Developing and feasibility testing of the Indonesian computer-based game prototype for children with attention deficit/hyperactivity disorder

The aim of this study was to develop an Indonesian computer-based game prototype, including feasibility testing, targeted on attention deficit/hypersensitivity disorder (ADHD) clinical symptoms and executive function. The study comprised five steps. The first to third steps used an exploratory quali...

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Main Authors: Tjhin Wiguna, Raden Irawati Ismail, Fransiska Kaligis, Kusuma Minayati, Belinda Julivia Murtani, Ngurah Agung Wigantara, Kent Pradana, Raymond Bahana, Bayu Prakoso Dirgantoro, Eko Nugroho
Format: Article
Language:English
Published: Elsevier 2021-07-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844021016741
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author Tjhin Wiguna
Raden Irawati Ismail
Fransiska Kaligis
Kusuma Minayati
Belinda Julivia Murtani
Ngurah Agung Wigantara
Kent Pradana
Raymond Bahana
Bayu Prakoso Dirgantoro
Eko Nugroho
author_facet Tjhin Wiguna
Raden Irawati Ismail
Fransiska Kaligis
Kusuma Minayati
Belinda Julivia Murtani
Ngurah Agung Wigantara
Kent Pradana
Raymond Bahana
Bayu Prakoso Dirgantoro
Eko Nugroho
author_sort Tjhin Wiguna
collection DOAJ
description The aim of this study was to develop an Indonesian computer-based game prototype, including feasibility testing, targeted on attention deficit/hypersensitivity disorder (ADHD) clinical symptoms and executive function. The study comprised five steps. The first to third steps used an exploratory qualitative research design. The Delphi technique with FGD was applied to collect qualitative data. During the study, seven experts participated in ten FGDs. Feasibility testing was conducted as a one group pre- and post-test design that included ten children with drug-naïve ADHD without other mental or physical disorders. Feasibility data were collected before and after 20 training sessions with the Indonesian computer-based game prototype. The framework analysis was performed for qualitative data. Quantitative data were analyzed using the paired t-test, Pearson's correlation and Spearman's rank-order correlation. Outputs of the exploratory qualitative study were the Indonesian computer-based game prototype constructs and general agreements of the prototype,. The Indonesian computer-based game prototype construct comprised six components: reward-related processing, control inhibition, improved sustained attention, specific timing, increased arousal, and improved emotional regulation. After 20 sessions of training, several indicators decreased significantly, such as CATPRS-teacher rating (18.5 [5.31] vs. 12.9 [5.51], p = 0.047), BRIEF-GEC (64.80 [10.21] vs. 57.50 [7.51], p = 0.02), BRIEF-MI (66.1 [7.61] vs. 58.4 [7.56], p = 0.014), BRIEF-Initiate (66.6 [10.15] vs. 54.1 [6.49], p = 0.008), BRIEF-Working Memory (68.0 [6.89] vs. 60.9 [10.05], p = 0.02), and BRIEF-Organization of Material (60.7 [12.88] vs. 49.3 [11.79], p = 0.04). There was a low to moderate correlation between CATPRS-teacher and -parent rating and several BRIEF domains. Feasibility testing output also included the training procedure guideline. The present study indicated that the Indonesian computer-based game prototype could be used as a framework to develop a fixed computer-based game intervention for children with ADHD. However, further randomized controlled studies need to be conducted to show its effectiveness.
