:
- To evaluate the effectiveness of a novel VR-based cognitive control training game for children with ADHD symptoms.
- To assess the sustainability of training effects through a 3-month follow-up.
- To analyze training response patterns and influencing factors using clustering methods.
Main Methods:
- Twenty-nine children (ages 10-14) with ADHD symptoms participated in a 20-day daily VR training program.
- Assessments included cognitive tests (Stroop, Color Trails, Flanker) and behavioral checklists (CBCL) at baseline, post-training, and follow-up.
- K-means clustering was used to identify distinct training response patterns.
Main Results:
- Significant improvements were observed in Stroop test performance and Child Behavior Checklist (CBCL) scores for total problems, attention problems, and ADHD symptoms.
- The training effects on the Stroop test and CBCL measures were sustained at the 3-month follow-up.
- Clustering revealed two distinct response patterns based on game performance, not related to IQ.
Conclusions:
- VR-based cognitive control training effectively improved specific aspects of cognitive control and ADHD-related behaviors in children.
- The observed benefits, particularly on the Stroop test and CBCL, demonstrated sustained effects over 3 months.
- This VR approach shows potential as a therapeutic tool for managing ADHD symptoms in pediatric populations.

