Leanne Tamm|Paul A. Nakonezny
Metacognitive executive function training for young children with ADHD: a proof-of-concept study
Cincinnati Children's Hospital Medical Center|The University of Texas Southwestern Medical Center
executive functions ef impaired children attentiondeficithyperactivity disorder adhd may especially critical interventions target ef early childhood given developmental progression ef deficits may contribute later functional impairments proofofconcept study examined initial efficacy intervention program ef adhd also examined child performance three neurocognitive tasks assessing cognitive flexibility auditoryvisual attention sustainedselective attention children adhd ages 37 parents randomized receive intervention targeting metacognitive ef deficits n 13 waitlist control condition n 12 linear model analysis covariance compared groups parent ef ratings blinded clinician ratings adhd symptoms improvement child performance neurocognitive measures children received intervention significantly improved parent ratings attention shifting emotion regulation addition clinician ratings inattention moderate effect sizes showed additional intervention effects parent ratings inhibition memory planning clinician ratings hyperactivityimpulsivity overall improvement small effect sizes observed improvement child neurocognitive measures although replication larger sample active control group needed ef training metacognitive focus potentially promising intervention young children adhd