基于技术的干预对注意力缺陷/多动障碍的学龄儿童的有效性:随机对照试验的系统审查和元分析
Ka Po Wong1, Jing Qin2, Yao Jie Xie2
1Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong).
JMIR mental health
|November 21, 2023
概括
基于技术的干预措施有望改善学龄儿童注意力缺陷/多动症 (ADHD) 症状. 这些数字工具有效地减少注意力不集中,改善执行功能,减少破坏性行为,提供了有价值的治疗选择.
科学领域:
- 儿科心理学 儿科心理学
- 神经科学是一个神经科学.
- 教育技术的教育技术
背景情况:
- 注意缺陷/多动障碍 (ADHD) 是一个常见的神经发育障碍在学龄儿童.
- 计算机程序和虚拟现实等基于技术的干预措施 (TBIs) 显示出管理ADHD症状的潜力.
- 越来越多的研究通过随机对照试验 (RCT) 调查TBI的疗效.
研究的目的:
- 系统地审查和元分析基于技术的干预措施的有效性,以学校年龄的儿童与ADHD.
- 评估TBI对ADHD相关行为,认知功能,学习和生活质量的影响.
主要方法:
- 一个系统的审查和对19个随机对照试验 (RCTs) 的元分析,涉及1843名参与者.
- 从7个电子数据库中确定了研究,涵盖了到2022年4月的文献.
- 评估结果包括ADHD行为,认知功能,学习能力和生活质量.
主要成果:
- 基于技术的干预措施在计算机评级的注意力不集中 (SMD -0.35) 和视觉注意力 (SMD -0.42至 -0.43) 中显示出小但显著的改善.
- 父母评估的执行功能 (SMD -0.35) 和破坏性行为 (SMD -0.31至 -0.50) 也显著改善.
- 在各种措施中观察到积极效应,包括执行功能的行为评级清单和儿童行为检查清单.
结论:
- 基于技术的干预措施是有效和有前途的治疗方法,可以改善学龄儿童的特定ADHD相关行为和认知功能.
- 这些数字工具为管理ADHD症状提供了可行的治疗途径.
- 进一步的研究可以探索长期影响,并优化TBI协议的ADHD.
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