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This study aims to investigate the application of the Attention Training Technique in children with ADHD aged 7-11 years old. The research aims to investigate both the feasibility of this technique in this population as well as whether it can improve symptoms, behaviour and executive functioning.
Attention deficit hyperactivity disorder (ADHD) is a neurobehavioural disorder characterised by core symptoms of hyperactivity, impulsivity and inattention. Its prevalence ranges between 3-9% of school-aged children, making it one of the most common presentations in child and adolescent mental health services.
In the last 10 years, research into the effectiveness of attention training as an intervention for children with ADHD has been increasing. This has tended to follow assumptions that children with the disorder either lack skills in focusing and maintaining their attention and/or have neurological deficits in areas responsible for attention functions. Results have been encouraging, with study participants demonstrating improvements in symptoms and behaviour following a course of attention training. However, the method and length of training has varied across studies.
This study aims to investigate a treatment called the Attention Training Technique (ATT) that approaches attention difficulties in this disorder from a different perspective. Instead of viewing inattention as a result of structural or skills deficits, it posits that children with ADHD have these skills, but are perhaps unaware of the flexibility and control they have over them. This treatment aims to increase this awareness and subsequently improve ratings of attention, behaviour and other areas of executive functioning.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Attention Training Technique (ATT) | Experimental | Participants will receive 3-5 sessions of the ATT over a period of 3-5 weeks. A set of standardised instructions will be read to each participant and then they will engage in the procedure for a period of 12 minutes. Participants will listen to a set of auditory stimuli and follow the directions of the recording. This will ask them to focus their attention on selected sounds or spatial locations, switch attention between different sounds and locations, before allocating their attention to all sounds simultaneously. Participants will be given a recording of the ATT on a C.D and asked to practice this at least once before the second session. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Attention Training Technique | Behavioral |
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| Measure | Description | Time Frame |
|---|---|---|
| Inattention on the Swanson, Nolan and Pelham questionnaire (Snap-IV) | Parent's rating of their child's inattentiveness | Change from baseline in attention post treatment and at follow up 6 weeks later |
| Measure | Description | Time Frame |
|---|---|---|
| Hyperactivity on the Swanson, Nolan and Pelham questionnaire (Snap-IV) | Parent's rating of their child's hyperactivity | Change from baseline in hyperactivity post treatment and at follow up 6 weeks later |
| Impulsivity on the Swanson, Nolan and Pelham questionnaire (Snap-IV) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Adrian Wells | University of Manchester | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Manchester | Manchester | M13 9PL | United Kingdom |
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| ID | Term |
|---|---|
| D001289 | Attention Deficit Disorder with Hyperactivity |
| ID | Term |
|---|---|
| D019958 | Attention Deficit and Disruptive Behavior Disorders |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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Parent's rating of their child's impulsivity |
| Change from baseline in impulsivity post treatment and at follow up 6 weeks later |
| Attentional control on the Attentional Control Scale for Children (ASC-C) | Children's self reported ability to focus and shift their attention | Change from baseline in attentional control post treatment and at follow up 6 weeks later |
| Behaviour on the Strengths and Difficulties Questionnaire (SDQ) | Parent's ratings of their child's behaviours | Change from baseline in behaviour post treatment and at follow up 6 weeks later |
| Executive functioning on The Behavioural Rating Inventory of Executive Functioning (BRIEF) | Parent's ratings of their child's executive functioning behaviours in the home environment | Change from baseline in executive functioning post treatment and at follow up 6 weeks later |
| Working memory on the Weschler Intelligence Scale for Children (WISC-IV) - Digit Span | Children's Working memory as assessed by the Digit Span subtest | Change from baseline in working memory post treatment and at follow up 6 weeks later |
| Working memory on the Weschler Intelligence Scale for Children (WISC-IV) - Letter Number Sequencing | Children's Working memory as assessed by the Letter Number Sequencing subtest | Change from baseline in working memory post treatment and at follow up 6 weeks later |
| Treatment Acceptability Questionnaire | Parents rating of the acceptability of the treatment | Rated once at the final session of treatment, 4 weeks after the 2nd baseline is taken |