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ADHD in the Classroom
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Visual Abstract

Impact of time on task on ADHD patient's performances in a virtual classroom

Time on Task in ADHD and Virtual Classroom Performance

Bioulac S, Lallemand S, Rizzo A, Philip P, Fabrigoule C, Bouvard MP
Summarized by:
Charles Li, MD
April 12, 2024
study source
Eur J Paediatr Neurol
2012 Sep
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What they studied
The study aimed to explore how performances of children with ADHD compared to controls over time in a virtual classroom setting.
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What they found
The study found that unlike control children who sustained their performances, children with ADHD showed a significant decrease in performance as time on task increased.
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Why it matters
This indicates that children with ADHD might struggle with maintaining performance over time in tasks that mimic real-world settings like classrooms.

Objectives

The study aimed to explore how virtual reality (VR) tools can be used to assess children with Attention Deficit/Hyperactivity Disorder (ADHD) in a setting that closely resembles a regular classroom. Unlike traditional tests, this virtual setting allows for monitoring children's behaviors and responses over time. By examining ADHD children's performance in a virtual classroom, researchers hoped to understand how their abilities to maintain concentration and task performance changed over a session compared to children without ADHD.

Study Quote
Bioulac et al, 2012

Use of virtual reality tool is interesting for the evaluation of Attention Deficit/Hyperactivity Disorder (ADHD) patients. The virtual environment offers the opportunity to administer controlled task like the typical neuropsychological tools, but in an environment much more like standard...

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Methods

Researchers gathered a group of 36 boys, aged 7 to 10, including both children diagnosed with ADHD and those without (controls), to participate in a virtual classroom task designed to simulate a typical classroom environment. This method was meant to see how well these children could concentrate and respond to tasks that changed over time.

In the virtual reality setting, they used detailed, structured activities to measure the children's attention and reactions. They compared these results with a known computer test, the Continuous Performance Test II (CPT II), which assesses attention by requiring responses to specific visual stimuli over a 14-minute test broken into several parts.

Study Quote
Bioulac et al, 2012

36 boys aged from 7 to 10 years completed the virtual classroom task. We compared the performance of the children diagnosed with ADHD with those of the control children. We also compared attentional performances recorded in the virtual classroom with measures of the Continuous Performanc...

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Results

The results indicated that over time, children with ADHD had more difficulty maintaining consistent performance in the virtual reality task compared to the control group. While the control group's performance remained stable, those with ADHD showed a significant decline. This decline was observed both in the number of correct responses and the reaction times, getting slower as the task progressed.

Additionally, the findings revealed that performance in the virtual classroom was consistent with results from the Continuous Performance Test II, suggesting that virtual reality could be an effective tool for assessing sustained attention and task performance in children with ADHD.

Study Quote
Bioulac et al, 2012

Our results showed that patients differ from control subjects in term of time effect on performances. If controls sustained performances over time in the virtual reality task, ADHD patients showed a significant performance decrement over time. Performances at the VC correlated with CPT I...

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Evidence Comparison

The study's insights into ADHD management are notably reinforced by well-established treatment strategies that advocate a layered approach combining medication and behavioral therapy. For instance, the recommendation to use Parent Training in Behavior Management (PTBM) as the primary intervention for preschool-aged children echoes the paper's findings about early behavioral interventions. This alignment suggests that such strategies are not only recommended but are also effective in practical scenarios, helping young children with ADHD manage their symptoms more effectively.

Furthermore, the emphasis on the utility of medications like Ritalin, particularly when behavioral interventions alone do not suffice, supports the study's observations of medication effectiveness across different age groups. The study’s reflection on this medication underscores its role in a comprehensive treatment plan, reinforcing the idea that a nuanced approach to ADHD—combining both behavioral therapy and pharmacological solutions—can cater to the diverse needs of individuals across various stages of development.

Conclusions

Study Quote
Bioulac et al, 2012

ADHD children are vulnerable to a time on task effect on performances which could explain part of their difficulties. Virtual reality is a reliable method to test ADHD children ability to sustain performances over time.

Key Takeaways

Performance Drop in ADHD
Children with ADHD show a significant drop in performance over time in a virtual classroom, unlike their non-ADHD peers.
Virtual Reality as a Diagnostic Tool
Virtual reality environments can effectively measure the impact of sustained attention and task duration in children with ADHD.
Sustained Attention in ADHD
The decline in task performance over time may explain some of the academic challenges faced by children with ADHD.
Background Info
General

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