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Digital technologies for students with ADHD

Authors:
  • Electrical & Computer Engineering dept. University of Peloponnese, National Center for Scientific Research Demokritos
  • Institute of Informatics and Telecommunications, N.C.S.R. Demokritos

Abstract

The creation and growing use of ICT (Technology, Information, and Communication), one of the significant technological advancements of recent years, calls into question whether computers are capable of meeting the demands of contemporary education, particularly in the area of special education. According to research, new technologies liberate and open up unique opportunities for people with disabilities. These technologies go beyond simple information management to support people with special needs and those with special educational needs by enhancing their learning capacity, academic performance, and functionality. There is a brief mention of a few of the ICT evaluation, diagnostic, and intervention tools for children with attention and hyperactivity problems (ADHD) over the last 10 years in this review. It also relates to how memory and attention are directly related to one another and interact and how we may assess and enhance memory and attention using technology. This paper also discusses the executive function impairment associated with ADHD and how these can be remedied with technological assistance.
Corresponding author: Arhondoula Alexopoulou
Copyright © 2023 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0.
Digital technologies for students with ADHD
Arhondoula Alexopoulou * and Alexandra Batsou
University of Thrace, Greece.
International Journal of Science and Research Archive, 2023, 09(02), 537547
Publication history: Received on 06 June 2023; revised on 30 July 2023; accepted on 01 August 2023
Article DOI: https://doi.org/10.30574/ijsra.2023.9.2.0555
Abstract
The creation and growing use of ICT (Technology, In- formation, and Communication), one of the significant
technological advancements of recent years, calls into question whether computers are capable of meeting the demands
of contemporary education, particularly in the area of special education. According to research, new technologies
liberate and open up amazing opportunities for people with disabilities. These technologies go beyond simple
information management to support people with special needs and those who have special educational needs by
enhancing their learning capacity, academic performance, and functionality. There is a brief mention of a few of the ICT
evaluation, diagnostic, and intervention tools for children with attention and hyperactivity problems (ADHD) over the
last 10 years in this review. It also relates to how memory and attention are directly related to one another and interact,
as well as how we may assess and enhance memory and attention using technology. This paper also discusses the
executive function impairment associated with ADHD and how these can be remedied with technological assistance.
Keywords: ADHD; Executive Functions (EF); working memory (WM); assessment; diagnostic; intervention tools;
Assistive Technology; Brain Computer Interface (BCI); Biofeedback/Neurofeedback; Natural User Interfaces (NUIs)
1. Introduction
A chronic pattern of inattention and/or hyperactivity-impulsivity known as Attention Deficit and Hyperactivity
Disorder (ADHD) impairs functioning or development. According to estimates, 3% to 7% of school-aged youngsters
suffer with ADHD [1]. However, other experts claim that the amount might be anywhere from 2.2% and 17.8% [2].
Polanczyk et al. [3] reported a similar variety in figures, ranging from 1% to 20% among kids in the 89 grade. They
make an interesting point about how regional and demographic factors might be connected to it. In his survey [4],
Barkley [3] also connected ADHD and gender, coming to the conclusion that ADHD affects boys more frequently and
severely than girls. According to experts, ADHD is a neurodevelopmental condition that impairs a child's functioning on
every level (family, school, and social). The majority of the time, people with attention deficit disorder avoid or fail to
finish their tasks. They struggle to follow directions, have trouble concentrating on the person speaking to them, and
they frequently appear to misplace personal items or other objects, which demonstrates their disorganization. Constant
talking, anxiety, and nervousness are common. They are readily distracted by outside environmental stimuli, which
leads to impulsive behavior and uninformed blunders [5]. Even the inclination to have trouble managing time, to be
impatient, to interrupt others, and/or to provide answers to inquiries without giving them much thought can be signs
of impulsivity. In order to diagnose this disorder, the symptoms should occur frequently and last, at least for six months,
from a very young age (3-6 years), being apparent both at home and at school. Consequently, there must be significant
effects on functionality, on school, social and professional life, which most of the times are determined by the age of the
individual. There are two distinct categories of symptoms. The first one emphasizes inattentiveness, while the second
concentrates on impulsive and hyperactive behavior. There are three distinct diagnostic categories that correspond to
three forms of ADHD, depending on the individual's symptoms: A) ADHD that primarily targets the "careless" type of
individual (ADD), who exhibits indicators of inattention that are more severe and frequent but lacks impulsivity and/or
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hyperactivity. B) Hyperactive-compulsive ADHD (HD), which is diagnosed when impulsivity and hyperactivity
symptoms occur more frequently and intensely. The attention issues in this group are not severe. C) ADHD mixed type,
in which impulsivity, hyperactivity, and distraction all exhibit with the same frequency and severity [1, 2].
