What is offered in the All in One program and how does it work?
The All in One program at Attention Tutoring consists of 30 lessons developed by Dr. Naomi Steiner. All in One trains students with ADHD, attention issues or autism and attention difficulties to improve their focus without using medication! All in One is an educational program that primarily aims at supporting academic work and seeks to support the child as a whole.
Dr. Steiner is a developmental behavioral pediatrician, and expert researcher in ADHD and attention difficulties. Parents try to find the best ways to support their children, and Dr. Steiner has created this program to meet that need. She has done this by combining the most solid research-based methods All in One. In this manner, parents don’t need to choose between approaches, their child will receive evidence-based non-pharmacological skills training approaches.
How is All in One different from other tutoring programs?
Attention Tutoring’s All in One is different from other educational attention supports because it is research-based and combines neurofeedback, along with executive functioning and organization skills training, and relaxation/biofeedback.
The Attention Tutoring approach is new, it stems from Dr. Steiner’s unique experience as a developmental behavioral pediatrician and researcher. She has been researching computer attention training, including neurofeedback, for the past 9 years. She has systematically trained dozens of research assistants to carry out the studies’ interventions to students in different school systems in the Greater Boston Area. The results from her studies show that participants who received neurofeedback training significantly improved in core areas of attention and executive functioning.
Dr. Steiner has also been working with children with ADHD and their families as a pediatrician for 20 years. Through her work with hundreds of families she has developed specific techniques for executive functioning and organization skills training with children and their families. These targeted techniques are taught through a delineated program at each lesson, along with supportive worksheets and handouts for each lesson.
In addition, Attention Tutoring also includes a relaxation/biofeedback component that typically benefits students with attention difficulties and ADHD.
Dr. Steiner has developed the Attention Tutoring program as the golden standard for teaching children with attention difficulties and ADHD key skills and retraining their brains to be able to focus better on important tasks.
This All in One approach strengthens the neurofeedback training alone. This approach does not exist in the current market.
Other than the neurofeedback, what else will my child train during the lessons?
Each All in One lesson lasts 50 minutes and contains training in both neurofeedback and
Executive functioning and organization skills read more
Relaxation and biofeedback read more
Meeting with Dr. Steiner
At Attention Tutoring we are well aware that not all parents know about neurofeedback and we understand that they might have a lot of questions. This is why Attention Tutoring offers a complimentary short meeting for families with Dr. Steiner to ask educational questions they might have about the Attention Tutoring program, along with a demonstration of the neurofeedback program. No clinical advice is given.
How does neurofeedback work?
Attention Tutoring trains the brain through neurofeedback, a system which records brainwave patterns so that users can see how focused they are at any given time. In the randomized control trials that Dr. Steiner conducted, the students in the neurofeedback group improved more than students who did not receive any intervention as well as the students who received cognitive training with the same number of sessions and same amount of time allotted per session. Neurofeedback group improvements in attention skills and executive functioning were sustained even the following school year, after 6 months without training. On the other hand stimulant medication is out of the body the same evening, without the benefit of any learned attention skills. Dr. Steiner’s results fall along the lines of other clinical research done in this area.
Children with ADHD have a different brainwave pattern than children without ADHD. Often, they have less prevalent beta brainwaves (apparent when focusing) and more prevalent theta brainwaves (apparent when drowsy). This makes focusing on schoolwork and finishing tasks challenging.
The neurofeedback attention training system used at Attention Tutoring reads these brainwave patterns and sends visual and auditory feedback to students on a computer, showing them how they are paying attention. The 30 lessons enable change in brainwave activity, which leads to an increase in attention, maintenance of attention, and an increase in executive functioning. Attention Tutoring students often comment that it helps them to know what it feels like to pay attention and they learn how to consciously initiate and maintain a state of attention during important tasks. The Neurofeedback equipment only passively measures the brainwaves and does not send impulses back to the brain.
Will Neurofeedback help MY child?
Dr. Steiner’s research shows that neurofeedback helped students as a group to pay attention. This was found when results from the group of students as a whole are pulled together. This type of research process does not account for each student individually.
