## 3 Results
### Attention Assessment
 } & Baseline & 0.62 & 0.76 & 0.57 & 0.36 & 0.498 \({}^{*}\) & \\ \cline{2-6}  & Four weeks & 0.80 & 0.50 & 0.84 & 0.45 & 0.106 \({}^{*}\) & \\ \cline{2-6}  & \(p\)-value & & 0.064 \({}^{**}\) & & 0.077 \({}^{**}\) & & 0.043 \({}^{**}\) & 0.002 \({}^{**}\) \\ \cline{2-6}  & Effect size & & 0.246 \({}^{*}\) & & 0.780 \({}^{*}\) & & \\ \cline{2-6}  & Change rate & \(-\)29.03 & 34.21 & \(-\)47.37 & \(-\)25 & 0.579 \({}^{*}\) & \\ \hline \multirow{6}{*}{ \begin{tabular}{c} Total CAT \\ score \\ \end{tabular}  } & Change rate & 40.2 & 10.4 & 34.0 & 17.2 & 0.038 \({}^{*}\) & 0.436 \({}^{*}\) \\ \cline{2-6}  & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} \\ \cline{2-6}  & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} \\ \cline{2-6}  & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumn{1}{c}{}{} & \multicolumn{1}{c}{} \\ \cline{2-6}  & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} \\ \cline{2-6}  & \multicolumn{1}{c}{} & \multicolumn{1}{c}{} & \multicolumnAdditionally, for each subtest, the sensitivity coefficients for attention were above two points in both the experimental and control groups for simple selection (visual) and sustained inhibition, with the exception of simple selection (auditory) and interference selection. Specifically, the experimental group showed a significant increase in the simple selection (visual) test from baseline to the four-week point (3.07 \(\pm\) 0.81 vs. 3.59 \(\pm\) 0.57, \(p\) = 0.024). Additionally, after adjusting for the baseline, a statistically significant difference was found in the scores between the experimental and control groups at the four-week time point for both the simple selection (visual) and sustained inhibition tests (\(p\) = 0.039 and \(p\) = 0.040, respectively). Both tests showed greater changes in scores in the experimental group compared with the control group. In the interference selection test, after adjusting for the impact of the baseline on the sensitivity coefficients, a significant difference was found between the experimental and control groups after the four-week intervention (\(p\) = 0.043), although the actual score difference was minimal. Among the sensitivity coefficients, the experimental group showed a greater rate of change in both simple selection (visual) and sustained inhibition than the control group, and this difference was statistically significant (\(p\) = 0.028 and \(p\) = 0.014, respectively). Furthermore, the rate of change in the total CAT score after the intervention was significantly greater in the experimental group than in the control group (\(p\) = 0.038). As an indicator of the response style in the CAT, a score of one is the baseline. Scores above one indicate inattention, whereas scores below one indicate impulsivity. The results are summarized in Table 3. For simple selection (visual) and sustained inhibition, the results of the analysis of covariance adjusted for baseline indicated that the index values and changes were significantly higher in the experimental group than in the control group (\(p\) = 0.044 and \(p\) = 0.016, respectively). Furthermore, the change rates for simple selection (visual) and sustained inhibition were significantly higher in the experimental group than in the control group (\(p\) = 0.028 and \(p\) = 0.042, respectively). Regarding interference selection, the control group showed a significantly greater rate of change than the experimental group (\(p\) = 0.026). Additionally, when analyzing the change in ADHD symptoms before and after the intervention using a chi-squared test, the data for each participant were categorized as follows: 1 for improvement (closer to 1 compared with baseline after 28 days), \(-1\) for deterioration (further from 1), and 0 for no change.