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The Effect of Task-Oriented Multi-Sensory Movement Program on Self-efficacy and Writing Ability of Children with ADHD Tendency Accompanied by Learning Delays

과제 중심 다감각운동 프로그램이 학습지연을 동반한 ADHD성향 아동의 자아효능감과 쓰기능력에 미치는 변화

  • Roh, Heo-Lyun (Dept. of Physical Therapy, Kangwon National University) ;
  • Kwag, Sung-Won (Occupational Therapy, Kangwon National University)
  • 노효련 (강원대학교 물리치료학과) ;
  • 곽성원 (강원대학교 일반대학원 작업치료전공)
  • Received : 2018.06.22
  • Accepted : 2018.08.22
  • Published : 2018.08.31

Abstract

Objective : The purpose of this study was to investigate the change in self-efficacy and writing ability after applying a Task-Oriented Multi-Sensory Movement Program to children with ADHD tendency accompanied by learning delays. Methods : A Task-Oriented Multi-Sensory Movement Program was implemented to children with ADHD tendency accompanied by learning delays attending S elementary school. The research proceeded in the order of a pre-test, Task-Oriented Multi-Sensory Movement intervention, and a post-test. The first session involved a pre-test, in which the children's self-efficacy and writing ability were examined using self-efficacy test and type 'A' KNISE-BAAT writing test. The multisensory group activity program intervention was conducted for a total of 8 sessions. In the last session, a post-test was conducted using self-efficacy test and type 'B' KNISE-BAAT writing test. Data collected from the tests were analyzed using SPSS Statistics 18. Results : According to the tests taken before and after implementing the Task-Oriented Multi-Sensory Movement Program, there was a significant improvement in self-efficacy (school, society), writing ability(command of vocabulary and sentence). Conclusion : Task-Oriented Multi-Sensory Movement Program may be used as a beneficial measure to improve the self-efficacy and writing abilities of children with ADHD tendency accompanied by learning delays. It is necessary to design various intervention models by combining educational media based on a multisensory approach.

목적 : 학습지연을 동반한 ADHD성향을 지닌 아동에게 교육매체를 접목한 과제 중심 다감각운동 프로그램을 적용한 후 자아효능감과 쓰기능력의 변화를 알아보고자 하였다. 연구방법 : 학습지연을 동반한 ADHD성향을 지닌 아동을 대상으로 과제 중심 다감각운동 프로그램을 실시하였다. 연구절차는 사전검사, 중재, 사후검사 순으로 진행되었다. 사전-사후검사로 자아효능감 및 KNISE-BAAT 쓰기검사 '가'형과 '나'형을 사용하였다. 중재는 총 8회기 동안 실시하였다. 수집된 자료는 SPSS version 18 프로그램을 사용하여 분석하였다. 결과 : 과제 중심 다감각운동 프로그램 적용 결과 자아효능감(학교, 사회), 쓰기능력(어휘구사력, 문장구사력)에 유의미한 향상이 나타났다. 결론 : 과제 중심 다감각운동 프로그램은 학습지연을 동반한 ADHD성향을 지닌 아동의 자아효능감 및 쓰기능력을 향상시킬 수 있는 유익한 중재방안으로 활용될 수 있을 것이다. 후속 연구에서는 교육매체를 접목한 과제 중심 다감각 운동 중재모형을 다양하게 구안할 필요가 있다고 사료된다.

