Department of Neurology, University of California San Francisco, San Francisco, California, United States of America.
Helen Wills Neuroscience Institute, University of California Berkeley, Berkeley, California, United States of America.
PLoS One. 2021 Feb 4;16(2):e0246449. doi: 10.1371/journal.pone.0246449. eCollection 2021.
The goal of this study was to test for long-term benefits three years after the completion of a cognitive training intervention (Project: EVO™) in a subset of children with Sensory Processing Dysfunction (SPD). Our initial findings revealed that children with SPD who also met research criteria for Attention Deficit Hyperactivity Disorder (SPD+IA) showed a significant decrease in parent-observed inattentive behaviors, which remained stable in a nine-month follow-up assessment. Forty nine caregivers of participants who completed the Project: EVO™ training were contacted to be included in this follow up study. Each was emailed an invitation to complete the Vanderbilt ADHD Diagnostic Parent Rating Scale, which yielded a completion rate of 39/49 (80%). A Generalized Estimating Equations analysis was used to assess changes in symptoms over time, specifically to determine whether the initial improvements were retained. The SPD+IA cohort continued to show sustained benefits on their parent-reported scores of inattention, with 54% of SPD+IA individuals no longer meeting criteria for ADHD three years following intervention. These findings provide initial insights into the potential long-term benefits of a digital health intervention for children with attention-based issues.
本研究旨在测试认知训练干预(项目:EVO™)完成三年后,对感觉处理障碍(SPD)儿童亚组的长期获益。我们的初步发现表明,同时符合注意缺陷多动障碍(SPD+IA)研究标准的 SPD 儿童表现出父母观察到的注意力不集中行为显著减少,在九个月的随访评估中保持稳定。联系了 49 名完成项目:EVO™训练的参与者的照顾者,邀请他们参加这项后续研究。每位照顾者都收到了一份完成范德比尔特注意力缺陷多动障碍诊断父母评定量表的电子邮件邀请,完成率为 39/49(80%)。广义估计方程分析用于评估随时间变化的症状变化,特别是确定初始改善是否得到保留。SPD+IA 队列在父母报告的注意力不集中评分上继续表现出持续的获益,54%的 SPD+IA 个体在干预后三年不再符合 ADHD 的标准。这些发现为基于注意力问题的儿童的数字健康干预的潜在长期获益提供了初步见解。