A mobile device-based game prototype (Save the Muse Home) for ADHD: the development and feasibility test

Abstract

Objective:Our aim was to develop and evaluate the applicability of mobile device-based game therapy software for ADHD. Methods: A total of 51 children with ADHD and 52 healthy children were recruited in the study. At baseline, participants underwent a series of tests including ADHD symptom-related scale assessments, computer-assisted information processing tests, and physiological-psychological tests. After completing a 4-week game intervention training at home, they repeated all tests from the baseline period and answered treatment satisfaction questions. Results:At the completion of the 4-week intervention, the t-tests revealed that the ADHD group had significant score reductions on the Attention Deficit subscale (t = 2.833, p < .01) and Hyperactive Impulsivity subscale (t = 3.125, p < .05), and on the Continuous Performance Test (CPT), the Hit was significantly elevated (t = -7.624, p < 0.001) and the false alarm was significantly reduced (t = 5.575, p < 0.001). The biopsychological eye movement test showed significant improvements in inhibitory control and working memory functions. In contrast, the control group showed no significant changes in any of these areas before and after the intervention. In the questionnaire on children's and parents' attitudes toward games, children in both ADHD and control groups showed strong interest in the games, but ADHD children perceived games as more difficult compared to normal children. Meanwhile, parents in the ADHD group felt that the game training brought benefits to their children and were more willing to try it, while parents in the control group had relatively negative attitudes toward games. Conclusion:This study’s findings support that serious video games (SMH) can help to enhance attentional ability as well as to relieve clinical symptoms in ADHD patients, and can be used as a supplement to current ADHD treatment modalities.