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START - physical ex...
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Arvidsson Lindvall, Mialinn,1977-Örebro universitet,Institutionen för hälsovetenskaper,Region Örebro län,University Health Care Research Centre
(författare)
START - physical exercise and person-centred cognitive skills training as treatment for adult ADHD : protocol for a randomized controlled trial
- Artikel/kapitelEngelska2023
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BioMed Central (BMC),2023
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LIBRIS-ID:oai:DiVA.org:oru-108557
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-108557URI
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https://doi.org/10.1186/s12888-023-05181-1DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:153974675URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Background: Core symptoms in attention deficit hyperactivity disorder (ADHD) are inattention, impulsivity and hyperactivity. Many individuals with this disorder also have a sedentary lifestyle, co-morbid mental illness such as depressive and anxiety disorders, and reduced quality of life. People with ADHD often have impaired executive function, which among other things may include difficulty in time management and structuring of everyday life. Pharmacological treatment is often the first-line option, but non-pharmacological treatment is also available and is used in clinical settings. In children and adolescents with ADHD, physical exercise is used as a non-pharmacological treatment. However, the evidence for the effectiveness of exercise in adults is sparse.Objective: To implement the START intervention (START = Stöd i Aktivitet, Rörelse och Träning [Support in activity, movement and exercise]) consisting of a 12-week, structured mixed exercise programme with or without a cognitive intervention, in adults with ADHD, and study whether it has an effect on core symptoms of ADHD as well as physical, cognitive, mental and everyday functioning compared with usual treatment. A secondary aim is to investigate the participants' experiences of the intervention and its possible benefits, and to evaluate the cost-effectiveness of START compared with usual treatment.Methods: This is a randomized controlled trial planned to be conducted in 120 adults with ADHD, aged 18-65. The intervention will be given as an add-on to standard care. Participants will be randomized to three groups. Group 1 will be given a physiotherapist-led mixed exercise programme for 12 weeks. Group 2 will receive the same intervention as group 1 with the addition of occupational therapist-led cognitive skills training. Group 3 will be the control group who will receive standard care only. The primary outcome will be reduction of ADHD symptoms measured using the World Health Organization (WHO) Adult ADHD Self-Report Scale (ASRS-v1.1), Clinical Global Impression-Severity scale (CGI-S) and CGI-Improvement scale (CGI-I). The effect will be measured within 1 week after the end of the intervention and 6 and 12 months later.Discussion: Data collection began in March 2021. The final 12-month follow-up is anticipated to be completed by autumn 2024.Trial registration: ClinicalTrials.gov (Identifier: NCT05049239). Registered on 20 September 2021 (last verified: May 2021).
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Lidström-Holmqvist, Kajsa,Med.Dr,1965-Örebro universitet,Institutionen för hälsovetenskaper,University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Neurology and Rehabilitation Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden(Swepub:oru)kht
(författare)
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Axelsson Svedell, Lena,1978-Örebro universitet,Institutionen för hälsovetenskaper,Department of Psychiatry, Faculty of Medicine and Health, Örebro University, Örebro, Sweden(Swepub:oru)lal
(författare)
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Philipson, Anna,1978-Örebro universitet,Institutionen för hälsovetenskaper,Region Örebro län,University Health Care Research Centre(Swepub:oru)aaps
(författare)
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Cao, Yang,Associate Professor,1972-Örebro universitet,Institutionen för medicinska vetenskaper,Clinical Epidemiology and Biostatistics, School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Unit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden(Swepub:oru)yco
(författare)
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Msghina, Mussie,1959-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Psychiatry, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden(Swepub:oru)mema
(författare)
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Örebro universitetInstitutionen för hälsovetenskaper
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:BMC Psychiatry: BioMed Central (BMC)23:11471-244X
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