NIRS-based neurofeedback training in a virtual reality classroom for children with attention-deficit/hyperactivity disorder: study protocol for a randomized controlled trial

Abstract Background Children with attention-deficit/hyperactivity disorder (ADHD) suffer from attention deficits, motor hyperactivity, and impulsive behaviour. These impairments are experienced at home, at school, and with friends. Functional imaging studies show that ADHD behaviour and impairments in executive functions (EFs) are mirrored by aberrant neurophysiological functioning. Moreover, several studies show that ADHD behaviour, impairments in EFs, and a lack of self-control contribute to poor school performance. Non-pharmacological interventions such as neurofeedback training (NFT), for instance, aim at improving neurophysiological and neuropsychological functioning as well as behaviour. Consequently, NFT is expected to improve school performance, EFs, and self-control in children with ADHD. Generalization of acquired self-regulation skills from laboratory to real life is crucial for a transfer to everyday situations and is hypothesized to be facilitated via training using virtual reality (VR) environments. Consequently, experiencing NFT in VR is expected to yield greater effects than training in two dimensions (2D). Methods/design Ninety children with a clinical diagnosis of ADHD will be included in the study. Participants may be medicated or unmedicated. After random assignation to one of three conditions, all participants receive 15 training sessions of either near-infrared spectroscopy (NIRS)-based NFT in VR, NIRS-based NFT in 2D, or electromyogram-based biofeedback training in VR. ADHD symptoms, self-control, EF, health-related quality of life, school performance, and motor activity measured via parent, teacher, and child reports or objectively will be assessed before and after the intervention and at a 6 months follow-up. Furthermore, we are interested in parents’ expectations about the training’s effects. Discussion This is, to our knowledge, the first study investigating the efficacy of NFT for children with ADHD in a VR compared to a 2D environment. Furthermore, this study will contribute to the discussion about the efficacy and specific and unspecific effects of NFTs in children with ADHD. In addition to commonly assessed variables such as ADHD symptoms, NIRS and behavioural data obtained in EF measures, health-related quality of life, and parents’ expectations about the intervention’s effects, this study will investigate the effects on self-control, school performance, and motor activity. Trial registration ClinicalTrials.gov, NCT02572180 . Registered on 19 November 2015.

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PID https://www.doi.org/10.15496/publikation-22973
PID https://www.doi.org/10.6084/m9.figshare.c.3673855.v1
PID https://www.doi.org/10.6084/m9.figshare.c.3673855
URL http://dx.doi.org/10.6084/m9.figshare.c.3673855.v1
URL http://dx.doi.org/10.6084/m9.figshare.c.3673855
URL http://dx.doi.org/10.15496/publikation-22973
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Access Right Closed Access
Embargo End Date 2018-04-19
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Author Blume, Friederike
Author Hudak, Justin
Author Dresler, Thomas
Author Ann-Christine Ehlis
Author Kühnhausen, Jan
Author Renner, Tobias
Author Gawrilow, Caterina
Contributor University, My
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Collected From Datacite
Hosted By figshare
Publication Date 2017-01-01
Publisher Biomed Central Ltd
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Language English
Resource Type Collection; Other ORP type
keyword FOS: Sociology
keyword FOS: Health sciences
system:type other
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Source https://science-innovation-policy.openaire.eu/search/other?orpId=dedup_wf_001::ad19ff2920bd9bedb87d292e86bce19d
Author jsonws_user
Last Updated 19 December 2020, 00:43 (CET)
Created 19 December 2020, 00:43 (CET)