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Table 1 Summary of characteristics of studies in the current meta-analysis

From: Surface electroencephalographic neurofeedback improves sustained attention in ADHD: a meta-analysis of randomized controlled trials

Author (year)

Criteria

Comparison

Session

N

Duration (weeks)

Outcome

Subtype

IQ

Stimulants (%)

Age (years)

Female (%)

Country

Barth (2021)

1. WURS-K ≥ 30

2. ADHS-SB ≥ 18

EEG-NF (SCP)

30

26

26.64

1. D2 Test-accuracy + concentration + speed

2. Go/No Go task – RT + omission + errors

NA

108.32

23.9

33.63 (18–56)

60.9

Germany

EMG-BF

20

Moreno-García (2019)

90th percentile ADHD-RS-IV (teacher)

EEG-NF (TB)

40

19

20

IVA CPT – Full Scale

Inattention (50%)

Combined (31.58%)

H/I (18.42%)

100.15 (KBIT)

0

8.66 (7–14)

23.5

Spain

Behavioral therapy

19

Rajabi (2019)*

DSM-5

EEG-NF (TB + beta training)

30

16

12

IVA CPT – Full Scale

Inattention (15.63%)

Combined (59.38%)

H/I (24.99%)

107.2

NA

10.13 (6–12)

0

Iran

Waitlist

16

Geladé (2018)

DSM-IV-TR

EEG-NF (TB)

30

33

12

1. Auditory oddball task – RT + CV

2. SST – RT + omission

3. VSWM- backward

NA

99.94

0

9.68 (7–13)

25

The Netherlands

Physical activity

31

Lee (2017)*

DSM-IV-TR

EEG-NF (TB + beta training) and Medication

20

18

10

1. ADS- inattention

2. Korean WISC-III – freedom from distractibility

Inattention (41.67%)

Combined (44.44%)

H/I (13.89%)

100.39

100

8.75

25

Korea

Medications

18

Schönenberg (2017)

DSM-IV-TR

EEG-NF (TB)

30

37

15

1. INKA

2. CPT – RT

3. Stroop word and color test

NA

NA

13.3

37.8 (18–60)

44

Germany

Sham

38

Bink (2016)

DSM-IV-TR

EEG-NF(TB)

37

39

25

1. D2 Test – total score

2. Digit span- backward

3. Stroop word and color test

NA

NA

48

15.95 (12–24)

0

The Netherlands

TAU

19

Maurizio (2014)

DSM-IV

EEG-NF (TB)

36

13

12

1. D2 Test – total score

2. KiTAP- RT + errors + hits + omission

3. TAP- RT

Inattention (0%)

Combined (100%)

114.5 (German WISC)

8

10.31 (8.5–13.5)

12

Germany

EMG-BF

12

Bakhshayesh (2011)

ICD-10

EEG-NF (TB)

30

18

15

CPT – total score + omission + RT

Inattention (82.9%)

NA

20

9.34 (6–14)

25.7

Germany

EMG biofeedback

17

Steiner (2011)

By physician

EEG-NF (TB)

23.4

6

16

IVA CPT – attention quotient

NA

NA

60

12.4 (11–14)

47.8

USA

SCF

10

Wangler (2011)

DSM-IV-TR

EEG-NF (TB)

36

59

NA

ANT – alerting + conflict + orienting + hit + RT

Inattention (29.8%)

Combined (70.2%)

105.5

7.4

9.68 (8–12)

18.1

Germany

Attention skills training

35

Holtmann (2009)

ICD-10 F90.0, F90.1, F98.8

EEG-NF (TB)

20

20

NA

SST-inattention

Inattention (58.8%)

H/I (35.3%)

NA

79.4

10.3 (7–12)

8.8

Germany

Computer-aided attention training

14

Lévesque (2006)

DSM-IV

EEG-NF (TB)

40

15

13.5

1. IVA CPT

2. Stroop task- inference

NA

NA

0

10.2 (8–12)

20

Canada

Control

5

Heinrich (2004)

DSM-IV

EEG-NF (SCP)

25

13

3

CPT – Hits

Inattention

(27.27%)

Combined

(72.73%)

112.9

45.45

10.81 (7–13)

4.5

Germany

Waitlist

9

Follow-up

Geladé (2017)]

DSM-IV-TR

EEG-NF (TB)

30

33

24

1. Auditory oddball task – RT + CV

2. SST – RT + omission

3. VSWM- backward

NA

99.94

0

9.68 (7–13)

25

The Netherlands

Physical activity

31

Schönenberg (2017)

DSM-IV-TR

EEG-NF (TB)

30

37

24

1. INKA

2. CPT – RT

3. Stroop word and color test

NA

NA

13.3

37.8 (18–60)

44

Germany

Sham

38

Bink (2016)

DSM-IV-TR

EEG-NF (TB)

37

39

52

1. D2 Test – total score

2. Digit span- backward

3. Stroop word and color test

NA

NA

48

15.95 (12–24)

0

The Netherlands

TAU

19

  1. ADHD attention deficit and hyperactivity disorders, ADHS-SB German version of the ADHD self-rating scale, ADHD-RS-IV ADHD Rating Scale-IV, ADS ADHD diagnostic system, ANT Attention Network Test, CPT continuous performance task, CV coefficient of variation, D2 test test of attention, DSM-IV diagnostic and statistical manual of mental disorders, fourth edition, DSM-IV-TR diagnostic and statistical manual of mental disorders, fourth edition, text revision, DSM-5 diagnostic and statistical manual of mental disorders, fifth edition, EEG-NF electroencephalographic biofeedback, EMG-BF electromyographic biofeedback, KiTAP test for attentional performance for children, H/I hyperactivity/impulsivity, ICD-10 International Classification of Diseases, 10th Revision, INKA inventory for complex attention, IQ Intelligence Quotient, IVA CPT integrated visual and auditory continuous performance test, KBIT Kaufman brief intelligence test, N number, NA not available, NF neurofeedback, RT reaction time, VSWM visual spatial working memory, WISC Wechsler intelligence scale for children, SCF standard computer format, SCP slow cortical potential training, SST Stop Signal test, TAP test for attentional performance, TAU treatment as usual, TB theta/beta training, VCPT visual continuous performance test, WISC-III Wechsler Intelligence Scale for Children, the 3rd edition, WURS-K short version of the German Wender Utah Rating Scale
  2. aStudies that used protocols also including beta wave enhancement