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As prior works primarily focused on clinical benefits, the relationship among serious games, children, and their caregivers remains underexplored. To bridge this knowledge gap, we conducted a two-stage study: (1) with nine educators specialized in ADHD in clinical settings and (2) with seven dyads of children and their caregivers in home settings. To facilitate the study, we developed and deployed\n                    <jats:italic toggle=\"yes\">NeuroWorld DTx v1.0<\/jats:italic>\n                    , a suite of five games that train children to improve their attention capacity. Our analysis found that children demonstrated self-efficacy, engagement, and adherence despite\n                    <jats:italic toggle=\"yes\">NeuroWorld<\/jats:italic>\n                    being less fun than entertainment games. Additionally, most caregivers emphasized the importance of educational aspects over entertainment aspects. Collectively, our findings provide novel insights into how serious games could be developed and deployed for at-home use among children with ADHD.\n                  <\/jats:p>","DOI":"10.1145\/3772068","type":"journal-article","created":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T12:27:30Z","timestamp":1760790450000},"page":"1-46","update-policy":"https:\/\/doi.org\/10.1145\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Towards Understanding the Effect of Serious Games on Attention, Adherence, and Behavior for Children with ADHD"],"prefix":"10.1145","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9824-0163","authenticated-orcid":false,"given":"Jonathan Wang","family":"Liu","sequence":"first","affiliation":[{"name":"Indiana University, Indianapolis, Indiana, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1250-3292","authenticated-orcid":false,"given":"Mahmood","family":"Jasim","sequence":"additional","affiliation":[{"name":"Louisiana State University, Baton Rouge, Louisiana, USA"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5443-1066","authenticated-orcid":false,"given":"Jeong-Heon","family":"Song","sequence":"additional","affiliation":[{"name":"Korea Brain Research Institute, Daegu, The Republic of Korea"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8718-6564","authenticated-orcid":false,"given":"So-Hwi","family":"Ha","sequence":"additional","affiliation":[{"name":"Korea Brain Research Institute, Daegu, The Republic of Korea"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1191-6079","authenticated-orcid":false,"given":"Jun-Su","family":"Kim","sequence":"additional","affiliation":[{"name":"Korea Brain Research Institute, Daegu, The Republic of Korea"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1961-9478","authenticated-orcid":false,"given":"Dayoung","family":"Kim","sequence":"additional","affiliation":[{"name":"Woorisoft, Daegu, The Republic of Korea"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0644-664X","authenticated-orcid":false,"given":"Hyunsuk","family":"Lee","sequence":"additional","affiliation":[{"name":"Woorisoft, Daegu, The Republic of Korea"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7600-9126","authenticated-orcid":false,"given":"Byeong Il","family":"Kim","sequence":"additional","affiliation":[{"name":"Woorisoft, Daegu, The Republic of Korea"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8921-570X","authenticated-orcid":false,"given":"Hee-Tae","family":"Jung","sequence":"additional","affiliation":[{"name":"Indiana University, Indianapolis, Indiana, USA"}]}],"member":"320","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"ChatGPT. 2023. 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