2. The needs of students with ADHD
Since their normal behavior obstructs and hinders teaching in the traditional way, students with ADHD have always
posed a difficulty for educational systems. Since inclusion in general education classes is the norm in the majority of
Western nations, differentiated instruction is essential. Children with ADHD are four to five times more likely than
children with typical development to participate in special educational programs and benefits, according to Loe and
Feldman [6]. They are also more likely to favor after-school tutoring and remedial assistance. A youngster with ADHD
typically does poorly in school as a result of the issues listed above that they encounter on a regular basis. As Fovet [7]
points out, electronic distance learning technologies can be used in ways different from how they were intended and
intended to be used. Furthermore, as Wilkinson et al. [8] point out in their review, video games and off-line computer
games have been of therapeutic value since the early 1980's, without overviewing the fact that restricted playing and
interaction potential were offered. These restrictions have been surpassed by on line gaming offered on the internet,
which is regarded as a means of transferring therapeutic practice. When playing motivational games, they assert that
kids with ADHD, in particular, tend to control their hyperactivityso long as the games don't require a lot of working
memory. It has been demonstrated that individuals with greater WM capacity are better able to concentrate on complex
activities than those with less WM capability. This could imply that effective WM training should improve a person's
ADHD symptoms. When Conner's Continuous Performance Test 2 was presented as a video game, a group of young
adolescents with ADHD performed as well as the control group, according to Shaw et al. [9], whereas the equivalent
performance on the test's traditional form was worse than that of the control group [8].
Education systems should establish the proper conditions to enhance learning and guarantee the transfer of skills and
information to students with particular educational requirements, such as those with ADHD, in accordance with Drigas
and Ioannidou's argument [10]. However, as recent investigations and research have shown, new technology must play
a part in order to do this. By providing the necessary experience through the virtual reality it provides, the integration
of ICT into the classroom benefits the youngster who is having academic, social, or cultural issues. It should be expanded
to include not only use in households but also in society. ADHD is characterized as a multifaceted disorder that must be
considered in conjunction with other executive and cognitive skills [11]. It is indicated that all ICT procedures described
in their article, have proved to be important to every function concerning attention, self-regulation, motivation, working
memory and speech acquisition. At this point, all experts agree that Information and Communication Technology (ICT)
gives the opportunity to all people with disabilities and special educational needs to have equal chances at learning,
improving their daily routine, increasing self-protection and independence.
3. Digital Tools for Assessment
According to the consensus, reported in Sanches-Ferreira et al. [12], a multimodal approach, such as a combination of
behavioral intervention programs, specialized, and family training, is required to effectively address ADHD. These
programs may occasionally be carried out independently or in conjunction with the use of the proper medication,
depending on the severity of the problem. Additionally, cooperation between parents, teachers, and specialists is crucial
for treating ADHD symptoms and integrating the child into a larger social setting. Parents and teachers frequently
employ physical interventions that work to reduce symptoms rather than prevent them from occurring. Because of this,
it's important to use the right tools to keep an eye on how an ADHD youngster interacts with the world so that you can
figure out what the problem behavior's function is and, if necessary, intervene through an intervention program. In an
effort to improve the way ADHD is observed, there has been a trend toward abandoning the traditional methods of
assessing behavioral changes in favor of the more precise and effective mobile apps that will be made available to
parents and educators.
The innovative program "WHAAM" is an excellent example of one of these apps. Its main goal is to include all the various
behavioral factors that are taken into account while striving to create a comprehensive portrait of a person's conduct.
