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Advanced Neurology                                              Transforming ADHD through interactive gaming



            individuals with ADHD can live productive and enjoyable   Table 1. ADHD treatment methods
            lives.
                                                               Treatment method           Approach
            1.1. ADHD                                          Behavioral therapy  •  A therapeutic approach for reducing ADHD
                                                                               symptoms.
            ADHD is not a newly discovered disorder. In fact, its             •  The initial treatment is performed when the
            history dates back approximately two centuries, with               diagnosis is positive for ADHD. 8
            clinical reports in Europe noting the unruly behavior of   Medication  •  Medications can help manage ADHD
            children. Since then, the research on ADHD has been based          symptoms but do not rectify them.
            on two different perspectives: biomedical and historical-         • Medications act differently in different people.
            behavioral psychology.  From the former perspective,              •  Proven to have side effects such as sleep
                               3
            ADHD is a neurobehavioral condition in individuals,                deprivation and reduced appetite. 8
            starting from childhood. According to the National Health   Cognitive training 9,10  •  Helps the individual control ADHD symptoms
                                                                               by altering his/her thoughts and behaviors.
            Service (NHS), individuals with ADHD exhibit various              •  Cognitive training is achieved via talking
            characteristics such as restlessness, diminished focus,            therapy, training exercises, or cognitive
            deficient concentration skills, and the propensity to act          improvement games.
            impulsively. It is not a spreadable disease, but a group of   Food diet 9  • Focuses on a healthy and balanced diet.
            hyperactive symptoms that cause changes in an individual’s   Abbreviation: ADHD: Attention deficit hyperactivity disorder.
            behavior, emotional intelligence, psychological well-being,
            and learning capabilities. 4
                                                               increase in the number of online game players. According
              The signs and symptoms of ADHD can be observed   to a study by Statista, the number of video gamers in 2023
            in the early stages of childhood, becoming more evident   was 2.64 billion, which is expected to increase by 2027. 11
            by the changing environment (e.g., when the child starts
            school). Subsequently, this disorder in a child can overlap   As a possible treatment approach for ADHD, video
            with  normal  behavior  development. In this  regard,   games may represent a useful tool. Previous studies
            diagnostic manuals, such as the DSM-5, ICD-11, and   have  shown  that people  generally  respond  well  to  game
            RDoC, prefer the diagnosis of ADHD in individuals under   instructions and follow them within the designated time
            the age of 12, especially if they display multiple inattentive   frame. Such games can have numerous benefits such as
            and hyperactive-impulsive signs.  Meanwhile, according   timely task completion, attention to detail, concentration
                                       5
            to The World Federation of ADHD International Consensus   skills, persistence, and the motivation to learn and
            Statement, 208 evidence-based conclusions indicate that   succeed. 8-11  Based on all these factors, video games can
            5.9% of youth and 2.5% of adults are diagnosed with ADHD   remediate the attitudinal, behavioral, and emotional
                                                                                                            12
            symptoms.  When gender is taken into account, males are   processes of individuals with impulse-related disorders.
                    6
            more likely to be diagnosed with ADHD, with a male-to-  With the ongoing technological advancements, doctors and
            female ratio of up to 4:1, especially among children. 7  health professionals should search for more sophisticated
                                                               and cost-effective treatment methods, which include video
            1.2. Treatment methods                             games. Some of the latest video games that are designed to
            When an individual is diagnosed with ADHD, the common   treat, control, and even cure certain health conditions are
            procedure is to follow a treatment regime. Table 1 presents   presented in Table 2.
            the wide array of available ADHD treatment methods.   1.3. Design and purpose of ADHD games
            This  comprehensive  overview of  approaches  shows  how
            treatments can assist in the recovery (or management) of   Thus, the purpose of this study is to leverage on game
            individuals with ADHD.                             therapy for ADHD and develop a unique platform for
                                                               individuals with ADHD. This research was inspired by
              In regard to these different approaches, it is worth
            noting that games can be designed and applied as a   the study of Craven and Groom, which focused on the
                                                               following three approaches.
                                                                                     13
            treatment method for improving the cognitive abilities
            of users. For instance, various brain games, puzzles, brain   First, there is the task-focused approach, which aims to
            teasers, and quizzes can foster the development of specific   enhance  human  performance,  attention,  and  perception
            brain functions, including memory, problem-solving,   by challenging the user with a dynamic environment that
            and thinking skills. Video games may also aid children in   tests his/her speed and agility in completing the task. In
            leveraging feelings and emotions such as sadness, anger,   this  regard,  Oei  and  Patterson  conducted  research  on
            and competitiveness among other players. In this context,   the executive functions of gamers and found that action,
            since the era of COVID-19, there has been a notable   puzzle, or memory games tend to have improvised


            Volume 3 Issue 4 (2024)                         2                                doi: 10.36922/an.4073
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