Train Your Brain and Exercise Your Heart? Advancing the Treatment for Attention Deficit Hyperactivity Disorder (ADHD)

NCT ID: NCT01363544

Last Updated: 2015-12-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

112 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-30

Study Completion Date

2015-01-31

Brief Summary

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Attention Deficit Hyperactivity Disorder (ADHD) is a developmental disorder that has a severe impact on a child's life and society. The core symptoms are attention problems, hyperactivity and impulsivity. These symptoms are related to disruptions in neurocognitive functions (such as inhibition: the ability to stop behavior) and disruptions in cortical regulation (such as 'cortical underarousal' as measured with the electroencephalogram). To date, the only evidence-based treatment is pharmacological. Medication is not effective in 20-30% of the children with ADHD and it can have side effects. The lack of alternatives for medication is a severe problem for these children and society.

Neurofeedback is becoming increasingly popular for treating ADHD. Neurofeedback is a training in which a person learns to alter its cortical regulation. Neurofeedback has been classified as 'probably effective' but its treatment effects need further empirical evidence. Non specific training effects, such as individual attention, may also contribute to treatment success. In this research project the investigators compare the efficacy of neurofeedback with exercise, a second non-pharmacological treatment, that may be comparable with neurofeedback in terms of non-specific effects. Exercise is also a promising treatment because of its positive effects on behavior, neurocognition in several patient groups. For these reasons, exercise deserves systematic research in ADHD. Furthermore, the investigators compare the efficacy of these two treatments with an optimal pharmacological treatment with methylphenidate (MPH). The main question is if neurofeedback and exercise are comparable in efficacy with MPH for treating ADHD. The primary outcome measure is behaviour (symptoms of ADHD). Secondary outcome measures include neurocognition and cortical regulation. This research project will give answer to the question if neurofeedback and exercise are as effective as MPH. Furthermore, it will give insight in how these interventions will give rise to improvements in behavior.

Detailed Description

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Conditions

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Attention Deficit Hyperactivity Disorder (ADHD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Neurofeedback

Group Type EXPERIMENTAL

Neurofeedback

Intervention Type OTHER

30 sessions of theta/beta neurofeedback within 10 weeks.

Exercise

Group Type EXPERIMENTAL

Exercise

Intervention Type BEHAVIORAL

30 sessions of individual sports training during 10 weeks.

methylphenidate

optimum dose of methylphenidate (assessed by a double blind placebo-controlled procedure)

Group Type ACTIVE_COMPARATOR

methylphenidate

Intervention Type DRUG

The medication treatment is based on the MTA study and includes methylphenidate dosages of 5, 10, 15 (only for children with a weight below 25 kg) and 20 mg (only for children with a weight above 25 kg. The optimum dose will be determined by a double-blind placebo-controlled trial.

Interventions

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Neurofeedback

30 sessions of theta/beta neurofeedback within 10 weeks.

Intervention Type OTHER

Exercise

30 sessions of individual sports training during 10 weeks.

Intervention Type BEHAVIORAL

methylphenidate

The medication treatment is based on the MTA study and includes methylphenidate dosages of 5, 10, 15 (only for children with a weight below 25 kg) and 20 mg (only for children with a weight above 25 kg. The optimum dose will be determined by a double-blind placebo-controlled trial.

Intervention Type DRUG

Other Intervention Names

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biofeedback sports Not applicable, a generic form will be used.