Furthermore, it enables those who are involved in the care of an ADHD person to communicate with one another
appropriately, interact with the person, and develop a useful mediation strategy [13]. Web (PCs) and mobile devices
(the mobile version is referred to as "WMA") both provide access to WHAAM (WA). The ability for the two apps to
communicate information across platforms is a pretty crucial feature. This network monitors the dysfunctional
behaviours of the child at school and at home and shares information about the diagnosis, specific medication and
schools that are suitable for the child. While the web version is aimed towards establishing the patient's profile by
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forming the network around him/her, gathering data and overall assessing their behaviour and adjusting the
interventions accordingly, the mobile one (WMA), offers a much more direct approach. Given that mobile devices are at
hand almost anytime and any-place, they can collect the data instantly, with a variety of ways such as ABC charts, thus
making the app an extremely handy tool [13]. Moreover, the behavioural intervention plan will be a few taps away from
every person that should need it, diminishing the chances of adults (teachers, parents, therapists) mis- handling
situations, where the child with ADHD might misbehave, or even having different approaches. This will also touch on
the issues that ADHD kids have with their academic achievement, which frequently results in them leaving school too
soon. In order to lessen negative behaviors and replace them with positive ones, WA also enables users to perform a
functional evaluation, which Horner defines as the use of "a set of strategies used to identify antecedents (those that
preceded a negative behavior) and consequences that control the problem behavior" [12]. The WA also determines the
TAU-U statistical index using behavioral information gathered from network participants. The statistical indicator TAU-
U makes an estimate of the severity of an intervention's impact on undesirable behavior [12].
The Automated Working Memory Assessment (AWMA) is one more example of a technological instrument that aids in
the diagnosis of problems with a person's WM. Without employing specific screening tests or instruments made for this
purpose, Alloway et al. [5] assert that it can be challenging to uncover potential working memory issues in classroom
settings. With its three stage evaluation technique that measures verbal short-term memory, visual-spatial short-term
memory, and verbal and visual spatial working memory, this standardized program enables specialists and teachers
alike to quickly appraise someone's memory abilities. In order to make a confirmation, it is further separated into two
forms: Short Form (AWMAS) for those who are suspected of having memory issues and Long Form (AWMAL) for those
who are known to have them.
Urban Screens are a tool used by Craven et al. [14] to support communities while also producing fresh, collaborative
observations about ADHD and associated social "stigma". This frame of reference guided the creation of Snappy App's
"The Screens in The Wild (SITW)" project. They embrace the idea of using such platforms to raise public awareness
about conditions like ADHD and others, referring to the usage of serious games to encourage positive behaviors
(exergaming). In the beginning, they combined a psychometric Continuous Performance Test with an engaging
smartphone application to enable the assessment of the three common symptoms of ADHD (i.e., inattention, impulsivity,
and hyperactivity). The procedure proved to be user friendly, moreover it resulted to the idea of its gamification as an
Android smartphone App. In accordance with the format of a conventional CP exam, the Snappy App application
presents users with a dependent arrangement of alphabetic letters. Users are required to respond to the "target" and
give no reaction to the "non-target" letters. A "game Attention Grabber" on the Screens In The Wild platform (SITW)
was later developed using the Snappy App's Web-app version, with an emphasis on the detection of impulsivity and
inattention. In order to make the initial app more enticing, it was later redesigned using graphical elements like fruit
and other animations, while the web-app was promoted on city screens. The research team aimed at play-testing the
Game at the four Screens In The Wild locations existing in the UK, in order to evaluate it.
