Frisch Carmit, Tirosh Emanuel, Rosenblum Sara
The Laboratory of Complex Human Activity and Participation (CHAP), Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa 3498838, Israel.
The Hannah Khoushy Child Development Center, Bnai Zion Medical Center, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 69094, Israel.
Children (Basel). 2023 Jun 20;10(6):1083. doi: 10.3390/children10061083.
Children with attention-deficit/hyperactivity disorder (ADHD) struggle with executive delays while managing their daily tasks. This is a secondary analysis of existing data from open-label research examining the efficacy of Parental Occupational Executive Training (POET). It further examines POET's efficacy in increasing young children's (3.83 to 7.08 years) executive control over daily routines, and in decreasing their ADHD symptoms. Additionally, the second analysis investigates which of the children's increased capabilities is better associated with the change in their daily routine management following the intervention. Parents of children with ADHD symptomatology (N = 72, 55 boys) received eight POET sessions. They completed standardised ADHD symptomatology, executive management of daily routines, and executive functions (EF) questionnaires at pretest, post-test, and 3-month follow-up. Children's ADHD symptoms and their management of daily routines significantly improved following the POET intervention. The children's score changes in EF accounted for 37% of the variance in their improved routine management. These findings suggest that interventions aiming to increase children's executive control over their daily routines should improve their broader array of EF besides decreasing core ADHD symptoms.
患有注意力缺陷多动障碍(ADHD)的儿童在处理日常任务时会面临执行功能延迟的问题。这是一项对开放标签研究的现有数据进行的二次分析,该研究考察了家长职业执行训练(POET)的疗效。它进一步研究了POET在增强幼儿(3.83至7.08岁)对日常生活的执行控制以及减轻其ADHD症状方面的疗效。此外,二次分析还调查了在干预后,儿童能力的提升中,哪些能力与他们日常生活管理的变化关联更紧密。患有ADHD症状的儿童的家长(N = 72,55名男孩)接受了八次POET课程。他们在预测试、后测试和3个月随访时完成了标准化的ADHD症状、日常生活执行管理和执行功能(EF)问卷。在POET干预后,儿童的ADHD症状及其日常生活管理有了显著改善。儿童EF的分数变化占其日常管理改善差异的37%。这些发现表明,旨在增强儿童对日常生活执行控制的干预措施,除了减轻核心ADHD症状外,还应改善其更广泛的EF。