Adina Maeir, Orit Fisher, Ruthie Traub Bar-Ilan, Naomi Boas, Itai Berger, Yael E. Landau; Effectiveness of Cognitive–Functional (Cog–Fun) Occupational Therapy Intervention for Young Children With Attention Deficit Hyperactivity Disorder: A Controlled Study. Am J Occup Ther 2014;68(3):260-267. doi: 10.5014/ajot.2014.011700.
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© 2019 American Occupational Therapy Association
OBJECTIVE. The purpose of this study was to examine the effectiveness of the Cognitive–Functional (Cog–Fun) intervention for young children with attention deficit hyperactivity disorder (ADHD).
METHOD. Nineteen children ages 5–7 yr diagnosed with ADHD were allocated to treatment and wait-list control groups. After the 12-wk intervention, the control group was crossed over to treatment. Follow-up was conducted 3 mo after treatment. Outcome measures included the Behavior Rating Inventory of Executive Function and the Canadian Occupational Performance Measure.
RESULTS. Before crossover, significant differences were found between groups in change scores on the outcome measures. After crossover, no significant differences were found in treatment effects, and significant moderate to large treatment effects were found for both COPM and BRIEF scores. Treatment gains were maintained at follow-up.
CONCLUSION. The study supports the effectiveness of the Cog–Fun intervention in improving occupational performance and executive functions in daily life for young children with ADHD.
A significant improvement will be found in the intervention group after treatment on all outcome measures.
Before crossover (Time 2), significant differences will be found between the intervention and wait-list control groups in change scores for all outcome measures.
After crossover from wait list to treatment (Time 3), the control group will show no significant differences from the original treatment group in change scores (pre–post treatment) for all outcome measures.
At 3-mo follow-up (Time 4), no significant changes will be found in COPM scores for all participants.
The core executive dysfunction of children with ADHD affects many areas of their occupational performance. The Cog–Fun treatment program integrates established occupational therapy practice models from cognitive rehabilitation to target the impact of executive deficits in a holistic, family-centered approach.
The Cog–Fun treatment program has initial evidence to support its efficacy in improving occupational performance and executive functioning in young children with ADHD.
The COPM and BRIEF are occupation-based measures that are sensitive to treatment-induced changes.
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