How do you individualize the All in One program for each child?
Attention Tutoring has a structured program to assure that all students receive high quality and the most important salient skills that are challenging for most students with ADHD or attention difficulties. Yet we absolutely recognize that each child is different. We discuss with parents and establish the primary areas of challenge to work on over the 30 lessons. For instance, if one student has difficulty with getting to bed we will help them establish a bedtime routine and work on making it happen. If another student has a high stress level, increased emphasis will be given to the Relaxation/Biofeedback portion, making sure that the student is consolidating skills and using the calm breathing when needed throughout the day. If a student has difficulty with transitioning for instance from play to work, we will work to establish a transition routine, for instance using the timer that ultimately the child will become responsible of using.
What if my child does not adapt well to the lessons?
Although not expected, it might happen that a child does not adapt well to the lessons. This is why Attention Tutoring observes the first 5 lessons for adaptation to the program. Our goal is to train the brain and teach skills for all of our students. If a parent does not wish to continue the program at the 5th lesson, Attention Tutoring will give a full refund for the remaining lessons.
Will I get feedback during the Attention Tutoring program on how my child is progressing?
Yes, our tutors are available for on-going communication with parents. In addition formal feedbacks are scheduled with a short report on how students are progressing and what they have learned.
What is executive functioning?
Executive functioning is the ability of the brain to organize tasks, prioritize tasks, manage time, break tasks down into steps and have a feel of how to proceed to assure that the task gets done. Children and adolescents with attention difficulties and ADHD often have executive functioning difficulties that make it difficult for them to get their work organized at school.
Why learn relaxation?
Attention Tutoring teaches and supports the child as a whole, and recognizes the importance of teaching relaxation. Many children and adolescents with ADHD and attention difficulties are anxious or nervous and this impacts not only how they get tasks done but also their comfort level.
In the process of practicing relaxation, we teach children and adolescents awareness of their body, as they learn that a calm body is a calm mind that can focus.
How does biofeedback relax the body and mind?
Children practice relaxation through biofeedback. The biofeedback device used at Attention Tutoring shows the user his or her breathing pattern while prompting to take slow deep breaths. Taking slow deep breaths repeatedly and focusing just on the breath promotes relaxation.
Can an active child learn to relax and to be calm enough to do neurofeedback?
The biofeedback approach to learning relaxation is successful because there is no right or wrong, children or adolescents look at the screen, follow the curve and over time learn to adapt their breathing. Each child progresses at his or her own pace. Many children enjoy following their scores and want to improve over time; others simply appreciate feeling more relaxed and calm.
What if a child has difficulty paying attention without a diagnosis of ADHD, or has a learning disability (LD) diagnosis, or Autism Spectrum Disorder? Some students may not to have a formal diagnosis of ADHD, yet parents and teachers may have concerns regarding attention. This could be a good fit as the goal of Attention Tutoring is to improve attention, organization and executive functioning.
Improving attention leads to better work at school, however it does not improve a learning disability directly. If a child has only a learning disability and does not have attention issues, Attention Tutoring is not for her or him.
If a child has an autism spectrum disorder (ASD) and attention issues, Attention Tutoring is a good fit to work on the attention issues. Dr. Steiner has previously run a neurofeedback program for students with ASD and attention issues, and parents were very satisfied with the program.
Does the All in One program really require 30 lessons?
Yes. It takes 30 lessons to re-train the brain. The executive functioning/organization and relaxation skills training is also carefully spread out over these 30 lessons with a balance of new and review of materials, to assure that the skills are consolidated.
Are 30 lessons enough?
Some elementary school children and possibly some middle or high school students might benefit from an additional 10 lessons. The tutor will discuss this with parents towards the end of the program if we feel additional lessons might be helpful to consolidate skills. A short boost of refresher lessons are also offered and can be helpful, for instance as students enter a new educational setting like middle school or high school .
How are the tutors credentialed?
All tutors have extensive experience working with students, and have completed the Attention Tutoring training and post-training exam. All tutors have had extensive background checks.