Evidence map›Paper›PMID 34842533›Full record

Trial reportJournal of medical Internet research2021

Electrophysiological Brain Changes Associated With Cognitive Improvement in a Pediatric Attention Deficit Hyperactivity Disorder Digital Artificial Intelligence-Driven Intervention: Randomized Controlled Trial.

Rafael Medina, Jaime Bouhaben, Ignacio de Ramón, Pablo Cuesta, Luis Antón-Toro, Javier Pacios, Javier Quintero, Josep Antoni Ramos-Quiroga, Fernando Maestú

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 9 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 9 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Rafael MedinaSincrolab Ltd, Madrid, Spain.ORCID 0000-0001-6680-814X
Jaime BouhabenSincrolab Ltd, Madrid, Spain.ORCID 0000-0002-1267-5377
Ignacio de RamónSincrolab Ltd, Madrid, Spain.ORCID 0000-0002-4534-6780
Pablo CuestaLaboratory of Computational and Cognitive Neuroscience, Centre for Biomedical Technology, Polytechnic University of Madrid, Pozuelo de Alarcón, Spain.ORCID 0000-0002-8459-3354
Luis Antón-ToroLaboratory of Computational and Cognitive Neuroscience, Centre for Biomedical Technology, Polytechnic University of Madrid, Pozuelo de Alarcón, Spain.ORCID 0000-0001-8262-5343
Javier PaciosLaboratory of Computational and Cognitive Neuroscience, Centre for Biomedical Technology, Polytechnic University of Madrid, Pozuelo de Alarcón, Spain.ORCID 0000-0003-0006-6184
Javier QuinteroDepartment of Psychiatry, University Hospital Infanta Leonor, Madrid, Spain.ORCID 0000-0002-2491-8647
Josep Antoni Ramos-QuirogaDepartment of Psychiatry, Hospital Universitari Vall d'Hebron, Barcelona, Spain.ORCID 0000-0003-1622-0350
Fernando MaestúLaboratory of Computational and Cognitive Neuroscience, Centre for Biomedical Technology, Polytechnic University of Madrid, Pozuelo de Alarcón, Spain.ORCID 0000-0002-3195-0071
Universidad Complutense de Madrid · ESCamilo José Cela University · ESHospital Universitario Infanta Leonor · ESVall d'Hebron Institut de Recerca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive stimulation therapy appears to show promising results in the rehabilitation of impaired cognitive processes in attention deficit hyperactivity disorder.

objectiveEncouraged by this evidence and the ever-increasing use of technology and artificial intelligence for therapeutic purposes, we examined whether cognitive stimulation therapy implemented on a mobile device and controlled by an artificial intelligence engine can be effective in the neurocognitive rehabilitation of these patients.

methodsIn this randomized study, 29 child participants (25 males) underwent training with a smart, digital, cognitive stimulation program (KAD_SCL_01) or with 3 commercial video games for 12 weeks, 3 days a week, 15 minutes a day. Participants completed a neuropsychological assessment and a preintervention and postintervention magnetoencephalography study in a resting state with their eyes closed. In addition, information on clinical symptoms was collected from the child´s legal guardians.

resultsIn line with our main hypothesis, we found evidence that smart, digital, cognitive treatment results in improvements in inhibitory control performance. Improvements were also found in visuospatial working memory performance and in the cognitive flexibility, working memory, and behavior and general executive functioning behavioral clinical indexes in this group of participants. Finally, the improvements found in inhibitory control were related to increases in alpha-band power in all participants in the posterior regions, including 2 default mode network regions of the interest: the bilateral precuneus and the bilateral posterior cingulate cortex. However, only the participants who underwent cognitive stimulation intervention (KAD_SCL_01) showed a significant increase in this relationship.

conclusionsThe results seem to indicate that smart, digital treatment can be effective in the inhibitory control and visuospatial working memory rehabilitation in patients with attention deficit hyperactivity disorder. Furthermore, the relation of the inhibitory control with alpha-band power changes could mean that these changes are a product of plasticity mechanisms or changes in the neuromodulatory dynamics.

trial registrationISRCTN Registry ISRCTN71041318; https://www.isrctn.com/ISRCTN71041318.

Indexed as

Attention Deficit Disorder with HyperactivityArtificial IntelligenceBrainChildCognitionExecutive FunctionHumansMaleADHDAIartificial intelligenceattention deficit hyperactivity disorderchildrencognitive impairmentcognitive stimulationConners continuous performance testKAD_SCL_01magnetoencephalographypediatricsrehabilitation

Identifiers

PMID34842533
PMCPMC8665400
OpenAlexW3161179178

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.