A randomized controlled study of remote computerized cognitive, neurofeedback, and combined training in the treatment of children with attention-deficit/hyperactivity disorder - European Child & Adolescent Psychiatry
Source : https://link.springer.com/article/10.1007/s00787-022-01956-1
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.
Conclusion/Relevance: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.
• Source: European Child & Adolescent Psychiatry
• Conclusion/Relevance: “This study verified the training effects of NFT [neurofeedback], CCT [computerized cognitive training], 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.”
• Computerized cognitive training (CCT) promotes cognitive performance via structured, repetitive practice that targets specific cognitive processes. In ADHD, CCT may enhance inhibitory control and working memory.
• In the current study, 121 children with ADHD were randomized to the NFT, CCT, or NFT/CCT training groups, with 80 kids completed training. Questionnaires assessed pre- and post-training symptoms, which were the primary outcomes, as well as executive and daily functions. Investigators also analyzed resting EEG during eyes-closed (EC) and eyes-open (EO) conditions.
• The inattentive and hyperactive/impulsive symptoms, inhibition, working memory, learning and life skills in all 3 groups improved after 3 months, with EEG activity also demonstrating an increase in the relative alpha power in the EO condition
• Limitations of the current study include a small sample size, high participant attrition rate, and lack of a non-training control group.