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spelling doaj.art-e9fa7a5a7cc34118bed390bb16e7b7212022-12-21T22:31:27ZengElsevierHeliyon2405-84402021-07-0177e07571Developing and feasibility testing of the Indonesian computer-based game prototype for children with attention deficit/hyperactivity disorderTjhin Wiguna0Raden Irawati Ismail1Fransiska Kaligis2Kusuma Minayati3Belinda Julivia Murtani4Ngurah Agung Wigantara5Kent Pradana6Raymond Bahana7Bayu Prakoso Dirgantoro8Eko Nugroho9Department of Psychiatry, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia; Corresponding author.Department of Psychiatry, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Jakarta, IndonesiaDepartment of Psychiatry, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Jakarta, IndonesiaDepartment of Psychiatry, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Jakarta, IndonesiaDepartment of Psychiatry, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Jakarta, IndonesiaDepartment of Psychiatry, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Jakarta, IndonesiaDepartment of Psychiatry, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Jakarta, IndonesiaDepartment of Computer Science, Bina Nusantara University, Jakarta, IndonesiaDepartment of Computer Science, Bina Nusantara University, Jakarta, IndonesiaKummara Game Design Studio, Bandung, West Java, IndonesiaThe aim of this study was to develop an Indonesian computer-based game prototype, including feasibility testing, targeted on attention deficit/hypersensitivity disorder (ADHD) clinical symptoms and executive function. The study comprised five steps. The first to third steps used an exploratory qualitative research design. The Delphi technique with FGD was applied to collect qualitative data. During the study, seven experts participated in ten FGDs. Feasibility testing was conducted as a one group pre- and post-test design that included ten children with drug-naïve ADHD without other mental or physical disorders. Feasibility data were collected before and after 20 training sessions with the Indonesian computer-based game prototype. The framework analysis was performed for qualitative data. Quantitative data were analyzed using the paired t-test, Pearson's correlation and Spearman's rank-order correlation. Outputs of the exploratory qualitative study were the Indonesian computer-based game prototype constructs and general agreements of the prototype,. The Indonesian computer-based game prototype construct comprised six components: reward-related processing, control inhibition, improved sustained attention, specific timing, increased arousal, and improved emotional regulation. After 20 sessions of training, several indicators decreased significantly, such as CATPRS-teacher rating (18.5 [5.31] vs. 12.9 [5.51], p = 0.047), BRIEF-GEC (64.80 [10.21] vs. 57.50 [7.51], p = 0.02), BRIEF-MI (66.1 [7.61] vs. 58.4 [7.56], p = 0.014), BRIEF-Initiate (66.6 [10.15] vs. 54.1 [6.49], p = 0.008), BRIEF-Working Memory (68.0 [6.89] vs. 60.9 [10.05], p = 0.02), and BRIEF-Organization of Material (60.7 [12.88] vs. 49.3 [11.79], p = 0.04). There was a low to moderate correlation between CATPRS-teacher and -parent rating and several BRIEF domains. Feasibility testing output also included the training procedure guideline. The present study indicated that the Indonesian computer-based game prototype could be used as a framework to develop a fixed computer-based game intervention for children with ADHD. However, further randomized controlled studies need to be conducted to show its effectiveness.http://www.sciencedirect.com/science/article/pii/S2405844021016741IndonesiaComputer-based gameExecutive functionADHDBehavioral Rating Inventory for Executive FunctionConnors Abbreviated Teacher
spellingShingle Tjhin Wiguna
Raden Irawati Ismail
Fransiska Kaligis
Kusuma Minayati
Belinda Julivia Murtani
Ngurah Agung Wigantara
Kent Pradana
Raymond Bahana
Bayu Prakoso Dirgantoro
Eko Nugroho
Developing and feasibility testing of the Indonesian computer-based game prototype for children with attention deficit/hyperactivity disorder
Heliyon
Indonesia
Computer-based game
Executive function
ADHD
Behavioral Rating Inventory for Executive Function
Connors Abbreviated Teacher
title Developing and feasibility testing of the Indonesian computer-based game prototype for children with attention deficit/hyperactivity disorder
title_full Developing and feasibility testing of the Indonesian computer-based game prototype for children with attention deficit/hyperactivity disorder
title_fullStr Developing and feasibility testing of the Indonesian computer-based game prototype for children with attention deficit/hyperactivity disorder
title_full_unstemmed Developing and feasibility testing of the Indonesian computer-based game prototype for children with attention deficit/hyperactivity disorder
title_short Developing and feasibility testing of the Indonesian computer-based game prototype for children with attention deficit/hyperactivity disorder
title_sort developing and feasibility testing of the indonesian computer based game prototype for children with attention deficit hyperactivity disorder
topic Indonesia
Computer-based game
Executive function
ADHD
Behavioral Rating Inventory for Executive Function
Connors Abbreviated Teacher
url http://www.sciencedirect.com/science/article/pii/S2405844021016741
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