4. Digital Tools for Intervention
Early on in a child's academic career, teachers may notice signs of ADHD, such as poor attention skills and/or
hyperactive and impulsive behavior. Following the prompt discovery, the parents and instructors who are responsible
for these children are notified and asked to take precautionary yet efficient action. An improved academic performance
and an early dropout can actually be distinguished by the right information, supervision, and cooperation between these
adults. It is widely believed that the use of ICT in both regular and special education would not only update the current
system and its components but will also introduce new ones. Cognitive Assistive Technologies (CAT) specifically use a
number of tools such smartphones with adapted applications, cognitive training games, audio books, voice recognition
software, ear plugs, minimalist learning spaces, and more. [15]. CAT stimulate learners, draw their attention on specific
tasks and help them retain it. As far as people with ADHD are concerned, studies have confirmed that the new age
software will offer a whole other approach to the way diagnostics and interventions are carried out [16]. Researches
indicate that computer-based activities seem to have a positive impact on a child's cognitive abilities. Especially children
with ADHD are extremely benefited from these activities as these combine both acoustic and visual stimulation helping
them to break down complicated meanings and comprehend them. Shaw et al. [9] were one of the earliest research
groups to make an effort to shed light on the abilities of kids with ADHD when they were playing video games. They
used market-available video games and standardized electronic tools that were previously intended to assess executive
functioning in ADHD-afflicted kids. The kids were given a game-like Conner's Continuous Performance Test 2 (CPT2) as
well as the video games "The Revenge of Frogger" (set on a laptop) and "Crash Bandicoot 2" (placed on a PlayStation
system). Additionally, they provided "The Pokémon Task," a specifically created CPT2 version that resembles a video
game. Each game required fourteen minutes of player participation. The player of the game Frogger has to control a
frog.There was no option of swimming; instead, the player had to patiently wait until moving wooden chunks and river
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turtles appeared, in order to move the frog by using them. In a different case (moving in traffic or wading into the river),
the frog lost a life. In the second game, Crash (the hero) had to be transferred around the screen, to collect crystals and
points. The movements had to take place in certain moments though, in order to be considered successful and gain
points. The procedure of CPT2 was done as normally indicated, by asking the participants to press all the letters except
for X. In the gamified version -The Pokémon Task-, the player had to catch as many Pokémons as possible, avoiding
however to press on Pikachu, which had substituted the letter X. After participating in all of the games, the players
significantly reduced their impulsivity and spontaneous behavior. Compared to their performance on the standard
CPT2, they made demonstrably fewer mistakes while working on the Pokémon Task. This corroborated Shaw et al.'s
initial prediction about mistake reduction brought on by impulsive behavior during game-like tasks. They concur that
computer games are extremely motivating for kids with ADHD, increasing effort and sustaining interest, based on prior
research and experimentation. They claim that additional research on the beneficial effects of computer games on the
executive functions is necessary, along with more focused research with a larger sample of kids with ADHD.
When participating in digital activities, notably gaming, ADHD children and adults tend to focus and concentrate better
[17]. In spite of their lack of enthusiasm, they seem to be drawn to these activities. Plan-It Commander is a new serious
game that Bul et al. developed after realizing the lack of game-like training programs that focused on abilities relevant
to everyday life scenarios. Its creation was specifically meant to advance behavioral learning and everyday life skills,
such as time management, organization, making friends, and other abilities that foster social acceptability, areas in
which children with ADHD frequently lag behind. The team conducted a research, the findings of which showed great
satisfaction among the participants, after having been involved with the game. Plan-It Commander showed high
potential of serving as a significant tool for intervention, in accordance with the rationale of its designers;
notwithstanding, a clinical trial is still necessary to ascertain the degree of its efficacy. Craven and Groom [18] present
in their survey, three fields on which computer games and tests concerning ADHD focus: human activity in daily
situations, education and medical practice. According to them, most of the existing software applies to executive
functions with a view to improving them. Through the course of their research, they came to the conclusion that regular
players develop stronger cognitive abilities than infrequent or non-players. They demonstrate and suggest brand-new
video games built around monitoring activities that boost attention and inhibitory function. The games were created by
including crucial components of Go/No Go and Stop Signal Tasks as well as Continuous Performance Tests. They
produced "Awkward Owls" and "Wormy Fruit" specifically. Colorful cartoon characters were designed to set the games
apart from the competition while simultaneously improving gaze control and making them more interesting to kids
with ADHD. Although their research indicated some therapeutic intervention potential, they also advise more study.