Eligibility Criteria

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Inclusion Criteria

* ADHD diagnosis
* IQ above 80

Exclusion Criteria

* neurological disorder
* severe physical or cognitive disability
Minimum Eligible Age

7 Years

Maximum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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ZonMw: The Netherlands Organisation for Health Research and Development

OTHER

Sponsor Role collaborator

Yulius

UNKNOWN

Sponsor Role collaborator

R. van Mourik

OTHER

Sponsor Role lead

Responsible Party

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R. van Mourik

Dr

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Rosa van Mourik, PhD

Role: PRINCIPAL_INVESTIGATOR

VU University, faculty of psychology and education, department of clinical neuropsychology

Jaap Oosterlaan, Professor

Role: STUDY_DIRECTOR

VU University, Faculty of Psychology and Education, department of clinical neuropsychology

Locations

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GGZ InGeest

Amsterdam, North Holland, Netherlands

Site Status

Albert Schweitzer Ziekenhuis

Dordrecht, South Holland, Netherlands

Site Status

Yulius voor Geestelijke Gezondheid

Rotterdam, South Holland, Netherlands

Site Status

Stichting alles Kits

Rotterdam, South Holland, Netherlands

Site Status

Maasstad Ziekenhuis

Rotterdam, South Holland, Netherlands

Site Status

Lucertis

Rotterdam, South Holland, Netherlands

Site Status

Countries

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Netherlands

References

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Janssen TWP, Gelade K, Bink M, van Mourik R, Twisk JWR, Maras A, Oosterlaan J. Long-term effects of theta/beta neurofeedback on EEG power spectra in children with attention deficit hyperactivity disorder. Clin Neurophysiol. 2020 Jun;131(6):1332-1341. doi: 10.1016/j.clinph.2020.02.020. Epub 2020 Mar 12.

Reference Type DERIVED
PMID: 32304847 (View on PubMed)

Gelade K, Janssen TWP, Bink M, Twisk JWR, van Mourik R, Maras A, Oosterlaan J. A 6-month follow-up of an RCT on behavioral and neurocognitive effects of neurofeedback in children with ADHD. Eur Child Adolesc Psychiatry. 2018 May;27(5):581-593. doi: 10.1007/s00787-017-1072-1. Epub 2017 Nov 2.

Reference Type DERIVED
PMID: 29098467 (View on PubMed)

Janssen TWP, Bink M, Weeda WD, Gelade K, van Mourik R, Maras A, Oosterlaan J. Learning curves of theta/beta neurofeedback in children with ADHD. Eur Child Adolesc Psychiatry. 2017 May;26(5):573-582. doi: 10.1007/s00787-016-0920-8. Epub 2016 Nov 19.

Reference Type DERIVED
PMID: 27866283 (View on PubMed)

Gelade K, Janssen TW, Bink M, van Mourik R, Maras A, Oosterlaan J. Behavioral Effects of Neurofeedback Compared to Stimulants and Physical Activity in Attention-Deficit/Hyperactivity Disorder: A Randomized Controlled Trial. J Clin Psychiatry. 2016 Oct;77(10):e1270-e1277. doi: 10.4088/JCP.15m10149.

Reference Type DERIVED
PMID: 27631143 (View on PubMed)

Janssen TW, Bink M, Gelade K, van Mourik R, Maras A, Oosterlaan J. A Randomized Controlled Trial Investigating the Effects of Neurofeedback, Methylphenidate, and Physical Activity on Event-Related Potentials in Children with Attention-Deficit/Hyperactivity Disorder. J Child Adolesc Psychopharmacol. 2016 May;26(4):344-53. doi: 10.1089/cap.2015.0144. Epub 2016 Jan 15.

Reference Type DERIVED
PMID: 26771913 (View on PubMed)

Janssen TW, Bink M, Gelade K, van Mourik R, Maras A, Oosterlaan J. A randomized controlled trial into the effects of neurofeedback, methylphenidate, and physical activity on EEG power spectra in children with ADHD. J Child Psychol Psychiatry. 2016 May;57(5):633-44. doi: 10.1111/jcpp.12517. Epub 2016 Jan 8.

Reference Type DERIVED
PMID: 26748531 (View on PubMed)

Related Links

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http://www.zonmw.nl/

sponsor website

http://www.yulius.nl

organization/sponsor website

Other Identifiers

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ZonMw 157003012

Identifier Type: -

Identifier Source: org_study_id