Objective: The aim of this study was to compare the effectiveness of computer-based cognitive rehabilitation training (CRT), nutritional supplementation, and both on the attention and behavioral symptoms of children with attention-deficit/hyperactivity disorder (ADHD). Method: The design was quasi-experimental with pretest-posttest and a control group. The statistical population consisted of all primary-school girls in Tehran during the academic year 2017-2018. Four schools were selected via multistage cluster sampling, 66 children with ADHD were identified, and 52 eligible ones were selected and assigned to three experimental groups and a control group (13 each). SNAP-IV and clinical interviews were employed to diagnose ADHD, and Raven’s Progressive Matrices was conducted to control the participants’ intelligence. The participants were matched in terms of age, IQ, and gravity of ADHD symptoms. In Group 1, 22 45-minute sessions of cognitive rehabilitation were offered using Captain’s Log software. Group 2 received zinc (1 mg/kg/day), vitamin B6 (0.6 mg/kg/day) and omega-3 (250 mg/day) for four months. Group 3 received the same amount of the nutritional supplements but for two months, and then 15 sessions of cognitive rehabilitation. Data were collected via the parent form of the Strengths and Difficulties Questionnaire (SDQ) and the continuous performance test (CPT). Results: Data were analyzed by MANCOVA. Results showed an increased mean for behavioral symptoms and the attention score in intervention groups compared to the control group. However, there was no significant difference in the attention score and behavioral symptoms among the intervention groups. The effect size was shown to be 0.51 in behavioral symptoms, and the maximum effect size was 0.85 in the correct response of the attention subscale. Conclusion: It is recommended that CRT and nutritional supplementation be used for improving the attention and behavioral symptoms of children with ADHD.
Talepasand S, Barzegar M, Rahimian boogar E. Effectiveness of Computer-Based Cognitive Training, Nutritional Supplementation, and Both on Attention and Behavioral Symptoms of Children with ADHD. JOEC 2019; 19 (2) :35-42 URL: http://joec.ir/article-1-880-en.html