Evidence map›Paper›PMID 42039077›Full record

SynthesisFrontiers in psychology2026

Comparative efficacy of executive function interventions for Chinese children with neurodevelopmental disorders: A network meta-analysis.

Yannan Zhao, Bei Deng, Xiang Li, Sheng Zhang, Yuhang Chen, Dezhong Peng

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Yannan ZhaoSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Bei DengSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Xiang LiSchool of Leisure Sports, Chengdu Sport University, Chengdu, China.
Sheng ZhangSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Yuhang ChenSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Dezhong PengSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Executive function (EF) deficits are core features of neurodevelopmental disorders such as attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Executive function interventions for preschool and school-age children could serve as an important primary prevention and adjunct rehabilitation strategy. Objective: To systematically evaluate the efficacy of evidence-based executive function interventions on working memory, inhibitory control, and cognitive flexibility in Chinese children and to explore their potential for clinical translation. Methods: Randomized controlled trials (RCTs) on executive function interventions in Chinese children were searched from PubMed, Embase, Cochrane Library, Web of Science, CNKI, WanFang, and VIP databases from inception to October 1, 2025. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of included studies. Network meta-analysis (NMA) was performed using RevMan 5.4 software, and NMA was conducted using R software with the netmeta package. Results: Fifty-two RCTs enrolling 2,986 Chinese children (3-12 years) met inclusion criteria. Network meta-analyses demonstrated significant, domain-specific improvements in all three core executive-function components. Working memory was most enhanced by Treatment 2 (SMD = 0.073, 95% CI = 0.037-0.109), whereas inhibitory control and cognitive flexibility were both maximized by Treatment 3 (IC: SMD = 0.093, 95% CI = 0.071-0.115; CF: SMD = 0.097, 95% CI = 0.069-0.126). Conclusion: Current evidence indicates that structured executive function interventions have statistically significant but modest effects on Chinese children. These findings offer preliminary support for considering non-pharmacological cognitive interventions in preventive public health strategies and rehabilitation programs for neurodevelopmental disorders in children, with further large-scale, long-term validation needed before widespread implementation. These findings offer preliminary support for integrating non-pharmacological cognitive interventions into preventive public health strategies and clinical rehabilitation programs for children with neurodevelopmental disorders, with further large-scale, long-term validation required prior to their widespread implementation in clinical and educational settings. Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD420251266663.

Indexed as

cognitive flexibilitycognitive trainingexecutive functioninhibitory controlnetwork meta-analysisworking memory

Identifiers

PMID42039077
PMCPMC13102774

What OpenQuestion holds

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Registered trials

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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.