Training Executive, Attention, and Motor Skills (TEAMS): Preliminary Studies

培训执行力、注意力和运动技能 (TEAMS)：初步研究

• 批准号: 7642845
• 负责人: JEFFREY M HALPERIN
• 金额: $ 21.5万
• 依托单位: QUEENS COLLEGE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-04-10 至 2011-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7642845
• 关键词: Affect; Aftercare; Attention; Attention deficit hyperactivity disorder; Behavioral; Biological Neural Networks; Child; Chronic; Clinical; Clinical Trials; Clinical assessments; Data; Development; Disease; Double-Blind Method; Equilibrium; Exercise; Family; Frequencies; Goals; Home environment; Impairment; Intervention; Lead; Longevity; Manuals; Measures; Monitor; Motor Skills; Neurocognitive; Neurodevelopmental Disorder; Parents; Phase; Play; Preschool Child; Procedures; Process; Randomized Clinical Trials; Reporting; Rewards; Series; Social Environment; Specific qualifier value; Stress; Symptoms; Testing; Therapeutic; Time; Training; Work; active method; base; blind; cost; design; efficacy testing; neurodevelopment; neuroimaging; novel; peer; prevent; relating to nervous system; research clinical testing; response; satisfaction; scaffold; skills training; treatment duration; trial comparing

DESCRIPTION (provided by applicant): The proposed application is to conduct the ground work for the development of "Training Executive, Attention and Motor Skills (TEAMS)," a novel intervention for preschool children with Attention-deficit/Hyperactivity Disorder (ADHD). TEAMS is designed to result in enduring reductions of ADHD symptoms and associated impairments in children, and thus prevent the chronic and highly impairing course that ADHD oftentimes takes throughout the lifespan. TEAMS is based on the notions that: 1) the behavioral manifestations of ADHD are the result of deficient neural networks that affect a wide array of neurocognitive and behavioral processes which are not necessarily identical in all children with the disorder; 2) neurodevelopment is sensitive to and can be positively affected by appropriate environmental influences; 3) effective environmental stimulation will be best achieved within a dynamic social context; and 4) the engagement of the child in the core activities of the treatment must be intrinsically rewarding (i.e., fun) rather than extrinsically reinforced (e.g., praise or tokens) in order to facilitate self- imposed continuation of the intervention which will lead to generalization over time and across settings. We propose that these goals can be achieved through the use of game-like activities which place demands on an array of neurocognitive and motor skills, interspersed with periods of physical exercise. TEAMS will be administered within the context of a small group setting (Approximately 5 children). A concurrently-occurring parent group will focus on helping them to engage their children in these game-like and exercise activities at home. In addition, parents will be asked to encourage such play among their child and his/her peers so as to facilitate implementation outside of our clinical setting.

描述（由申请人提供）：拟议的申请是为开发“培训高管，注意力和运动技能（团队）的开发”进行基础工作，这是针对患有注意力缺陷/多动障碍（ADHD）的学龄前儿童的新干预。团队旨在导致儿童的多动症症状和相关障碍的持续减轻，从而防止ADHD在整个生命周期中经常使用的慢性和高度损害。团队基于以下概念：1）多动症的行为表现是影响不足的神经网络的结果，这些神经网络影响了广泛的神经认知和行为过程，这些神经认知和行为过程在所有患有该疾病的儿童中不一定相同； 2）神经发育对适当的环境影响敏感并且可以积极影响； 3）在动态的社会环境中最好实现有效的环境刺激； 4）孩子在治疗的核心活动中的参与必须具有内在的奖励（即乐趣），而不是外在加强（例如，赞美或代币），以促进自我实施的延续，以继续进行干预，这将导致随着时间和整个环境的概括。我们建议可以通过使用类似游戏的活动来实现这些目标，这些活动对一系列神经认知和运动技能提出要求，并散布在体育锻炼时期。团队将在小组设置（约5个孩子）的背景下进行管理。同时出现的家长团体将着重于帮助他们让孩子参加这些游戏般的运动和运动活动。此外，将要求父母鼓励他们的孩子和他/她的同龄人在我们的临床环境之外实施这种游戏。