title: Efficacy of Cognitive-Functional (Cog-Fun) Occupational Therapy Intervention Among Children With ADHD: An RCT.
abstract: Objective:To examine the efficacy of a Cognitive-Functional (Cog-Fun) intervention for children with ADHD.Method:Random allocation of 107 children to study or control groups preceded 10 parent-child weekly Cog-Fun sessions emphasizing executive strategy training in games and daily activities. Controls received treatment after crossover. Study participants were followed up 3 months post-treatment. Outcomes included parent/teacher ratings of executive functions, ADHD symptoms, and parent ratings of quality of life.Results:Eight children withdrew prior to treatment. All children in both groups who began treatment completed it. Mixed effects ANOVA revealed significant Time × Group interaction effects on all parent-reported outcomes. Treatment effects were moderate to large, replicated after crossover in the control group and not moderated by medication. Parent-reported treatment gains in the study group were maintained at follow-up. No significant Time × Group interaction effects were found on teacher outcomes.Conclusion:Cog-Fun occupational therapy (OT) intervention shows positive context-specific effects on parent, but not teacher, ratings.
authors.affiliation: Hadassah and the Hebrew University, Jerusalem, Israel.
authors.forename: Jeri
authors.initials: J
authors.lastname: Hahn-Markowitz
authors.affiliation: Hadassah and the Hebrew University, Jerusalem, Israel.|Neuro-Cognitive Center, Jerusalem, Israel.
authors.forename: Itai
authors.initials: I
authors.lastname: Berger
authors.affiliation: Geha Medical Center, Petah Tikva, Israel.|Tel Aviv University, Israel.
authors.forename: Iris
authors.initials: I
authors.lastname: Manor
authors.affiliation: Hadassah and the Hebrew University, Jerusalem, Israel.
authors.forename: Adina
authors.initials: A
authors.lastname: Maeir
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity / Q000628:therapy; D002648:Child; D003071:Cognition; D056344:Executive Function; D006801:Humans; D009788:Occupational Therapy; D010290:Parents; D011788:Quality of Life
keywords: child ADHD; executive functions (EF); intervention; quality of life (QoL)