The deficiency in executive processes is a key component of the idea of ADHD [19]. Inhibition (self-control and self-
regulation), design, working memory, reasoning, cognitive flexibility, and problem solving are among the executive
functions. They are in charge of intentional, ongoing, and directed behavior that works towards a specific objective.
Executive function deficiencies are the cause of the organizing, time-management, and planning challenges associated
with ADHD. Even when the child's EFs get better, the challenges hamper their functionality and last into adulthood.
TangiPlan, a collection of tangible objects that symbolize the chores that kids with ADHD must do in their morning
routine, was created by Weisberg et al. [19] in an effort to enhance EF. Parents together with children divide the morning
tasks in smaller steps from the previous night. Each item is put in the room close to the work that needs to be done the
next day. When the task is begun, the child activates the item, and when it is finished, the child deactivates it. While the
object is in use, it also displays the amount of time spent on the task, which aids the youngster in efficient time
management. TangiPlan is simultaneously connected to a web-based interface, allowing parents to track the fulfillment
of their children's morning tasks through their mobile device in real time. By gathering the child's performance data, it
will be possible to enhance the TangiPlan in the future by providing specific information about the amount of time the
child can devote to certain tasks.
The "Cogmed" program (Cogmed Working Memory Training - CWMT) was used by Chacko et al. [20] to train memory.
A computerized training software called Cogmed targets both the verbal and non-verbal parts of working memory and
aims to improve it by boosting memory storage. A computer interface that resembles a game is used for the training.
There were 25 sessions available, 5 of which were presented each week during the 5-week training period. Coaches
who offered encouragement and support were present with the athletes. In a sample of school-aged children (711)
with ADHD, its effectiveness was assessed in comparison to a placebo version of it. Using The Automatic Working
Memory Assessment (AWMA), the subjects' working memory was assessed [5]. All families took part in a start-up
session first, in which the characteristics of CWMT were presented. Then, together with the coaches, they were provided
with a system of reinforcement and rewarding throughout the whole training session. Parents and educators assessed
the curriculum following the training time. They noted improvements in working memory both for verbal and nonverbal
information. There was no discernible change in either the capacity or processing of verbal and non-verbal complex
working memory, or in other ADHD symptoms including attention, impulsivity, or hyperactivity. Chacko et al. [20]
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recommend a longer-term follow-up evaluation of academic achievement. The amount to which CWMT gives beneficial
results to teaching schoolchildren with ADHD is uncertain, they add, perhaps due to methodological study limitations.
According to Garcia-Zapirain et al. [21], movement and gestures can help children with ADHD learn more effectively,
thus they experimented with a system that also improves hand-eye coordination and gestures. "Net Framework" was
used to create a technical platform. With the use of two physiological sensors, namely "The Leap Motion" - a hand
movement recognition sensor and the "Tobii X1 Light Eye Tracker," the goal was to help youngsters with ADHD with
their attention deficit and to increase their learning ability. These wearable sensors are classified as Natural User
Interfaces (NUIs), which include Human-Computer Interaction devices seeking to use already-existing skills in order to
enable reciprocal action with specific material.. The users of this dual system had to perform mathematical calculations
on the surface of a digital flower (Math Flower Exercise). If the calculation had a correct outcome, the petals of the flower
turned green, if not, they turned red. In this way the players-users were provided with immediate visual feedback. An
audio feedback was available as well, as a beeping sound was heard at the choice of a petal. At the end of the procedure,
the users were given two questionnaires to evaluate the system and the process. The results were unequivocal. The
users' performance generally improved, and the hand-eye coordination was found to be very helpful in focusing and
keeping the users' attention on the assigned activities. Another approach that differs from the conventional math-
solving procedure and offers consumers considerable amusement among other benefits is gesture-based involvement.
