Effects of Combing Group Executive Functioning and Online Parent Training on School-Aged Children With ADHD: A Randomized Controlled Trial

作者：Liting Chu, Peiying Zhu, Chenhuan Ma, Lizhu Pan, Li Shen, Danmai Wu, Yu Wang, Guangjun Yu · 发表于：Frontiers in Pediatrics · 年份：2022 · DOI：10.3389/fped.2021.813305 · 被引用次数：13 · 研究领域：Attention Deficit Hyperactivity Disorder、Child and Adolescent Psychosocial and Emotional Development、Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Objective The acceptance of drug treatment for younger children with attention-deficit/hyperactivity disorder (ADHD) in China remains low. Here, we explored the clinical benefits of a non-pharmaceutical intervention method combining a group and executive function training and an online parent training program, termed group executive functioning and online parent training (GEF-OPT), for school-aged students with ADHD through a randomized controlled trial. Method A total of 145 children (aged 6–8 years) were formally registered and randomized to the intervention group ( n = 73) and waitlist group ( n = 72). The enrolled children received eight sessions of GEF-OPT treatment, which consists of a hospital-based children executive function (EF) training program and an online parent training program. Treatment outcome was assessed by a parent/teacher report questionnaire and neurophysiological experiment. Results After eight sessions of intervention, children in the intervention group showed a significant improvement in inattentive symptom compared to the waitlist group (14.70 ± 4.35 vs. 16.03 ± 2.93; p = 0.024), but an insignificant difference in hyperactive-impulsivity (9.85 ± 5.30 vs. 10.69 ± 5.10; p = 0.913). Comorbid oppositional defiant disorder was significantly reduced in the intervention group (7.03 ± 4.39 vs. 8.53 ± 4.41; p = 0.035). Children in the intervention group had greater reduction in the scores of behavioral regulation index (inhibition, emotional control) and met...