Work-MAP Telehealth Metacognitive Work-Performance Intervention for Adults With ADHD: Randomized Controlled Trial.
Nufar Grinblat, Sara Rosenblum
PMID 36971429WHAT IT FOUND
Adults with ADHD reported better work performance, fewer executive-function difficulties, and higher quality of life after an 11-week OT telehealth programme.
Gains held at 3 months.
Key findings
01Self-rated work performance and satisfaction with two chosen work goals both improved substantially on a 1-to-10 scale (efficacy goal 1: 3.48 to 6.23; goal 2: 3.98 to 6.60; satisfaction goal 1: 2.80 to 6.03; goal 2: 3.51 to 6.42). The authors note these changes exceed the 2-point threshold they identify as clinically significant.
02Executive-function scores (BRIEF-A) improved across all three indices: global composite fell from 71.98 to 66.80, metacognition from 76.26 to 70.93, and behavioural regulation from 62.59 to 58.50. Lower scores are better; 65 or above indicates a clinical deficit. Fifteen point two percent of participants moved from the abnormal to the normal range on the behavioural regulation index, and 19.5 percent did so on the metacognition index.
03Quality-of-life scores (AAQoL total) rose from 58.35 to 66.37, and all four subscales (life productivity, psychological health, life outlook, relationships) improved. The authors state the change exceeded the 8-point threshold for clinical improvement.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The sample was calculated for 50 participants but only 46 completed the study, so the authors note it is potentially underpowered. All outcome measures were self-report questionnaires, which the authors acknowledge introduces the possibility of bias. Follow-up was only 3 months after the intervention ended; the authors call for 6-month and 1-year follow-up in future studies. Participants were recruited from communities across Israel and had specific demographic and occupational characteristics that the authors note are not representative of all adults with ADHD. The waiting-list design means both groups eventually received the intervention, so the evidence is for within-group change over time rather than a comparison against a no-treatment control.
Declared interests
No conflicts of interest were declared. The study was funded by the National Insurance Institute of Israel (grant no. 46006).
The easy way to misread this
Do not read this as proof that Work-MAP works for all adults with ADHD. It is one trial of 46 people in Israel, all measuring their own improvements with self-report questionnaires, with a 3-month follow-up. The authors themselves note the study is potentially underpowered and that the sample is not representative. The waiting-list design means both groups received the intervention, so the comparison is change over time within the group, not against a no-treatment control.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →