Assessment & Research

Multi-Source Interference Task paradigm to enhance automatic and controlled processes in ADHD.

Capri et al. (2020) · Research in developmental disabilities 2020
★ The Verdict

Kids with ADHD lag on both easy and hard trials when tasks pile on extra rules or sights—plan for lighter, cleaner instruction.

✓ Read this if BCBAs running skill-acquisition or assessment sessions with diagnosed ADHD learners.
✗ Skip if Clinicians who work only with neurotypical adults.

01Research in Context

01

What this study did

Capri et al. (2020) gave kids with ADHD the Multi-Source Interference Task.

Kids press buttons that match numbers while some numbers try to trick them.

The team timed answers and counted mistakes to see how extra brain load hurts focus.

02

What they found

Children with ADHD were slower and made more errors on every part of the task.

Even the easy, matching trials tripped them up, not just the tricky ones.

The study says both fast, automatic focus and slow, careful focus are weak in ADHD.

03

How this fits with other research

Lemel et al. (2023) extends this idea to listening. They saw young adults with ADHD need extra time to pick words out of noise. Both studies show extra load hurts, just in different senses.

Vos et al. (2013) used a stop-signal game and also found slow stopping in ADHD. Together with Capri et al. (2020), the picture is clear: sudden changes and added rules tax the same weak control system.

Brackenridge et al. (2011) looks like a contradiction at first. They report that methylphenidate makes ADHD kids equal to peers on stop tasks. The gap is explained by method: Rachel tested with medication, Tindara tested without. The deficit is still there; pills just mask it.

04

Why it matters

You now have lab proof that any extra step—noise, sudden rule, or mixed cues—will slow and derail kids with ADHD. Cut clutter in your tasks. Give one clear instruction at a time. Use short timing windows and external prompts. If a child is on medication, note that off-medication days will need even lighter loads.

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→ Action — try this Monday

Strip one redundant cue from your next task and add a brief preview prompt before the instruction.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
60
Population
adhd
Finding
negative

03Original abstract

BACKGROUND: The role of automatic and controlled processes in children with Attention deficit hyperactivity disorder (ADHD) has recently been debated. Most theories on ADHD assume that core deficits are related to controlled processes and executive function. AIMS: The main aim of the present study is to examine automatic and controlled attention in children with ADHD, compared to TD subjects. METHODS AND PROCEDURES: Twenty ADHD-I children, 20 with ADHD-C and 20 typical developing children performed the Block-Formed Multi-Source Interference Task (MSIT) both in incongruent and congruent conditions. OUTCOME AND RESULTS: Results show that clinical groups had a poorer performance than the TD group in both conditions. CONCLUSIONS AND IMPLICATIONS: This study demonstrated that children with ADHD exhibit a deficit both in automatic and controlled processes.

Research in developmental disabilities, 2020 · doi:10.1016/j.ridd.2019.103542