A randomized controlled study of remote computerized cognitive, neurofeedback, and combined training in the treatment of children with attention-deficit/hyperactivity disorder.

There is an increasing interest in non-pharmacological treatments for children with attention-deficit/hyperactivity disorder (AD/HD), especially digital techniques that can be remotely delivered, such as neurofeedback (NFT) and computerized cognitive training (CCT). In this study, a randomized contr...

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Publicado en:European Child & Adolescent Psychiatry Vol. 32; no. 8; pp. 1475 - 1487
Autores principales: Luo, Xiangsheng, Guo, Xiaojie, Zhao, Qihua, Zhu, Yu, Chen, Yanbo, Zhang, Dawei, Jiang, Han, Wang, Yufeng, Johnstone, Stuart, Sun, Li
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Springer Nature Aug2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2023
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      pub: Springer Nature
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        10.1007/s00787-022-01956-1
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        atl: A randomized controlled study of remote computerized cognitive, neurofeedback, and combined training in the treatment of children with attention-deficit/hyperactivity disorder.
      aug:
        au:
          Luo, Xiangsheng
          Guo, Xiaojie
          Zhao, Qihua
          Zhu, Yu
          Chen, Yanbo
          Zhang, Dawei
          Jiang, Han
          Wang, Yufeng
          Johnstone, Stuart
          Sun, Li
        affil: Peking University Sixth Hospital and, Peking University Institute of Mental Health, Beijing, People's Republic of China
      sug:
        subj:
          Attention Deficit Hyperactivity Disorder Therapy
          Biofeedback
          Cognitive Therapy
          Therapy, Computer Assisted
          Treatment Outcomes
          Human
          Randomized Controlled Trials
          Random Assignment
          China
          Male
          Female
          Infant
          Child
          Pretest-Posttest Design
          Questionnaires
          Digital Technology Utilization
          Activities of Daily Living Evaluation
          Functional Assessment Evaluation
          Memory Evaluation
          Learning
          Electroencephalography Evaluation
          Funding Source
          Infant: 1-23 months
          Child: 6-12 years
          Male
          Female
      ab: There is an increasing interest in non-pharmacological treatments for children with attention-deficit/hyperactivity disorder (AD/HD), especially digital techniques that can be remotely delivered, such as neurofeedback (NFT) and computerized cognitive training (CCT). In this study, a randomized controlled design was used to compare training outcomes between remotely delivered NFT, CCT, and combined NFT/CCT training approaches. A total of 121 children with AD/HD were randomly assigned to the NFT, CCT, or NFT/CCT training groups, with 80 children completing the training program. Pre- and post-training symptoms (primary outcome), executive and daily functions were measured using questionnaires as well as resting EEG during eyes-closed (EC) and eyes-open (EO) conditions. After 3 months of training, the inattentive and hyperactive/impulsive symptoms, inhibition, working memory, learning and life skills of the three groups of children were significantly improved. The objective EEG activity showed a consistent increase in the relative alpha power in the EO condition among the three training groups. Training differences were not observed between groups. There was a positive correlation between pre-training EO relative alpha power and symptom improvement scores of inattention and hyperactivity/impulsivity, as well as a negative correlation between pre-training inattention scores and change in EO relative alpha. This study verified the training effects of NFT, CCT, and combined NFT/CCT training in children with AD/HD and revealed an objective therapeutic role for individual relative alpha activity. The verified feasibility and effectiveness of home-based digital training support promotion and application of digital remote training.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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