title: A Randomized Controlled Trial of an Integrated Brain, Body, and Social Intervention for Children With ADHD.
abstract: Objective:This study evaluated the efficacy of an Integrated Brain, Body, and Social (IBBS) intervention for children with ADHD. Treatment consisted of computerized cognitive remediation training, physical exercises, and a behavior management strategy.Method:Ninety-two children aged 5 to 9 years with ADHD were randomly assigned to 15 weeks of IBBS or to treatment-as-usual. Primary outcome measures included blinded clinician ratings of ADHD symptoms and global clinical functioning. Secondary outcome measures consisted of parent and teacher ratings of ADHD and neurocognitive tests.Results:No significant treatment effects were found on any of our primary outcome measures. In terms of secondary outcome measures, the IBBS group showed significant improvement on a verbal working memory task; however, this result did not survive correction for multiple group comparisons.Conclusion:These results suggest that expanding cognitive training to multiple domains by means of two training modalities does not lead to generalized improvement of ADHD symptomatology.
authors.affiliation: Yale School of Medicine, New Haven, CT, USA.|The University of Southern Mississippi, Hattiesburg, MS, USA.
authors.forename: Stephanie D
authors.initials: SD
authors.lastname: Smith
authors.affiliation: Yale School of Medicine, New Haven, CT, USA.
authors.forename: Lawrence A
authors.initials: LA
authors.lastname: Vitulano
authors.affiliation: Yale School of Medicine, New Haven, CT, USA.
authors.forename: Liliya
authors.initials: L
authors.lastname: Katsovich
authors.affiliation: Beijing Physical Education & Skill College, People's Republic of China.
authors.forename: Shuaixing
authors.initials: S
authors.lastname: Li
authors.affiliation: Yale School of Medicine, New Haven, CT, USA.|University of Delaware, Newark, DE, USA.
authors.forename: Christina
authors.initials: C
authors.lastname: Moore
authors.affiliation: Chinese Academy of Sciences, Beijing, People's Republic of China.
authors.forename: Fenghua
authors.initials: F
authors.lastname: Li
authors.affiliation: Yale School of Medicine, New Haven, CT, USA.
authors.forename: Heidi
authors.initials: H
authors.lastname: Grantz
authors.affiliation: Peking Union Medical College, Beijing, People's Republic of China.
authors.forename: Xixi
authors.initials: X
authors.lastname: Zheng
authors.affiliation: Yale School of Medicine, New Haven, CT, USA.
authors.forename: Virginia
authors.initials: V
authors.lastname: Eicher
authors.affiliation: Yale School of Medicine, New Haven, CT, USA.
authors.forename: Selin
authors.initials: S
authors.lastname: Aktan Guloksuz
authors.affiliation: Capital Medical University, Beijing, People's Republic of China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Zheng
authors.affiliation: Peking University, Beijing, People's Republic of China.
authors.forename: Jinxia
authors.initials: J
authors.lastname: Dong
authors.affiliation: Yale School of Medicine, New Haven, CT, USA.
authors.forename: Denis G
authors.initials: DG
authors.lastname: Sukhodolsky
authors.affiliation: Yale School of Medicine, New Haven, CT, USA.
authors.forename: James F
authors.initials: JF
authors.lastname: Leckman
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity / Q000628:therapy; D001521:Behavior Therapy; D001921:Brain; D002648:Child; D002675:Child, Preschool; D006801:Humans; D008570:Memory, Short-Term; D016896:Treatment Outcome
keywords: ADHD; Good Behavior Game (GBG); computerized cognitive remediation training (CCRT); physical exercise; randomized controlled trial