Information for Parents

Indication criteria

At this moment, Braingame Brian can be used with children with ADHD, aged eight to twelve, who have problems with executive functions. Difficulties with executive functions concern problems with working memory (retaining information), inhibition (regaining self-control), cognitive flexibility (quickly switching in changing situations), planning and organizing, and regulation of emotions.

For children with other difficulties, where executive functioning problems may be underlying, Braingame Brian can only be used within the context of an efficacy study or with the explicit approval of the Gaming and Training Foundation.

Application

The Braingame Brian training is indicated and supervised by certified trainers. (See below: Information for Trainers)

Therapeutic support

After contact with one of the certified trainers it is important that the child has been (neuro)psychologically diagnosed with difficulties in executive functions.

There are 5 contacts with the BB-trainer. They consist of (1) a start-up meeting (intake + instruction session) at the clinic, (2) three sessions at the child’s home where the trainer/therapist coaches the child through the first training session; the parent is present also. The child’s start-level is set at the end of this first session and, finally, an external reward system is discussed with child and parent  (the other two contacts are around session 10 and session 20 and may be conducted by telephone), and (3) an evaluation session at the clinic.

Braingame Brian as part of a multimodal treatment

The Braingame Brian training is considered an addition to treatments for children with ADHD which have been proven effective, such as psycho-education, parent training, teacher training and medication. Braingame Brian is not intended as a stand-alone treatment.  The trainers who apply Braingame Brain are required to be able to provide a multimodal treatment. For some children, behavioral treatment is combined with medication. However, it is possible for most children to complete Braingame Brian without medication.

Measurement

Prior to the training standardized questionnaires may be administered. For children with ADHD questionnaires for assessing disruptive behavior symptoms (e.g., the DBDRS, Pelham et al., 1992; parent and teacher versions) and for assessing executive functions (e.g., the BRIEF, Gioia et al. 2002; parent and teacher versions) may be administered  Our evaluation study has shown both questionnaires to be relevant (van der Oord et al., 2012).

Participation of client in treatment module Braingame Brian

For Braingame Brian, a fee is required of 250 euros per client, excluding tax. This fee has to be payed to the Foundation before the start of the training. The revenues will be spent on adding improvements to the EF-training tasks and the game world, the development of new versions, and financing evaluation research. Your trainer will make arrangements with you regarding the payment.

Starting Braingame Brian

After applying to a certified trainer and an appropriate indication, the training can be downloaded from the website to your computer (PC or Mac). Instructions on how to download and install the application are included in the training box, which will be shipped to the trainer after payment is completed. The trainer will then send the instructions to the client and the client can start the training in the presence of the trainer. The trainer will have a login code and password, which are needed to start the first session. With this code, the client can start the next sessions and after each session the data will be saved in a central database.

Technical requirements computer

When the Briangame Brian application is started, a window appears in which the screen resolution and visual quality can be set. If the graphics card (PC or Mac) is not strong enough, the resolution can be adjusted lower, but should be at least 1280 x 800 pixels (a width of 1024 is enough, but some graphical elements may not be visible). A computer less than four years old with a ‘dedicated’ graphics card (AMD/ATI or NVidia; one that is not part of the processor) should be able to run the application with visual quality set to ‘good’ and lower. If the graphics card is not separate, a computer less than two years old should run on ‘simple’ or lower. If the integrated card is an Intel card, computers more than 18 months old may not be able to run the application. Aside from the graphics card, the computer should have preferably 2 GB of memory.
In order for the training to be effective, the computer must meet the minimum technical requirements. Only then the game world can be optimally explored and be rewarding enough for the training effort.

Flyer for parents (Dutch)

There is a Braingame Brian flyer for parents (in Dutch).

Helpdesk

During the training a helpdesk is available for technical questions, open from monday until friday at 16.00-17.00. You can also send your question by email to brianhelp@gamingandtraining.nl, and we will contact you on the aforementioned moments.

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