Computer-based training programs
A meta-analysis of 31 studies with n = 2,169 subjects found improvements through digital forms of treatment with regard to1
- Inattention (Effect size ES -0.20)
- Response time for the continuous power task (CPT) (ES -0.40)
- impulsive hyperactivity (ES -0.07)
- Executive functions improved (ES 0.71)
- Working memory improved (ES 0.48)
- 1.11.1. Computer-aided cognitive training
- 1.11.2. Web-based support / app-based support
- 1.11.3. Virtual reality training programs
1.11.1. Computer-aided cognitive training
A computer-based cognitive training program improved focused attention and working memory in some of the test subjects (responders) better than conventional training. ADHD-I and ADHD-C benefited more than ADHD-HI.2
One study reports moderate to good improvements with an AI-supported cognitive training program (“ReadON.ai”).3 The SMD values do not seem plausible to us, which is why we have decided not to repeat them.
1.11.2. Web-based support / app-based support
A meta-analysis found 10 studies, 6 of which showed a positive effect of web-based support tools for young people with ADHD. The 4 studies that did not find a positive benefit related to apps.4
1.11.3. Virtual reality training programs
A meta-analysis of k = 15 studies of therapeutic VR programs for ADHD found that they favorably facilitated improvements in cognitive and social skills. In ADHD, VR showed benefits in attention and executive functions, with optimal results in combination with medication.5
He F, Qi Y, Zhou Y, Cao A, Yue X, Fang S, Zheng Y (2023): Meta-analysis of the efficacy of digital therapies in children with attention-deficit hyperactivity disorder. Front Psychiatry. 2023 May 16;14:1054831. doi: 10.3389/fpsyt.2023.1054831. PMID: 37260755; PMCID: PMC10228751. ↥
Wexler, Vitulano, Moore, Katsovich, Smith, Rush, Grantz, Dong, Leckman (2020):. An integrated program of computer-presented and physical cognitive training exercises for children with attention-deficit/hyperactivity disorder. Psychol Med. 2020 Feb 24:1-12. doi: 10.1017/S0033291720000288. PMID: 32090720. ↥
Grover J, Chakraborty S, Rushi, Puar S (2024): Computerized cognitive retraining (ReadON.ai) among children diagnosed with attention deficit hyperactivity disorder. Ind Psychiatry J. 2024 Jul-Dec;33(2):346-353. doi: 10.4103/ipj.ipj_259_24. PMID: 39898095; PMCID: PMC11784689. ↥
Khan, Hall, Davies, Hollis, Glazebrook (2019): The Effectiveness of Web-Based Interventions Delivered to Children and Young People With Neurodevelopmental Disorders: Systematic Review and Meta-Analysis. J Med Internet Res. 2019 Nov 1;21(11):e13478. doi: 10.2196/13478. REVIEW ↥
Capobianco M, Puzzo C, Di Matteo C, Costa A, Adriani W (2025): Current virtual reality-based rehabilitation interventions in neuro-developmental disorders at developmental ages. Front Behav Neurosci. 2025 Jan 15;18:1441615. doi: 10.3389/fnbeh.2024.1441615. PMID: 39882439; PMCID: PMC11775633. REVIEW ↥