Objective: Verification of ADHD Treatment Effectiveness of Mobile Neurofeedback to Subjects of Child and Youth with ADHD. Method: Mobile Neurofeedback Program is implemented for 165 ADHD patients aged 8 to 15 to verify their effectiveness by conducting pre-post evaluation. Prior to the implementation of the intervention, we conduct a survey with demographic information, behavioral characteristics, clinical global impression, neuropsychological test, brain MRI, NIRS and EEG. The drug naive subjects are randomly assigned to the mobile Neurofeedback group or Sham control group. The subjects on medication are randomly assigned to the mobile Neurofeedback group or Sham control group, In addition to the medication being administered. The intervention are conducted three times a week, twice a day, and 10-20 minutes for 12 weeks, and the effectiveness is assessed four times in advance, third month, sixth month and twelfth months. However, the Sham control group were provided the same machines and programs as the Neurofeedback exercise, but feedback is generated randomly regardless of ectroencephalogram change of the subjects.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
165
to maximize usability and effectiveness, we would like to conduct a study that regulates theta/beta ratio using mobile app-based Neurofeedback Training Equipment (OmniCNS). The actual Neurofeedback training allows you to download and use the omnifit brain\_Game, an application with an audio guide. After the pre-assessment, the researcher will provide guidance to subjects and carers on how to use the application, and demonstrate how to use it in practice. For 2 weeks, 4 weeks and 6 weeks, phone calls are conducted to check whether they are used or not and for any inconvenience. After 12 weeks of Neurofeedback training, the device is returned and post-evaluated. The application is equipped with four types of games and is instructed to use the three-day-a-week application. For Neurofeedback attention and cognitive training, use a headset with left and right frontal lobe 2 channel-EEG sensors to perform the game through feedback to see if it is concentrating well.
It uses the sham devices and programs as the Neurofeedback, but it is not usually possible to obtain the expected effects of the Neurofeedback by providing random feedback regardless of actual brain waves. In case of Sham control group, parental education is conducted the same for each clinical evaluation, and in case of Sham control group, actual Neurofeedback is applied if patients and parents want it after the end of the study.
The mobile needback is applied to patients who are taking methylphenidate or atomoxetine, which is a standard ADHD treatment, but have not been remissioned with more than 4 points of CGI-S.
The sham mobile needback is applied to patients who are taking methylphenidate or atomoxetine, which is a standard ADHD treatment, but have not been remissioned with more than 4 points of CGI-S.
Seoul National University Childrens' Hospital
Seoul, South Korea
RECRUITINGKorean Attention Deficit Hyperactivity Disorder rating scale
Time frame: baseline
Korean Attention Deficit Hyperactivity Disorder rating scale
Time frame: 2nd week
Korean Attention Deficit Hyperactivity Disorder rating scale
Time frame: 4th week
Korean Attention Deficit Hyperactivity Disorder rating scale
Time frame: 8th week
Korean Attention Deficit Hyperactivity Disorder rating scale
Time frame: third month
Korean Attention Deficit Hyperactivity Disorder rating scale
Time frame: sixth month
Korean Attention Deficit Hyperactivity Disorder rating scale
Time frame: twelfth month
Clinical Global Impression Scale-Severity
Time frame: baseline
Clinical Global Impression Scale-Severity
Time frame: 2nd week
Clinical Global Impression Scale-Severity
Time frame: 4th week
Clinical Global Impression Scale-Severity
Time frame: 8th week
Clinical Global Impression Scale-Severity
Time frame: third month
Clinical Global Impression Scale-Severity
Time frame: sixth month
Clinical Global Impression Scale-Severity
Time frame: twelfth month
Children's Global Assessment Scale
Time frame: baseline
Children's Global Assessment Scale
Time frame: 2nd week
Children's Global Assessment Scale
Time frame: 4th week
Children's Global Assessment Scale
Time frame: 8th week
Children's Global Assessment Scale
Time frame: third month
Children's Global Assessment Scale
Time frame: sixth month
Children's Global Assessment Scale
Time frame: twelfth month
brain MRI
Time frame: at the beginning, third month, sixth month, twelfth month
EEG power in beta band
Time frame: at the beginning, third month, sixth month, twelfth month
EEG power in theta band
Time frame: at the beginning, third month, sixth month, twelfth month
Near Infra-Red Spectroscopy
Time frame: at the beginning, third month, sixth month, twelfth month
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