A novel digital intervention for actively reducing severity of paediatric ADHD (STARS-ADHD): a randomised controlled trial

Kollins, Scott H.; DeLoss, Denton J.; Cañadas, Elena; Lutz, J. Gary; Findling, Robert L.; Keefe, Richard S.E.; Epstein, Jeffery N.; Cutler, Andrew J.; Faraone, Stephen V.

doi:10.1016/s2589-7500(20)30017-0

Cited by 259 publications

(254 citation statements)

References 31 publications

Supporting

Mentioning

238

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, we would like to discuss potential implications of our results at the intersection of computer sciences, health care and the gaming industry. Considering that there are already customized video games that are used for clinical purposes (Kollins et al, 2020); and video games where on-screen characters may even be controlled by means of brain oscillatory activity or event-related potentials using brain-computer interfaces (Bayliss, 2003;Nijholt et al, 2009), which may enable people with a physical disability to enjoy video gaming and feel more inclusive (see, Bos et al, 2010, for a more detailed review), one might question the significance of gaming effects associated with commercially available video games. One of the largest shortcomings of the latter is the lack of standardization.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, video gaming might represent a promising tool both for investigating human learning and therapeutic use in clinical populations (e.g., in patients with amblyopia, see Gambacorta et al, 2018). In this sense, for instance, EndeavorRx TM (Akili Interactive Labs, Boston, MA, United States), a racing video game customized to treat children with ADHD (Kollins et al, 2020), was approved by the Food and Drug Administration (FDA), recently.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Faster Visual Information Processing in Video Gamers Is Associated With EEG Alpha Amplitude Modulation

et al. 2020

View full text Add to dashboard Cite

Video gaming, specifically action video gaming, seems to improve a range of cognitive functions. The basis for these improvements may be attentional control in conjunction with reward-related learning to amplify the execution of goal-relevant actions while suppressing goal-irrelevant actions. Given that EEG alpha power reflects inhibitory processing, a core component of attentional control, it might represent the electrophysiological substrate of cognitive improvement in video gaming. The aim of this study was to test whether non-video gamers (NVGs), non-action video gamers (NAVGs) and action video gamers (AVGs) exhibit differences in EEG alpha power, and whether this might account for differences in visual information processing as operationalized by the theory of visual attention (TVA). Forty male volunteers performed a visual short-term memory paradigm where they memorized shape stimuli depicted on circular stimulus displays at six different exposure durations while their EEGs were recorded. Accuracy data was analyzed using TVA-algorithms. There was a positive correlation between the extent of post-stimulus EEG alpha power attenuation (10–12 Hz) and speed of information processing across all participants. Moreover, both EEG alpha power attenuation and speed of information processing were modulated by an interaction between group affiliation and time on task, indicating that video gamers showed larger EEG alpha power attenuations and faster information processing over time than NVGs – with AVGs displaying the largest increase. An additional regression analysis affirmed this observation. From this we concluded that EEG alpha power might be a promising neural substrate for explaining cognitive improvement in video gaming.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Faster Visual Information Processing in Video Gamers Is Associated With EEG Alpha Amplitude Modulation

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Thus moving away from training multiple specific mechanisms (whether auditory or cognitive) and towards the broader and potentially more motivating training offered by action video game play e.g. 31 . The participants were grouped by pre-existing gaming experience and received no study-related training.…”

mentioning

confidence: 99%

Auditory cognition and perception of action video game players

Stewart

Martinez

Perdew

et al. 2020

Sci Rep

View full text Add to dashboard Cite

A training method to improve speech hearing in noise has proven elusive, with most methods failing to transfer to untrained tasks. one common approach to identify potentially viable training paradigms is to make use of cross-sectional designs. For instance, the consistent finding that people who chose to avidly engage with action video games as part of their normal life also show enhanced performance on non-game visual tasks has been used as a foundation to test the causal impact of such game play via true experiments (e.g., in more translational designs). However, little work has examined the association between action video game play and untrained auditory tasks, which would speak to the possible utility of using such games to improve speech hearing in noise. To examine this possibility, 80 participants with mixed action video game experience were tested on a visual reaction time task that has reliably shown superior performance in action video game players (AVGPs) compared to non-players (≤ 5 h/week across game categories) and multi-genre video game players (> 5 h/week across game categories). Auditory cognition and perception were tested using auditory reaction time and two speech-in-noise tasks. Performance of AVGPs on the visual task replicated previous positive findings. However, no significant benefit of action video game play was found on the auditory tasks. We suggest that, while AVGPs interact meaningfully with a rich visual environment during play, they may not interact with the games' auditory environment. these results suggest that far transfer learning during action video game play is modality-specific and that an acoustically relevant auditory environment may be needed to improve auditory probabilistic thinking. Computer-based sensory and cognitive training has long held the promise of dramatic improvements on real world abilities. However, finding an auditory training task that successfully leads to improved speech perception in noise, a frequently reported auditory disability 1,2 , remains elusive. Two problems have frequently occurred when training paradigms meant to improve such skills have been examined via carefully controlled experiments. The paradigms have either: (A) failed to produce benefits above and beyond those seen from placebo control conditions e.g., Ref. 3 ; or (B) produced improvements on trained tasks, but with little improvement on untrained tasks, particularly those that were quite different from the trained task. Indeed, in a recent review of training studies aiming to improve auditory performance in adults with hearing loss, Ferguson and Henshaw 4 clearly noted a general trend of improvement in the trained task ('on-task' learning) with little or no improvement in off-task abilities. Off-task abilities similar to those trained improved in some cases, a process termed 'near transfer' , but there was little evidence of 'far transfer' to complex, off-task abilities. As an example of this latter situation, in one RCT 5 , training on a speech (phoneme) discrimination task 6 prod...

show abstract

“…Kollins et al [ 42 ▪ ] reported their large randomized, double blind, parallel-group, controlled trial involving 346 children aged 8–12 years. The intervention programme was a home-based digital game with cognitive training components involving attention control and set shifting, within built real-time adaptive mechanism to personalize the training level.…”

Section: Resultsmentioning

confidence: 99%

Updates in technology-based interventions for attention deficit hyperactivity disorder

Lim

Lim-Ashworth

Fung

2020

Current Opinion in Psychiatry

View full text Add to dashboard Cite

Purpose of review Technological advancement has led to the development of novel treatment approaches for attention deficit hyperactivity disorder (ADHD). This review aims to review recent studies which employ the use of technology to treat ADHD, with particular focus on studies published during a 1-year period from February 2019 to February 2020. Recent findings Most recent studies involved children aged 12 years and below. Interventions included cognitive training through games, neurofeedback and a combination of several approaches. More novel approaches included trigeminal nerve stimulation and brain–computer interface, and studies had utilized technology such as X-box Kinect and eye tracker. There was a shift towards delivering intervention at home and in school, enabled by technology. The study outcomes were variable and mainly included executive functioning measures and clinical ratings. These interventions were generally safe with few reported adverse events. Summary Technology has enabled interventions to be delivered outside of the clinic setting and presented an opportunity for increased access to care and early intervention. Better quality studies are needed to inform on the efficacy of these interventions.

show abstract

A novel digital intervention for actively reducing severity of paediatric ADHD (STARS-ADHD): a randomised controlled trial

Cited by 259 publications

References 31 publications

Faster Visual Information Processing in Video Gamers Is Associated With EEG Alpha Amplitude Modulation

Faster Visual Information Processing in Video Gamers Is Associated With EEG Alpha Amplitude Modulation

Auditory cognition and perception of action video game players

Updates in technology-based interventions for attention deficit hyperactivity disorder

Contact Info

Product

Resources

About