Non-pharmacologic management of attention-deficit/hyperactivity disorder in children and adolescents: a review

Shrestha, Mahesh; Lautenschleger, Julianna; Soares, Neelkamal

doi:10.21037/tp.2019.10.01

Cited by 32 publications

(45 citation statements)

References 69 publications

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“…This model is traditionally used for adults; however, CBT has proven to be adaptable for children to enable them to acquire new ADHD management skills [ 103 ]. A new and emerging form of this therapy known as prescription digital therapy, PDT, is in the preliminary phase, with the FDA recently approving EndeavorRx as the first of its kind digital game therapy [ 104 , 105 ]. In a proof of concept study, attention and memory were found to be improved greatly in adolescents with ADHD [ 106 ].…”

Section: Innovations In Therapeutic Interventionmentioning

confidence: 99%

Understanding ADHD: Toward an Innovative Therapeutic Intervention

et al. 2021

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Attention deficit hyperactivity disorder (ADHD) is a pervasive condition affecting persons across all age groups, although it is primarily diagnosed in children. This neurological condition affects behavior, learning, and social adjustment and requires specific symptomatic criteria to be fulfilled for diagnosis. ADHD may be treated with a combination of psychological or psychiatric therapeutic interventions, but it often goes unattended. People with ADHD face societal bias challenges that impact how they manage the disorder and how they view themselves. This paper summarizes the present state of understanding of this disorder, with particular attention to early diagnosis and innovative therapeutic intervention. Contemporary understanding of the mind–brain duality allows for innovative therapeutic interventions based on neurological stimulation. This paper introduces the concept of neurostimulation as a therapeutic intervention for ADHD and poses the question of the relationship between patient adherence to self-administered therapy and the aesthetic design features of the neurostimulation device. By fabricating devices that go beyond safety and efficacy to embrace the aesthetic preferences of the patient, it is proposed that there will be improvements in patient adherence to a device intended to address ADHD.

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Section: Innovations In Therapeutic Interventionmentioning

confidence: 99%

Understanding ADHD: Toward an Innovative Therapeutic Intervention

et al. 2021

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“…Considering previous studies that prove the benefits of using SGADs for reducing the symptoms of children affected by ADHD and improving their executive functions [17,31], we decided to create a positive-reinforcement serious game [32] focused on cognitive training through a process-based approach, based on repeating different cognitive tasks belonging to various cognitive domains. The game, called Alien Attack, was designed using a user-centered design process to create an attractive, easy-to-use, and efficient SGAD.…”

Section: Designing a Serious Game For Adhdmentioning

confidence: 99%

Alien Attack: A Non-Pharmaceutical Complement for ADHD Treatment

Ahufinger

Herrero-Martín

2021

Entropy

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Mental health issues are among the most common health issues nowadays, with attention-deficit hyperactivity disorder (ADHD) being the most common neurobehavioral disorder affecting children and adolescents. ADHD is a heterogeneous disease affecting patients in various cognitive domains that play a key role in daily life, academic development, and social abilities. Furthermore, ADHD affects not only patients but also their families and their whole environment. Although the main treatment is based on pharmacotherapy, combined therapies including cognitive training and psychological therapy are often recommended. In this paper, we propose a user-centered application called Alien Attack for cognitive training of children with ADHD, based on working memory, inhibitory control, and reaction-time tasks, to be used as a non-pharmacological complement for ADHD treatment in order to potentiate the patients’ executive functions (EFs) and promote some beneficial effects of therapy.

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“…Several studies have been conducted in recent years into the effectiveness of non-pharmacological treatments for ADHD ( Pelham and Fabiano, 2008 ; Sonuga-Barke et al, 2013 ; Richardson et al, 2015 ; Watson et al, 2015 ; Scionti et al, 2020 ; Shrestha et al, 2020 ; Veloso et al, 2020 ). These non-pharmacological strategies include behavior modification techniques and cognitive behavioral therapy ( Fabiano et al, 2009 ); cognitive training ( Tamm et al, 2010 ; Shuai et al, 2017 ); training in self-instruction and techniques to enhance the capacity to inhibit responses ( Meichenbaum and Goodman, 1971 ) including computer-based interventions ( Martinovic et al, 2016 ; Rossignoli-Palomeque et al, 2018 ), training in problem solving ( Bransford and Stein, 1993 ), neurofeedback ( Zuberer et al, 2018 ; Cueli et al, 2019 ), training in social skills ( Sheridan et al, 1996 ; Storebo et al, 2012 ), peer intervention ( Cordier et al, 2018 ), and training in organizational skills ( Langberg et al, 2008 ); and psycho-educational strategies and instruction of parents and teachers in cognitive behavioral techniques ( Miranda et al, 2002 ; Pelham and Fabiano, 2008 ; Montoya et al, 2011 ; Rimestad et al, 2019 ); within the multi-modal approach, of particular importance are interventions focused on producing changes in neuro-psychological functions ( Pistoia et al, 2004 ).…”

Section: Introductionmentioning

confidence: 99%

MAGNITIVE: Effectiveness and Feasibility of a Cognitive Training Program Through Magic Tricks for Children With Attention Deficit and Hyperactivity Disorder. A Second Clinical Trial in Community Settings

et al. 2021

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Previous studies have explored the impact of magic tricks on different basic cognitive processes yet there is a need of examining effectiveness of a cognitive training program through magic tricks for children with attention deficit hyperactivity disorder (ADHD). The present study examines the effectiveness and feasibility of the MAGNITIVE program, a manualized intervention for cognitive training through the learning of magic tricks. A total of 11 children with ADHD (from 8 to 12 years) participated in separated groups of two different community settings (hospital center and school), and were assessed at pre-treatment, post-treatment, and a 3-month later follow-up in different tasks involving processing speed, sustained attention, selective attention, and mental flexibility. Using non parametric statistical analyses and Reliable Change Index, the results showed that these children receiving MAGNITIVE particularly improved their performance in sustained attention, shifting attention, and mental flexibility, changes were also observed in processing speed performance yet further research is needed in terms of selective attention and inhibition, given the great individual differences within this sample. Changes were maintained when the program was finished. In terms of viability, the study proved a good treatment integrity in different contexts (hospital and school setting), adherence to the curriculum (attendance and some practice at home), and high levels of engagement satisfaction. In this second clinical trial, MAGNITIVE program appears to be a feasible training program for children with ADHD, as an alternative for medication when possible.

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Non-pharmacologic management of attention-deficit/hyperactivity disorder in children and adolescents: a review

Cited by 32 publications

References 69 publications

Understanding ADHD: Toward an Innovative Therapeutic Intervention

Understanding ADHD: Toward an Innovative Therapeutic Intervention

Alien Attack: A Non-Pharmaceutical Complement for ADHD Treatment

MAGNITIVE: Effectiveness and Feasibility of a Cognitive Training Program Through Magic Tricks for Children With Attention Deficit and Hyperactivity Disorder. A Second Clinical Trial in Community Settings

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