Published online Jun 26, 2023. doi: 10.12998/wjcc.v11.i18.4267
Peer-review started: April 11, 2023
First decision: April 26, 2023
Revised: May 4, 2023
Accepted: May 19, 2023
Article in press: May 19, 2023
Published online: June 26, 2023
Processing time: 76 Days and 19.6 Hours
In this study, the background discusses the prevalence of attention-deficit/hyperactivity disorder (ADHD) and the lack of effective treatments despite extensive research in the last decade or two. The concept of ADHD has also become broader and more heterogeneous, which adds to the challenge of diagnosis and treatment for clinicians. This sets the stage for the current research, which aims to investigate the effects of a multimodal integrated intervention for children with ADHD.
In this study, the motivation is to address the lack of effective treatments for ADHD despite extensive research and the broader and heterogeneous concept of ADHD that makes diagnosis and treatment challenging for clinicians. The study aims to investigate the effects of a multimodal integrated intervention that includes medication, parent training, behavior modification, sensory integration therapy, and sand tray therapy. The motivation behind the research is to find an effective intervention that can alleviate symptoms associated with ADHD in children and improve their memory and attention while ensuring high safety and parental satisfaction.
In this study, the primary objective is to investigate the effects of a multimodal integrated intervention on children with ADHD. More specifically, the study aims to compare the efficacy of a multidisciplinary intervention that includes medication, parent training, behavior modification, sensory integration therapy, and sand tray therapy vs medication alone in treating ADHD symptoms. The study also aims to assess and compare the compliance, family satisfaction, and incidence of adverse events between the two treatment groups. Ultimately, the research objectives are to identify an effective intervention to alleviate ADHD symptoms in children and improve their overall quality of life.
A total of 100 children with ADHD were assessed for eligibility, and 49 patients were assigned to each group using a randomized number table. The medication group received methylphenidate hydrochloride extended-release tablets and atomoxetine hydrochloride tablets, while the multimodal integrated intervention group received medication, parent training, behavior modification, sensory integration therapy, and sand tray therapy. The clinical endpoint was the efficacy of the different intervention modalities, which was evaluated through various measures such as symptom questionnaires, functional impairment scales, and sensory integration scales. Compliance, family satisfaction, and incidence of adverse events were also assessed.
The study found that the multimodal integrated intervention had a significantly higher treatment efficacy than medication alone in alleviating ADHD symptoms in children. The group receiving the integrated intervention also showed lower scores on symptom questionnaires and functional impairment scales, higher scores on sensory integration scales, higher compliance rates, and greater family satisfaction with fewer adverse events. These results indicate that a multidisciplinary approach to ADHD treatment can be more effective than medication alone, and that integrating parent training, behavior modification, sensory integration therapy, and sand tray therapy can enhance the treatment outcomes in children with ADHD, improving their memory and attention while ensuring high safety and parental satisfaction.
The study concludes that the multimodal integrated intervention, consisting of medication, parent training, behavior modification, sensory integration therapy, and sand tray therapy, is an effective treatment for children with ADHD. The research found a significantly higher treatment efficacy in the group receiving this multidisciplinary approach compared to the medication-alone group. The integrated intervention improved symptom relief, increased compliance rates, boosted family satisfaction, and resulted in fewer adverse events. This study supports the promotion of a comprehensive approach to treating ADHD, which can improve memory and attention, leading to better outcomes in children with the condition.
The study's findings suggest that a multimodal integrated intervention can significantly improve the treatment outcomes in children with ADHD. Further research is needed to explore the long-term effects of this intervention and its impact on cognitive and academic performance. Future studies can also examine the applicability of this approach to other populations or age groups. In addition, more research is necessary to determine the optimal combination of interventions, dosages, and duration of treatment. Finally, efforts should be made to disseminate the results of this study and promote the adoption of a comprehensive approach to treating ADHD in clinical practice.