Jeri Hahn-Markowitz1, Itai Berger2, Iris Manor3, Adina Maeir4. 1. Jeri Hahn-Markowitz, PhD, OTR, is Member, Cognitive Functional Rehabilitation Laboratory, School of Occupational Therapy, Hadassah and Hebrew University of Jerusalem, Jerusalem, Israel, and Occupational Therapist, Private Practice, Israel; jerihahnmarkowitz@gmail.com. 2. Itai Berger, MD, is Director, Neuro-Cognitive Center, Paediatric Neurology Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. 3. Iris Manor, MD, is Medical Director, Attention Deficit Hyperactivity Disorder Clinic, Geha Mental Health Center, Petah Tikva, Israel. 4. Adina Maeir, PhD, is School Chair and Director of Graduate Studies, School of Occupational Therapy, Hadassah and Hebrew University of Jerusalem, Jerusalem, Israel.
Abstract
OBJECTIVE: We examined the effect of the Cognitive-Functional (Cog-Fun) occupational therapy intervention on executive functions and participation among children with attention deficit hyperactivity disorder (ADHD). METHOD: We used a randomized, controlled study with a crossover design. One hundred and seven children age 7-10 yr diagnosed with ADHD were allocated to treatment or wait-list control group. The control group received treatment after a 3-mo wait. Outcome measures included the Behavior Rating Inventory of Executive Function (BRIEF) and the Canadian Occupational Performance Measure (COPM). RESULTS: Significant improvements were found on both the BRIEF and COPM after intervention with large treatment effects. Before crossover, significant Time × Group interactions were found on the BRIEF. CONCLUSION: This study supports the effectiveness of the Cog-Fun intervention in improving executive functions and participation among children with ADHD.
RCT Entities:
OBJECTIVE: We examined the effect of the Cognitive-Functional (Cog-Fun) occupational therapy intervention on executive functions and participation among children with attention deficit hyperactivity disorder (ADHD). METHOD: We used a randomized, controlled study with a crossover design. One hundred and seven children age 7-10 yr diagnosed with ADHD were allocated to treatment or wait-list control group. The control group received treatment after a 3-mo wait. Outcome measures included the Behavior Rating Inventory of Executive Function (BRIEF) and the Canadian Occupational Performance Measure (COPM). RESULTS: Significant improvements were found on both the BRIEF and COPM after intervention with large treatment effects. Before crossover, significant Time × Group interactions were found on the BRIEF. CONCLUSION: This study supports the effectiveness of the Cog-Fun intervention in improving executive functions and participation among children with ADHD.