Academy of Medicine-Ministry of Health Clinical Practice Guidelines: Attention Deficit Hyperactivity Disorder

Fung, Daniel; Lim, Choon Guan; Wong, John Chee Meng; Ng, Koon Hock; Cheok, Christopher Cheng Soon; Kiing, Jennifer S.H.; Chong, Shang Chee; Lou, June; Daniel, Mary; Ong, Desmond C.; Low, Charity; Aljunied, Sharifah Mariam; Choi, Pui Meng; Mehrotra, Kala; Kee, Carolyn C.; Leung, Ivy; Yen, Lee Chen; Wong, Geraldine; Lee, Poh Yin; Chin, Bella; Ng, Hwee Chien

doi:10.11622/smedj.2014098

Cited by 6 publications

(3 citation statements)

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“…Worldwide, including Singapore, ADHD is associated with significant burden[4, 5]. Current evidence-based treatment modalities include medication, psychosocial or behavioral treatment, or both[6, 7]. Long term data from studies such as the Multimodal Treatment of ADHD (MTA) study, however, did not provide a clear answer about which approach would give the best outcome in the long term[8, 9].…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of a brain-computer interface based attention training program for ADHD

et al. 2019

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Objective The use of brain-computer interface in neurofeedback therapy for attention deficit hyperactivity disorder (ADHD) is a relatively new approach. We conducted a randomized controlled trial (RCT) to determine whether an 8-week brain computer interface (BCI)-based attention training program improved inattentive symptoms in children with ADHD compared to a waitlist-control group, and the effects of a subsequent 12-week lower-intensity training. Study design We randomized 172 children aged 6–12 attending an outpatient child psychiatry clinic diagnosed with inattentive or combined subtypes of ADHD and not receiving concurrent pharmacotherapy or behavioral intervention to either the intervention or waitlist-control group. Intervention involved 3 sessions of BCI-based training for 8 weeks, followed by 3 training sessions per month over the subsequent 12 weeks. The waitlist-control group received similar 20-week intervention after a wait-time of 8 weeks. Results The participants’ mean age was 8.6 years (SD = 1.51), with 147 males (85.5%) and 25 females (14.5%). Modified intention to treat analyzes conducted on 163 participants with at least one follow-up rating showed that at 8 weeks, clinician-rated inattentive symptoms on the ADHD-Rating Scale (ADHD-RS) was reduced by 3.5 (SD 3.97) in the intervention group compared to 1.9 (SD 4.42) in the waitlist-control group (between-group difference of 1.6; 95% CI 0.3 to 2.9 p = 0.0177). At the end of the full 20-week treatment, the mean reduction (pre-post BCI) of the pooled group was 3.2 (95% CI 2.4 to 4.1). Conclusion The results suggest that the BCI-based attention training program can improve ADHD symptoms after a minimum of 24 sessions and maintenance training may sustain this improvement. This intervention may be an option for treating milder cases or as an adjunctive treatment.

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Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of a brain-computer interface based attention training program for ADHD

et al. 2019

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“…18 Fung et al described clinical practice guidelines developed by a multidisciplinary group for the treatment of ADHD in Singapore. 46 While these guidelines advise against some forms of psychological and other treatments in isolation (e.g. cognitive-behaviour therapy, social skills training) and provide cautions about some forms of pharmacological treatment, they also note that parent training should be offered for parents of pre-school children with ADHD and that parents should be referred to community-based parent training programmes.…”

Section: Discussionmentioning

confidence: 99%

Parenting practices of Singaporean mothers of children with ADHD

Nomanbhoy

Hawkins

2017

Proceedings of Singapore Healthcare

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Objectives: We wanted to determine: (1) whether ADHD symptoms were more common in mothers of children with ADHD; (2) whether mothers of children with ADHD differed in their parenting strategies; and (3) whether there was a difference in care-giving arrangements for children with ADHD and without ADHD. This was done by comparing mothers of children with ADHD with mothers of children without ADHD in Singapore. Methods: Mothers of children with ADHD (n=46) and mothers of children without ADHD (n=45) completed the Conners' Parent Rating Scale-Revised, the Conners' Adult ADHD Rating Scale-Self Report and the Alabama Parenting Questionnaire. Results: Mothers of children with ADHD did not report higher levels of current ADHD symptoms compared with the control group. However, they did use less adaptive parenting strategies. There were also no differences in the reported behaviours of children cared for by a paid worker and those cared for by mothers. Conclusions: Data support the Singapore Clinical Guidelines recommendations for the promotion of parenting skills, and referral to parenting programmes for parents of children with ADHD. The promotion of parenting skills and referral to parenting programmes for mothers of children with ADHD might include the option of electronic forms of programme delivery. The model of using paid help in the home, which is commonplace in Singapore, does not seem to disadvantage children with ADHD.

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“…9 Thus, it is unsurprising that clinicians and caregivers of children with ADHD have increasingly advocated for alternative, effective, and well-tolerated treatments. 11 Research has shown a rising trend of complementary and alternative medicine (CAM) usage among children with ADHD across various populations. Results of the 2012 National Health Interview Survey revealed that >1 in every 10 children had used some form of complementary therapy for a multitude of common ailments, including ADHD in the preceding year, whereas another study reported up to 12% of 822 children having used CAM for ADHD.…”

Section: Introductionmentioning

confidence: 99%

The Effects of a Traditional Chinese Medication on Children with Attention-Deficit/Hyperactivity Disorder

Liang

Ong

Xie

et al. 2020

The Journal of Alternative and Complementary Medicine

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Objective: This feasibility study examined the effects of a particular Traditional Chinese Medicine (TCM) herbal formula on attention-deficit/hyperactivity disorder (ADHD) and related problem behaviors.Design: A total of 79 participants aging 6-12 years consumed a granulated TCM herbal formula twice daily over a period of 3 months and underwent assessments at months 0, 3, and 6. Changes in ADHD symptoms and related behaviors were measured using the ADHD rating scale-IV (ADHD-RS-IV), child behavior checklist (CBCL), children's global sssessment scale (CGAS), as well as the clinical global impressions-severity (CGI-S) and improvement (CGI-I) scales.Results: Repeated measures mixed model analyses revealed significant differences in scores across time on all ADHD-RS-IV and CBCL subscales as well as on the CGAS, CGI-S, and CGI-I scales. Pairwise comparisons between months 0 and 3 as well as months 0 and 6 indicated significant improvements in scores. Scores also did not differ significantly between months 3 and 6. The results may suggest that this particular TCM formula possesses potential therapeutic qualities in the treatment of ADHD. Furthermore, changes in ADHD symptoms generally appear to be stable 3 months after discontinuation. However, these findings could also be attributed to placebo effects as well as reporting biases.Conclusion: This particular TCM formula may prove to be a useful adjunctive treatment for children with ADHD, and randomized controlled trials need to be conducted to evaluate its efficacy.

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Academy of Medicine-Ministry of Health Clinical Practice Guidelines: Attention Deficit Hyperactivity Disorder

Cited by 6 publications

References 0 publications

A randomized controlled trial of a brain-computer interface based attention training program for ADHD

A randomized controlled trial of a brain-computer interface based attention training program for ADHD

Parenting practices of Singaporean mothers of children with ADHD

The Effects of a Traditional Chinese Medication on Children with Attention-Deficit/Hyperactivity Disorder

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