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Titre : | Pilot Study of the CognitiveFunctional Intervention for Adults (Cog-Fun A): A MetacognitiveFunctional Tool for Adults With Attention Deficit Hyperactivity Disorder (2022) |
Auteurs : | Libby Kastner ; Yifat Velder-Shukrun ; Omer Bonne ; Ruthie Traub Bar-Ilan ; Adina Maeir |
Type de document : | Article |
Dans : | American journal of occupational therapy (Vol. 76, n° 2, March 2022) |
Article en page(s) : | p. 1-8 |
Note générale : | 10.5014/ajot.2022.046417 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adulte ; Cognition ; Ergothérapie ; Evaluation ; Évaluation cognitive ; Examen fonctionnel ; Métacognition ; Trouble déficitaire de l'attention avec hyperactivité |
Mots-clés: | Cog-Fun A |
Résumé : | Importance: Adults with attention deficit hyperactivity disorder (ADHD) often experience chronic challenges in their life roles. There is a need for evidence-based occupational therapy interventions to help enhance their functioning. Objective: To determine the preliminary effectiveness of the CognitiveFunctional Intervention for Adults (CogFun A), a metacognitivefunctional occupational therapy tool for the improvement of occupational performance (OP) and quality of life (QoL) in adults with ADHD. Design: One-group pretestposttest design with a 3-mo follow-up. Setting: Community setting in Jerusalem, Israel. Participants: Fourteen adults, ages 1860 yr, with a valid diagnosis of ADHD and an indication of executive function (EF) impairment. Intervention: Participants received 15 1-hr weekly sessions that addressed self-awareness of strengths and challenges through education and guided discovery as well as strategy acquisition and implementation within a context of occupational goal attainment. Outcomes and Measures: The Behavioral Rating Inventory of Executive FunctionAdult version, an adult ADHD QoL measure, the Canadian Occupational Performance Measure, and the Self-Regulation Skills Interview were administered. Results: Twelve participants completed the intervention. Posttreatment scores revealed statistically significant improvements in EF, awareness, OP, and QoL. Gains in QoL showed a modest reduction at the 3-mo follow-up. Conclusions and Relevance: The CogFun A is a promising intervention for improving OP and QoL among adults with ADHD and should be investigated further. What This Article Adds: The CogFun A offers an effective nonpharmacological, metacognitivefunctional, occupation-centered treatment option for adults with ADHD. The findings presented here lend preliminary support to the effectiveness of the CognitiveFunctional Intervention for Adults, an intervention based on a metacognitivefunctional treatment model for adults with ADHD. |
Disponible en ligne : | Oui |
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