title: Effectiveness of a cognitive-functional group intervention among preschoolers with attention deficit hyperactivity disorder: a pilot study.
abstract: OBJECTIVE
  To test functional improvement after a group cognitive-functional occupational therapy intervention for preschoolers with attention deficit hyperactivity disorder (ADHD).
  
  
  METHODS
  Seventeen preschooler-parent dyads attended 11 weekly group sessions focused on acquiring executive strategies through occupational performance. Functional improvement was measured using the Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS); executive function, using the Behavior Rating Inventory of Executive Function-Pediatric; ADHD symptomatology, using Conners' Parent Rating Scale-Revised and Conners' Teacher Rating Scale-Revised; and social functioning, using the Social Participation scale of the Sensory Processing Measure.
  
  
  RESULTS
  Significant improvement was found on the COPM and GAS measures, whereas mixed results were found on the other measures, with improvements found in children whose scores indicated impairment at baseline.
  
  
  CONCLUSIONS
  Cognitive-functional group intervention appears to significantly improve daily functioning, executive function, and social functioning for children who demonstrate clinical impairment. Further research with a larger sample, a control group, and follow-up is required.
authors: Lori Rosenberg, MSc, OT, is Head of Occupational Therapy, Ilanot School, Jerusalem, Israel, and Lecturer, School of Occupational Therapy, Faculty of Medicine, Hadassah and the Hebrew University of Jerusalem, Mount Scopus, Jerusalem, Israel; lori66@gmail.com.
authors: Lori
authors: L
authors: Rosenberg
authors: Adina Maeir, PhD, OT, is Head, School of Occupational Therapy, Faculty of Medicine, Hadassah and the Hebrew University of Jerusalem, Mount Scopus, Jerusalem, Israel.
authors: Adina
authors: A
authors: Maeir
authors: Aviva Yochman, PhD, OT, is Lecturer and Researcher, School of Occupational Therapy, Faculty of Medicine, Hadassah and the Hebrew University of Jerusalem, Mount Scopus, Jerusalem, Israel.
authors: Aviva
authors: A
authors: Yochman
authors: Idit Dahan, MSc, OT, is Head, Pediatric Occupational Therapy, Maccabi Health Service, Jerusalem, Israel.
authors: Idit
authors: I
authors: Dahan
authors: Idit Hirsch, MSc, OT, is Occupational Therapist, Maccabi Health Service, Jerusalem, Israel.
authors: Idit
authors: I
authors: Hirsch
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity / Q000523:psychology / Q000534:rehabilitation*; D002648:Child; D002675:Child, Preschool; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D056344:Executive Function; D005260:Female; D006040:Goals; D006801:Humans; D008297:Male; D009788:Occupational Therapy / Q000379:methods*; D010290:Parents; D010865:Pilot Projects; D011615:Psychotherapy, Group / Q000379:methods; D012919:Social Behavior; D016896:Treatment Outcome