Given that attention and learning ability were greatly increased, Garcia-Zapirain et al. [21] believe that the dual sensory
pattern they tested on could serve as a successful basis for more games, exercises, or puzzle activities. A system called
Brain Computer Interface (BCI) uses transmitted brain impulses (through EEG) to let a person control a peripheral
device.. Over the last years it has been used as an alternative therapeutic method for users with ADHD, especially
children and adolescents, by providing guidance through feedback from the EEG. The main motivation for the
development of BCI technology, as referred by X.Y. Lee et al. [22], was to enable patients suffering from amyotrophic
lateral sclerosis to handle objects with the use of their brain, due to their limited kinetic ability. The realization that
children with ADHD take a lot of medicine to deal with concentration lapses, the side effects of which are unknown, was
a second major concern that strongly urged the development of BCI technology [22]. The fact that BCI technology has
no side effects and was created in a way that simulates playing a game means that each person using it still views himself
as a participant while maintaining a certain level of motivation and benefit. Below, we make reference to several
scientific research and experiments in this area, as well as positive and encouraging results on teaching attention to kids
with ADHD.
Amon and Campbell [23] evaluated in their study whether the biofeedback tool "The Journey To The Wild Divine" would
show effective at addressing ADHD symptoms based on existing biofeedback studies and relaxation techniques. The
players' fingers were fitted with three sensors to track changes in skin conductivity and heart rate. Through the course
of the game, these variants were turned into the essential "pathways" to advance and complete the game. The "pathway"
would be immediately delayed or blocked if the player became frustrated or anxious, which would prevent them from
continuing and completing the game. Evidently, players with ADHD found out that only by being calm and concentrated
they would proceed in the game. This realization gave them a compelling reason to partake in the entire game-like
experience. All of the parents of the children who participated in the study received questionnaires at the conclusion of
the study. The biofeedback video game, according to the parents of the experimental group (children with ADHD),
improved breathing and relaxing techniques. The results of their study, supported by findings from other biofeedback-
related studies, suggested that playing The Wild Divine video game could help children and adolescents with ADHD
adopt more positive attitudes and behaviors. However, more research about the long-term consequences of biofeedback
is required, according to Amon and Campbell [23].
After realizing a twenty-session BCI focus with beneficial effects on the symptoms of ADHD, Lim et al. [24] evaluated a
new, more difficult training game structure based on BCI. They chose EEG-based biofeedback techniques to treat ADHD
as a result of research showing that common symptoms of ADHD, particularly inattention, may be successfully trained
through BCI-based games. A headgear with dry EEG electrodes was part of their new training gaming system, which
was Bluetooth-connected to a PC. CogoLand, a video game created specifically for the purpose and featuring 3D visuals,
was the main gaming activity. The player is required to move an avatar with the help of signals transferred by the EEG
electrodes. The proceeding rate of the avatar depends on the concentration level of the player. The game was created in
three stages, each of which required the avatar to do a different task. This eight-week, three-level intervention program
was completed, followed by three follow-up meetings every month. Parents indicated that their child's attention span,
hyperactivity, and impulsivity had all improved by the end of the sessions. Additionally, the gains were sustained by the
kids who received additional training sessions each month. For kids with ADHD, BCI-based attention training through
gaming systems has been helpful, according to Lim et al. [24].
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Qian et al. [25] made use of the same video game, CogoLand. They worked on a BCI-based attention training program
with the goal of assessing the extent of reorganization of large-scale brain networks in children with ADHD, based on
recent studies that shown the effectiveness of EEG-based neurofeedback systems. Clinical assessment and RS-fMRI
imaging were also part of the program evaluation. Three sessions per week were held over the course of the entire
eight-week treatment. The method involved using a headgear equipped with dry EEG sensors and a Bluetooth
connection to a computer. The avatar of the game was powered by the player's attention, as in the previous study. The
results that were extracted after the 8-week intervention period were positive, confirming that attention in children
with ADHD was improved. Since the salience processing system and the effective regulation between goal-directed and
stimulus-driven attention were brought close to normal standards, this resulted in brain network reorganization and
was linked to additional behavior improvement. The BCI-based attention treatment has a number of benefits, according
to Qian et al. [25], including safety during use, convenience during the operation and when it is used, and the absence
of the need for contemporaneous medical care. Despite the encouraging outcomes of their research, they concur that
additional research is required to determine how durable the effects of BCI-based treatment are..
