Digital cognitive training in children with attention-deficit/hyperactivity disorder: a study protocol of a randomised controlled trial

Introduction Attention-deficit/hyperactivity disorder (ADHD) is one of the most prevalent neurodevelopmental disorders and is a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with daily functioning. Children with ADHD are developmentally vulnerable, with the disor...

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Main Authors: Sally Richmond, Hannah Kirk, Kim Cornish, Mark A Bellgrove, Tori Gaunson, Meg Bennett
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e055385.full
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author Sally Richmond
Hannah Kirk
Kim Cornish
Mark A Bellgrove
Tori Gaunson
Meg Bennett
author_facet Sally Richmond
Hannah Kirk
Kim Cornish
Mark A Bellgrove
Tori Gaunson
Meg Bennett
author_sort Sally Richmond
collection DOAJ
description Introduction Attention-deficit/hyperactivity disorder (ADHD) is one of the most prevalent neurodevelopmental disorders and is a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with daily functioning. Children with ADHD are developmentally vulnerable, with the disorder linked to emotional regulation difficulties, behavioural disturbances, as well as academic challenges. Emerging evidence suggests that children with ADHD may benefit from cognitive training interventions, including those focused on attention. This study aims to assess the immediate and long-term efficacy of an attention training intervention in children with ADHD.Methods and analysis This study is a preregistered, parallel, double blind, randomised controlled trial. Participants will comprise 104 children with a diagnosis of ADHD aged 5–8 years 11 months. Participants will be randomly allocated to either an adaptive, digital game-based (1) attention training programme (intervention) or (2) a numeracy programme (control). Both programmes will be delivered on a touchscreen tablet, and children will complete five 20 min sessions per week for a 5-week period at home (25 sessions in total). Assessments of the primary outcome (ie, attention and inhibitory control) and secondary outcomes (ie, selective attention, interference control, sustained attention, inhibition, behavioural attention, impairment in everyday functioning, working memory and executive functioning) will occur at preintervention, immediately postintervention and at 3-month follow-up. Multivariate linear regression will be employed to examine primary and secondary outcomes. The data analyst will be blinded to group membership.Ethics and dissemination Ethics approval has been obtained from the Monash University HREC (20495). Results will be disseminated through peer-reviewed journals, conference presentations, media outlets, the internet and various community/stakeholder activities.Trial registration number ACTRN12620000964910, UTN U1111-1250-2620.
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spelling doaj-art-8cfcbd8e2bf74ab3994bd4e27e83042c2025-01-24T03:45:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-055385Digital cognitive training in children with attention-deficit/hyperactivity disorder: a study protocol of a randomised controlled trialSally Richmond0Hannah Kirk1Kim Cornish2Mark A Bellgrove3Tori Gaunson4Meg Bennett51 Turner Institute for Brain and Mental Health, School of Psychological Science, Monash University, Clayton, Victoria, AustraliaTurner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Victoria, AustraliaTurner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Victoria, AustraliaMonash University, Clayton, Victoria, AustraliaTurner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Victoria, AustraliaTurner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Victoria, AustraliaIntroduction Attention-deficit/hyperactivity disorder (ADHD) is one of the most prevalent neurodevelopmental disorders and is a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with daily functioning. Children with ADHD are developmentally vulnerable, with the disorder linked to emotional regulation difficulties, behavioural disturbances, as well as academic challenges. Emerging evidence suggests that children with ADHD may benefit from cognitive training interventions, including those focused on attention. This study aims to assess the immediate and long-term efficacy of an attention training intervention in children with ADHD.Methods and analysis This study is a preregistered, parallel, double blind, randomised controlled trial. Participants will comprise 104 children with a diagnosis of ADHD aged 5–8 years 11 months. Participants will be randomly allocated to either an adaptive, digital game-based (1) attention training programme (intervention) or (2) a numeracy programme (control). Both programmes will be delivered on a touchscreen tablet, and children will complete five 20 min sessions per week for a 5-week period at home (25 sessions in total). Assessments of the primary outcome (ie, attention and inhibitory control) and secondary outcomes (ie, selective attention, interference control, sustained attention, inhibition, behavioural attention, impairment in everyday functioning, working memory and executive functioning) will occur at preintervention, immediately postintervention and at 3-month follow-up. Multivariate linear regression will be employed to examine primary and secondary outcomes. The data analyst will be blinded to group membership.Ethics and dissemination Ethics approval has been obtained from the Monash University HREC (20495). Results will be disseminated through peer-reviewed journals, conference presentations, media outlets, the internet and various community/stakeholder activities.Trial registration number ACTRN12620000964910, UTN U1111-1250-2620.https://bmjopen.bmj.com/content/12/6/e055385.full
spellingShingle Sally Richmond
Hannah Kirk
Kim Cornish
Mark A Bellgrove
Tori Gaunson
Meg Bennett
Digital cognitive training in children with attention-deficit/hyperactivity disorder: a study protocol of a randomised controlled trial
BMJ Open
title Digital cognitive training in children with attention-deficit/hyperactivity disorder: a study protocol of a randomised controlled trial
title_full Digital cognitive training in children with attention-deficit/hyperactivity disorder: a study protocol of a randomised controlled trial
title_fullStr Digital cognitive training in children with attention-deficit/hyperactivity disorder: a study protocol of a randomised controlled trial
title_full_unstemmed Digital cognitive training in children with attention-deficit/hyperactivity disorder: a study protocol of a randomised controlled trial
title_short Digital cognitive training in children with attention-deficit/hyperactivity disorder: a study protocol of a randomised controlled trial
title_sort digital cognitive training in children with attention deficit hyperactivity disorder a study protocol of a randomised controlled trial
url https://bmjopen.bmj.com/content/12/6/e055385.full
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