Meta-analysis of the efficacy of digital therapies in children with attention-deficit hyperactivity disorder

Fan, He; Qi, Yanjie; Zhou, Yuanyue; A, Cao; Yue, Xin; Fang, Shuanfeng; Zheng, Yingjun

doi:10.3389/fpsyt.2023.1054831

Cited by 11 publications

(3 citation statements)

References 60 publications

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“…Regarding the positive correlation between physical QoL and PG, the types of gaming activities may warrant consideration. For example, physically interactive or fitness video games, such as Wii or personal trainer apps, may promote physical activity and health, 61 which may potentially elevate physical QoL. Although this finding does not support the original hypothesis, a similar finding has been reported previously in that PUSM and PG were positively associated with physical activity in Taiwanese students.…”

Section: Discussioncontrasting

confidence: 56%

Problematic Use of Internet Associates with Poor Quality of Life via Psychological Distress in Invididuals with ADHD

Chen,

Lee,

Fung

et al. 2024

PRBM

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Background Problematic use of internet (PUI) may have negative impacts on psychological distress and quality of life (QoL). This situation might be more profound in people with attention-deficit/hyperactivity disorder (ADHD) due to poorer behavioral control and regulatory capacity. However, there is little evidence regarding mediated effects in the associations between PUI, psychological distress, and QoL in people with ADHD. Aims To investigate mediating effects of psychological distress in the associations of problematic smartphone use (PSPU), problematic use of social media (PUSM), and problematic gaming (PG) with QoL in individuals with ADHD. Methods and Procedures PUI behaviors of participants with ADHD (n = 99) were assessed using the Smartphone Application-Based Addiction Scale, Bergen Social Media Addiction Scale, and Internet Gaming Disorder-Short Form. Psychological distress was assessed using the Depression, Anxiety, Stress Scale and QoL using the Kid-KINDL. Outcomes and Results Psychological distress mediated the associations between PUI and different domains of QoL, except for self-esteem QoL. There were also positively direct effects between PG and physical QoL, PUSM and friends’ QoL, and PSPU and physical QoL. Conclusions and Implications PUI may associate with poor QoL in people with ADHD via psychological distress. Programs on reducing PUI for people with ADHD are needed.

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Section: Discussioncontrasting

confidence: 56%

Problematic Use of Internet Associates with Poor Quality of Life via Psychological Distress in Invididuals with ADHD

Chen,

Lee,

Fung

et al. 2024

PRBM

View full text Add to dashboard Cite

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“…Recently, research on digital therapies (i.e., software program-driven, evidence-based intervention programs to treat, manage, or prevent disease) has attracted both clinicians’ and researchers’ attention [ 10 ]. Video games, as a digital intervention, have been widely applied in facilitating developmental, behavioral, and emotional disorders [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

A mobile device-based game prototype for ADHD: development and preliminary feasibility testing

Luo,

Li,

et al. 2024

Transl Psychiatry

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This research aimed to devise and assess a mobile game therapy software for children with Attention-Deficit/Hyperactivity Disorder (ADHD), as well as evaluating its suitability and effectiveness in improving the cognitive ability of typically developing children. The study encompassed 55 children diagnosed with ADHD and 55 neurotypical children. Initial assessments involved ADHD-related scales, computerized tests for information processing, and physiological-psychological evaluations. After a 4-week home-based game intervention, participants underwent re-evaluation using baseline measures and provided feedback on treatment satisfaction. Considering the small proportion of study participants who dropped out, data was analyzed using both the Intention-to-Treat (ITT) analysis and the Per-protocol (PP) analysis. The trial was registered at ClinicalTrials.gov (NCT06181747). In ITT analysis, post-intervention analysis using linear mixed models indicated that the ADHD group improved significantly more than the neurotypical group particularly in Continuous Performance Test (CPT) accuracy (B = −23.92, p < 0.001) and reaction time (B = 86.08, p < 0.01), along with enhancements in anti-saccade (B = −10.65, p < 0.05) and delayed-saccade tasks (B = 0.34, p < 0.05). A reduction in parent-rated SNAP-IV scores was also observed (B = 0.43, p < 0.01). In PP analysis, paired-sample t-tests suggested that the ADHD group had significant changes pre- and post-intervention, in terms of CPT Accuracy (t = −7.62, p < 0.01), Anti-saccade task Correct Rate (t = −3.90, p < 0.01) and SNAP-IV scores (t = −4,64, p < 0.01). However, no significant changes post-intervention were observed in the neurotypical group. Survey feedback highlighted a strong interest in the games across both groups, though ADHD participants found the game more challenging. Parents of ADHD children reported perceived benefits and a willingness to continue the game therapy, unlike the neurotypical group’s parents. The findings advocated for the integration of serious video games as a complementary tool in ADHD treatment strategies, demonstrating the potential to augment attentional abilities and alleviate clinical symptoms. However, a randomized controlled trial (RCT) is needed to further verify its efficacy.

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“…In recent years, research on digital therapies (i.e., software program-driven, evidence-based intervention programs to treat, manage, or prevent disease) has been a heated topic in the eld of ADHD treatment [9] .…”

Section: Introductionmentioning

confidence: 99%

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

He,

luo,

et al. 2023

Preprint

Self Cite

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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.

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Meta-analysis of the efficacy of digital therapies in children with attention-deficit hyperactivity disorder

Cited by 11 publications

References 60 publications

Problematic Use of Internet Associates with Poor Quality of Life via Psychological Distress in Invididuals with ADHD

Problematic Use of Internet Associates with Poor Quality of Life via Psychological Distress in Invididuals with ADHD

A mobile device-based game prototype for ADHD: development and preliminary feasibility testing

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

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