Rohani et al. [26] created another BCI system with an emphasis on ADHD intervention for kids. They put up test versions
of the games in a Virtual Reality (VR) classroom environment with realistic reproductions and control over ordinary
visual and audio distractions. The use of two feedback games necessitated the prompt and accurate definition of
pertinent input for each. They were based on the P300 potential, which is a measure of a person's attention or lack
thereof. It is "a large positive voltage in the recorded EEG peaking around 300ms after a cognitive attended rare
stimulus" [26]. The first game, called “ANISPELL”, was based on the already existing P300 speller By Fawell and Donchin.
It comprises sixteen animal images presented random-like, demanding for specific attention on one of the animals and
providing in- formation about it at the end of the procedure. The second game, called the “T- SEARCH”, was created after
taking inspiration from Frintrop et al. It consists of twelve different pictures presenting an amount of the English letters
“X” and “T”. Additionally, they are displayed at a random-like rate of 5 per second. The player must locate the blue "T"
symbols before choosing the classification square that contains every blue "T" letter. Both games demonstrated the
P300's usefulness in gauging ADHD-afflicted kids' attention spans. Additionally, with the inclusion of the distractions in
the online classroom, repetition and training led to growth. When developing neurofeedback devices, Rohani et al. [26]
advise employing interactive BCI systems and P300 potential when concentrating on ADHD therapeutic treatment.
The positive and useful contributions that digital technologies provide to the field of education should be highlighted as
a final point. Mobile devices (28-31), a range of ICT apps (32-51), AI & STEM ROBOTICS (52-56), and games (57-59) are
some examples of the technologies that enable and improve educational processes including evaluation, intervention,
and learning. Additionally, the use of ICTs in conjunction with theories and models of metacognition, mindfulness,
meditation, and the development of emotional intelligence [60-86] accelerates and improves educational practices and
outcomes, especially for students with ADHD.
5. Conclusion
To conclude we underline that one of the hallmarks of ADHD is hyperactivity, which causes the youngster to frequently
leave his seat in the classroom. Accordingly, the ideas surrounding ADHD have come to focus heavily on inhibition and
self-regulation deficiencies. Fortunately, thanks to ICT, the landscape is shifting in terms of executive tasks. The
program, which is appropriate for each scenario and function, enhances a person's functionality in everyday settings
while also providing enticing and encouraging stimuli delivered through audio-visual ways. Focus is kept on the
student's academic obligations by offering positive and/or negative feedback. Over the last years, a lot of attention has
been placed on the working memory (WM), the cognitive system responsible for behaviour amongst other functions,
the level of which, if lower than average, can often be associated with ADHD. Early detection and, hence, intervention,
are critical in cases of WM issues. It can be the difference between a child's future academic success and failure if parents
take prompt, appropriate action. As we have discovered throughout our analysis, WM training software can be effective
even in its early phases. As we draw to a close, we must make a special mention of the biofeedback and neurofeedback
BCI systems that have been created in the previous 10 years and have so far shown promise in improving working
memory and reducing inattention.
Compliance with ethical standards
Acknowledgments
The Authors would like to thank the SPECIALIZATION IN ICTs AND SPECIAL EDUCATION: PSYCHOPEDAGOGY OF
INCLUSION Postgraduate studies Team, for their support.
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Disclosure of conflict of interest
The Authors proclaim no conflict of interest.
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... • Easy Distractibility -Students often react to sounds, movements, or even thoughts, which hinders their ability to follow instructions or complete academic Hristina R. Fidosieva FROM CHALLENGES TO SUCCESS-STRATEGIES FOR EDUCATING STUDENTS WITH ATTENTION-DEFICIT HYPERACTIVITY tasks (Alexopoulou & Batsou, 2023). For example, in the classroom, they may pay attention to peer conversations or objects in the room rather than focusing on the lesson. ...
... • Frequent Interruptions -Students may interrupt teachers or peers (Alexopoulou & Batsou, 2023), complicating communication and creating conflict. ...
... • Constant Attention-Seeking -Students with ADHD often require continuous attention from teachers, parents, or friends (Alexopoulou & Batsou, 2023). Simultaneously, they may struggle to respect authority, are easily irritated, and are sensitive to criticism. ...
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