Evidence map›Paper›PMID 41261433›Full record

SynthesisBMC psychiatry2025

Efficacy of game-based interventions on cognitive performance in children and adolescents with attention-deficit/hyperactivity disorder: a systematic review and meta-analysis.

Fan Mao, Zexin Liu, Qun Fang, Yike Liu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Fan MaoSchool of Physical Education and Sports Science, South China Normal University, Guangzhou, China.
Zexin LiuSchool of Physical Education, Shandong Normal University, Jinan, China.
Qun FangSchool of Physical Education, Qingdao University, Qingdao, China.
Yike LiuSchool of Physical Education and Sports Science, South China Normal University, Guangzhou, China. [email protected].

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAttention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by cognitive deficits in areas such as attention, working memory, and executive function. Traditional treatments often address behavioral symptoms but may not fully target cognitive impairments. Game-based interventions (GBIs) have emerged as potential tools to enhance cognitive performance in children and adolescents with ADHD.

methodsThis systematic review and meta-analysis evaluated the efficacy of GBIs in improving cognitive outcomes in children and adolescents with ADHD. A comprehensive search of databases, including PubMed, Medline, PsycINFO, Web of Science, and Cochrane Library, identified 20 randomized controlled trials (RCTs) with 1,376 participants. Studies were included based on cognitive performance measures such as attention, metacognition, and executive function. Standardized Mean Differences (SMD) were calculated, and subgroup analyses were conducted based on intervention modality, session length, duration, and setting.

resultsThe meta-analysis revealed a moderate overall effect size of GBIs on cognitive performance (SMD = 0.42, 95% CI: 0.143 to 0.697, p < 0.01), with large heterogeneity (I

conclusionGBIs show moderate efficacy in enhancing cognitive functions, particularly attention, cognitive flexibility, and working memory, in children and adolescents with ADHD. However, these findings should be interpreted with caution due to the substantial heterogeneity across studies. Future research could prioritize standardized outcome measures and multicentre RCTs across diverse cultural contexts to strengthen the evidence base. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Attention Deficit Disorder with HyperactivityCognitionCognitive DysfunctionPlay TherapyVideo GamesAdolescentChildExecutive FunctionHumansMetacognitionADHDCognitive functionDigital gameExergamingGame therapy

Identifiers

PMID41261433
PMCPMC12751576

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.