A serious game for children with Attention Deficit Hyperactivity Disorder: Who benefits the most?

The aim of the current study was to identify which subgroups of children with Attention Deficit Hyperactivity Disorder (ADHD) benefitted the most from playing a Serious Game (SG) intervention shown in a randomized trial to improve behavioral outcomes. Pre-intervention characteristics [i.e., gender,...

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Vydané v:PloS one Ročník 13; číslo 3; s. e0193681
Hlavní autori: Bul, Kim C. M., Doove, Lisa L., Franken, Ingmar H. A., Oord, Saskia Van der, Kato, Pamela M., Maras, Athanasios
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States Public Library of Science 15.03.2018
Public Library of Science (PLoS)
Predmet:
Analysis
Anxiety
Attention Deficit Disorder with Hyperactivity - psychology
Attention deficit hyperactivity disorder
Behavior disorders
Behavior therapy
Biology and Life Sciences
Care and treatment
Child
Children
Comorbidity
Computer & video games
Educational software
Female
Games, Recreational - psychology
Girls
Health aspects
Humans
Impulsive behavior
Intervention
Male
Medicine and Health Sciences
Methods
Moderators
People and Places
Research and Analysis Methods
Skills
Studies
Subgroups
Time management
Treatment Outcome
Twins - psychology
Video games
United Kingdom > UK
Belgium
Netherlands
ISSN:1932-6203, 1932-6203
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Popis
Shrnutí:The aim of the current study was to identify which subgroups of children with Attention Deficit Hyperactivity Disorder (ADHD) benefitted the most from playing a Serious Game (SG) intervention shown in a randomized trial to improve behavioral outcomes. Pre-intervention characteristics [i.e., gender, age, intellectual level of functioning, medication use, computer experience, ADHD subtype, severity of inattention problems, severity of hyperactivity/impulsivity problems, comorbid Oppositional Defiant Disorder (ODD) and Conduct Disorder (CD) symptoms] were explored as potential moderators in a Virtual Twins (VT) analysis to identify subgroups for whom the SG intervention was most effective. Primary outcome measures were parent-reported time management, planning/organizing and cooperation skills. Two subgroups were identified. Girls (n = 26) were identified as the subgroup that was most likely to show greater improvements in planning/organizing skills as compared to the estimated treatment effect of the total group of participants. Furthermore, among the boys, those (n = 47) with lower baseline levels of hyperactivity and higher levels of CD symptoms showed more improvements in their planning/organizing skills when they played the SG intervention as compared to the estimated treatment effect of the total group of participants. Using a VT analysis two subgroups of children with ADHD, girls, and boys with both higher levels of CD and lower levels of hyperactivity, were identified. These subgroups mostly benefit from playing the SG intervention developed to improve ADHD related behavioral problems. Our results imply that these subgroups have a higher chance of treatment success.
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These authors also contributed equally to this work.
Competing Interests: I have read the journal's policy and the authors of this manuscript have the following competing interests: Dr. Saskia Van der Oord, Dr. Pamela Kato and Dr. Kim C. M. Bul have been paid consultants for Janssen Pharmaceuticals, for the development and evaluation of the game Plan-it Commander. This fee was paid to the institution except for Dr. Pamela Kato. Dr. Saskia Van der Oord has been a paid speaker for Shire and Medice (all these activities are related to speaking or researching/developing non-pharmacological interventions for ADHD). Dr. Saskia Van der Oord is a co-developer and author of two manuals concerning cognitive behavioral treatment for ADHD Zelf Plannen (Plan my Life) and Zelf Oplossingen bedenken (Solution-focused treatment); she receives no royalties for sales of any of these interventions. Dr. Athanasios Maras has been a paid consultant to/member of advisory board of/and/or speaker for Janssen Pharmaceuticals, Eli Lilly, Eurocept and Neurim Pharmaceuticals in the past 5 years and is not an employee or a stock shareholder of any of these companies; he has no other financial or material support, including expert testimony, patents, and royalties. This does not alter our adherence to PLOS ONE policies on sharing data and materials. All other authors have indicated they have no competing interests to declare.
Current address: Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium
Current address: Department of Clinical Psychology, Erasmus University of Rotterdam, Rotterdam, the Netherlands
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0193681