Antonyms: A Computer Game to Improve Inhibitory Control of Impulsivity in Children with Attention Deficit/Hyperactivity Disorder (ADHD)

The design of a computer-supported serious game concerning inhibition skills in children with Attention Deficit/Hyperactivity Disorder (ADHD) is reported. The game consists of a series of activities, each eliciting the tendency to respond in an immediate, inadequate way. The game is based on the Dual Pathway Model of ADHD proposed by Sonuga-Barke. In the game, children must block impulsive tendencies, reflect upon the situation, inhibit irrelevant thoughts, and find the non-intuitive solution. In the game, the player personifies a superhero, who is asked to save a realm on the opposite side of the Earth (Antonyms) where things happen according to the opposite of the usual rules. The hero faces a series of challenges, in the form of mini-games, to free the planet from enemies crossing different scenarios. To succeed in the game, the player should change his/her attitude by thinking before performing any action rather than acting on impulse. The player is induced to be reflective and thoughtful as well. Results from the evaluation of a preliminary version of the serious game are reported. They support the notion that Antonyms is an adequate tool to lead children to inhibit their tendency to behave impulsively.

[1]  C. Rodríguez,et al.  Serious Games and Their Effect Improving Attention in Students with Learning Disabilities , 2019, International journal of environmental research and public health.

[2]  Lynne T. Harris,et al.  Effective intervention or child's play? A review of video games for diabetes education. , 2010, Diabetes technology & therapeutics.

[3]  Richard N. Van Eck Digital Game-Based Learning: It's Not Just the Digital Natives Who Are Restless. , 2006 .

[4]  J. Beecham Annual Research Review: Child and adolescent mental health interventions: a review of progress in economic studies across different disorders , 2014, Journal of child psychology and psychiatry, and allied disciplines.

[5]  Sebastiaan Dovis,et al.  "Braingame Brian": Toward an Executive Function Training Program with Game Elements for Children with ADHD and Cognitive Control Problems. , 2013, Games for health journal.

[6]  Jack Parker,et al.  ADHD: Is There an App for That? A Suitability Assessment of Apps for the Parents of Children and Young People With ADHD , 2017, JMIR mHealth and uHealth.

[7]  C. Eriksen,et al.  Effects of noise letters upon the identification of a target letter in a nonsearch task , 1974 .

[8]  Jack Parker,et al.  What is the level of evidence for the use of currently available technologies in facilitating the self-management of difficulties associated with ADHD in children and young people? A systematic review , 2018, European Child & Adolescent Psychiatry.

[9]  E. Sonuga-Barke,et al.  Debate and argument: when "impulsiveness" is delay aversion; a reply to Schweitzer and Sulzer-Azaroff (1995) , 1996, Journal of child psychology and psychiatry, and allied disciplines.

[10]  P. González-Castro,et al.  Efficacy of Neurofeedback Versus Pharmacological Support in Subjects with ADHD , 2016, Applied psychophysiology and biofeedback.

[11]  J. Treasure,et al.  Attentional Bias, Emotion Recognition, and Emotion Regulation in Anorexia: State or Trait? , 2010, Biological Psychiatry.

[12]  T. Klingberg,et al.  Effect of working memory training on working memory, arithmetic and following instructions , 2014, Psychological Research.

[13]  Susana Jiménez-Murcia,et al.  Impulse control disorders in eating disorders: clinical and therapeutic implications. , 2006, Comprehensive psychiatry.

[14]  Heleen Riper,et al.  Serious Games for Mental Health: Are They Accessible, Feasible, and Effective? A Systematic Review and Meta-analysis , 2017, Front. Psychiatry.

[15]  Jack Parker,et al.  Guideline Development for Technological Interventions for Children and Young People to Self-Manage Attention Deficit Hyperactivity Disorder: Realist Evaluation , 2019, Journal of medical Internet research.

[16]  H. Geurts,et al.  A Pilot Study of the Efficacy of a Computerized Executive Functioning Remediation Training With Game Elements for Children With ADHD in an Outpatient Setting , 2014, Journal of attention disorders.

[17]  S. Cole,et al.  Improvement in cancer-related knowledge following use of a psychoeducational video game for adolescents and young adults with cancer. , 2007, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[18]  Joanneke Weerdmeester,et al.  A Feasibility Study on the Effectiveness of a Full-Body Videogame Intervention for Decreasing Attention Deficit Hyperactivity Disorder Symptoms. , 2016, Games for health journal.

[19]  J. Buitelaar,et al.  Optimising treatment strategies for ADHD in adolescence to minimise ‘lost in transition’ to adulthood , 2017, Epidemiology and Psychiatric Sciences.

[20]  E. C. Dalrymple-Alford Associative facilitation and interference in the Stroop color-word task , 1972 .

[21]  D. Dunn,et al.  The Place and Promise of Theory in Rehabilitation Psychology. , 2008, Rehabilitation psychology.

[22]  M. Ghazisaeedi,et al.  The opportunities of virtual reality in the rehabilitation of children with attention deficit hyperactivity disorder: a literature review , 2017, Korean journal of pediatrics.

[23]  Todd Bowerly,et al.  A Virtual Reality Scenario for All Seasons: The Virtual Classroom , 2009, CNS Spectrums.

[24]  B. Devlin,et al.  Personality characteristics of women before and after recovery from an eating disorder , 2004, Psychological Medicine.

[25]  Fernando Fernández-Aranda,et al.  Internet-Based Cognitive-Behavioral Therapy for Bulimia Nervosa: A Controlled Study , 2009, Cyberpsychology Behav. Soc. Netw..

[26]  Louise Locock,et al.  Patients and staff as codesigners of healthcare services , 2015, BMJ : British Medical Journal.

[27]  D. Collier,et al.  Present and lifetime comorbidity of tobacco, alcohol and drug use in eating disorders: a European multicenter study. , 2008, Drug and alcohol dependence.

[28]  Betty Shrieber,et al.  College Students with Learning Disabilities and/or ADHD Use of a Handheld Computer Compared to Conventional Planners , 2009 .

[29]  Mirka Koro-Ljungberg,et al.  Willingness to use ADHD treatments: a mixed methods study of perceptions by adolescents, parents, health professionals and teachers. , 2012, Social science & medicine.

[30]  G.W.M. Rauterberg,et al.  A Study on the Validity of a Computer-Based Game to Assess Cognitive Processes, Reward Mechanisms, and Time Perception in Children Aged 4-8 Years , 2016, JMIR serious games.

[31]  I. Franken,et al.  A serious game for children with Attention Deficit Hyperactivity Disorder: Who benefits the most? , 2018, PloS one.

[32]  Shervin Shirmohammadi,et al.  FOCUS: Detecting ADHD Patients by an EEG-Based Serious Game , 2018, IEEE Transactions on Instrumentation and Measurement.

[33]  C. Satler,et al.  Executive Dysfunctions: The Role in Attention Deficit Hyperactivity and Post-traumatic Stress Neuropsychiatric Disorders , 2016, Front. Psychol..

[34]  Ana Oliveira,et al.  Mysterious Bones Unearthed: Development of an Online Therapeuticserious Game for Children with Attention Deficit-hyperactivity Disorder , 2015, CENTERIS/ProjMAN/HCist.

[35]  Reinout W. Wiers,et al.  Improving Executive Functioning in Children with ADHD: Training Multiple Executive Functions within the Context of a Computer Game. A Randomized Double-Blind Placebo Controlled Trial , 2015, PloS one.

[36]  Annik Willems,et al.  Development and User Satisfaction of "Plan-It Commander," a Serious Game for Children with ADHD. , 2015, Games for health journal.