TY - JOUR
T1 - Effectiveness of Cognitive-Functional (Cog-Fun) intervention with children with attention deficit hyperactivity disorder
T2 - A pilot study
AU - Hahn-Markowitz, Jeri
AU - Manor, Iris
AU - Maeir, Adina
PY - 2011/7
Y1 - 2011/7
N2 - The executive function (EF) deficits of children with attention deficit hyperactivity disorder (ADHD) hinder their performance of complex daily functions. Despite the existing evidence-based pharmacological interventions for ADHD symptoms, no intervention has yet been found that deals directly with EFs in daily tasks. Fourteen children and their parents participated in the Cognitive-Functional (Cog-Fun) program in occupational therapy, which is tailored to the executive dysfunction of ADHD and focuses on enabling cognitive strategies for occupational performance. The study included initial assessment of EFs (Behavior Rating Inventory of Executive Functions; Tower of London DX), occupational performance (Canadian Occupational Performance Measure), 10 sessions of Cog-Fun intervention with each child-parent dyad, and postintervention and 3-month follow-up assessments. We found significant improvements with medium to large effects on outcome measures after intervention, and most effects were maintained at follow-up. The findings warrant controlled studies examining the effectiveness of this intervention for children with ADHD.
AB - The executive function (EF) deficits of children with attention deficit hyperactivity disorder (ADHD) hinder their performance of complex daily functions. Despite the existing evidence-based pharmacological interventions for ADHD symptoms, no intervention has yet been found that deals directly with EFs in daily tasks. Fourteen children and their parents participated in the Cognitive-Functional (Cog-Fun) program in occupational therapy, which is tailored to the executive dysfunction of ADHD and focuses on enabling cognitive strategies for occupational performance. The study included initial assessment of EFs (Behavior Rating Inventory of Executive Functions; Tower of London DX), occupational performance (Canadian Occupational Performance Measure), 10 sessions of Cog-Fun intervention with each child-parent dyad, and postintervention and 3-month follow-up assessments. We found significant improvements with medium to large effects on outcome measures after intervention, and most effects were maintained at follow-up. The findings warrant controlled studies examining the effectiveness of this intervention for children with ADHD.
KW - Activities of daily living
KW - Attention deficit disorder with hyperactivity
KW - Cognitive therapy
KW - Executive function
KW - Treatment outcome
UR - http://www.scopus.com/inward/record.url?scp=79960365189&partnerID=8YFLogxK
U2 - 10.5014/ajot.2011.000901
DO - 10.5014/ajot.2011.000901
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C2 - 21834453
AN - SCOPUS:79960365189
SN - 0272-9490
VL - 65
SP - 384
EP - 392
JO - American Journal of Occupational Therapy
JF - American Journal of Occupational Therapy
IS - 4
ER -