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A Systematic Review of Effective Interventions to Improve Executive Function of Children and Adolescents With ADHD

  • Korean Journal of Occupational Therapy
  • Abbr : Korean J of Occup Ther
  • 2019, 27(1), pp.85-102
  • DOI : 10.14519/kjot.2019.27.1.07
  • Publisher : Korean Society Of Occupational Therapy
  • Research Area : Medicine and Pharmacy > Working Therapeutics
  • Received : October 29, 2018
  • Accepted : January 9, 2019
  • Published : March 30, 2019

Shin, Ga-In ORD ID 1 Hong, Cho-Rong 1 WOO YE SHIN 1 Han, Areum 1

1연세대학교

Accredited

ABSTRACT

Objective: The aim of this systematic review was to examine the effect of intervention on the executive function inchildren and adolescents with Attention Deficit Hyperactivity Disorder(ADHD) and to provide evidence regardingoccupational therapy. Methods: Studies for this review were collected by searching the Proquest, Scopus, and Pubmed databases forarticles from 2009 to 2018 using the following keywords: “ADHD” AND “Executive function” AND “InterventionOR Therapy OR Effect OR Occupational therapy” AND “RCT OR Randomized control trial.” A total of 13 studieswere included in this review paper. Results: The 13 studies were analyzed regarding their level of quality, general characteristics, types of interventions,measuring instruments, and areas of intervention effects as measured using dependent variables. The types ofinterventions included ten studies on cognitive intervention and three studies on physical intervention. Workingmemory among the areas of execution functions was most frequently used. The measurement tools for each areaappeared to vary widely, including the Behavior Racing Inventory of Executive Function(BRIEF) and the Trail MakingTest. Among the included studies, seven showed effectiveness in terms of working memory. Conclusion: This review showed the trends in interventions used to improve the executive function of children andadolescents with ADHD, as well as the assessment tools and areas of executive function that were effective. Thisstudy will provide a clinical basis for occupational therapists. Further studies should be actively conducted in thefield of occupational therapy based on the results of this review.

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