Keywords

References

  1. Achenbach, T. M., Rescorla, L. A. (2001). Manual for the ASEBA School-Age Forms and Profiles. Burlington, VT: University of Vermont Research Center for Children, Youth, and Families.
  2. Ahn, M. Y. (2009). The Effect of behavior characteristic on ADHD children's sensory processing ability. The Korean Society Interdisciplinary Therapy, 1(1), 5-17.
  3. Alves, M. M., Peixoto, F., Gouveia, P. M., Amaral, V., & Pedro, I. (2002). Self-esteem and academic achievement among adolesent. Educational Psychology, 22(1), 51-62. https://doi.org/10.1080/01443410120101242
  4. American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders(5th ed.). Washington, DC: American Psychiatric Association.
  5. Bae, E. K. (2013). Study on a cognitive-behavioral program development for children with the propensity of ADHD: in a school setting. Doctoral dissertation, University of Ewha Womans, Seoul.
  6. Barkley, R. A. (1990). Attention-deficit/ hyperactivity disorder: A hand book for diagnosis and treatment. New York: Guilford Press.
  7. Barkley, R. A., Fischer, M., Smallish, L., Fletcher, K. (2006). Young adult outcome of hyperactive children: adaptive functioning in major life activities. Journal of the American Academy of Child and Adolescent Psychiatry, 45(2), 192-202. https://doi.org/10.1097/01.chi.0000189134.97436.e2
  8. Barua, A., Ghosh, M. K., Kar, N., Basilio, M. A. (2011). Prevalence of depressive disorders in the elderly. Annals of Saudi Medicine, 31(6), 620-624. https://doi.org/10.4103/0256-4947.87100
  9. Brown, G. T., Rodcer, S., Brown, A., & Rover, C. (2005). A comparison of Canadian and Australian paediatric occupational therapists. Occupational Therapy International, 12(3), 137-161. https://doi.org/10.1002/oti.2
  10. Bush, G., Valera, E. M., Seidman, L. J. (2005). Functional Neuroimaging of Attention-Dificit/ Hyperactivity Disorder: A Review and Suggested Future Directions. Biology Psychiatry, 57(1), 1273-1284. https://doi.org/10.1016/j.biopsych.2005.01.034
  11. Case-Smith, J., O'Brien, J. C. (2013). Occupational therapy for children. St. Louis, MO: Elsevier Mosby.
  12. Cho, N. O. (2008). Case Study on Effects of Newspaper-In-Education(NIE) Program on Improving Writing Ability of Children with Dysgraphia. Master's thesis, University of Yeongnam, Daegu.
  13. Cho, S. C. (2009). Full syndrome and sub threshold attention-deficit/hyperactivity disorder in a Korean community sample: comorbidity and temperament findings. European Child and Adolescent Psychiatry, 18(7), 447-457 https://doi.org/10.1007/s00787-009-0755-7
  14. Choi, S. H. (2011). The Impacts of Sensory Integration Training program in School on the Functional Ability in Task Performance of the Children with Developmental Disabilities. Master's thesis, University of Daegu, Daegu.
  15. Christensen, C. A. (2004). Relationship between orthographic-motor integration and computer use for the production of creative and well-structured written text. British Journal of Educational Psychology, 74(4), 551-564. https://doi.org/10.1348/0007099042376373
  16. Coopersmith, S. (1967). The antecedents of self-esteem. San Francisco: Freeman.
  17. Durston, S. (2003). A review of the biological bases of ADHD: What have we learned from imaging studies? Mental Retardation Development Disability Research Review, 9(1), 184-195. https://doi.org/10.1002/mrdd.10079
  18. Ernst, M., Liebenauer, L. L., King A. C., Fitzgerald, G. A., Cohen, R. M., Zametkin, A. J. (1994). Reduced brain metabolism in hyperactive Girls. Journal of the American Academy of Child and Adolescent Psychiatry, 33(6), 858-868. https://doi.org/10.1097/00004583-199407000-00012
  19. Feder, K., Majnemer, A. (2007). Handwriting development, competency, and intervention. Developmental Medicine and Child Neurology, 49(4), 312-317. https://doi.org/10.1111/j.1469-8749.2007.00312.x
  20. Feder, K., Majnemer, A., Synnes, A. (2000). Handwriting: Current trends in occupational therapy practice. Canadian Journal of Occupational Therapy, 67(3), 197-204. https://doi.org/10.1177/000841740006700313
  21. Findling, R. L. (2008). Evolution of the treatment of attention-deficit/hyperactivity disorder in children: a review. Clinical Therapeutics, 30(5), 942-957. https://doi.org/10.1016/j.clinthera.2008.05.006
  22. Grennbaum, J., Markel, G. (2001). Helping Adolescents with ADHD and Learning Disabilities: Ready-to-Use Tips, Technique, and Checklists for School Success. New Jersey: Paramus.
  23. Ham, B. H., Kim, S. K., Lee, J. S., Jeon, B. J. (2012). The Effects of Sensory Integration Treatment on Handwriting Performance in Children With Attention Deficit Hyperactivity Disorder. The Korean Society of Occupational Therapy, 20(2), 55-71.
  24. Hilliard, O. M., Tolin, P. (1979). Effect of familiarity with background music on performance of simple and difficult reading comprehension tasks. Perceptual and Motor Skill, 49(1), 713-714. https://doi.org/10.2466/pms.1979.49.3.713
  25. Hong, J. H. (2018). Genetic Associations of Dopamine Transporter(DAT1) and D4 Receptor(DRD4) VNTRs with Attention Deficit and Hyperactivity Disorder in Korean Children. Master's thesis, University of Dankook, Cheonan.
  26. Hwang, J. H., Kim, H. J., Jung, H. R. (2017). The Effect of Sensory Integrative Intervention Focused on Proprioceptive -Vestibular Stimuli on the Handwriting and Fine Motor Function in Lower Grade Elementary School Children. Korean Academy of Sensory integration, 15(1), 10-20.
  27. Jang, Y. S., Kim, H. D., Jeong, G. U., Baek, J. Y. (2017). A Life caretatinment Based Approach to Investigating Correlation between Learning Satisfaction and Sensory Processing in ADHD-prone University Students. The Korea Entertainment Industry Association, 11(8), 297-304.
  28. Ji, S. A. (2014). The Effects of Sensori -motor Centered Visual Art Activity on Three Year Old Children's Drawing Representation, Language, and Attention Span Ability. The Korean Society for Early childhood Teacher Education, 18(3), 79-105.
  29. Kang, M. K. (2017). The Effect of Activity-Oriented Group Art Therapy on Attention Concentration and Selfregulation of Children with ADHD Tendency. Master's thesis, University of Pyongtaek, Pyongtaek.
  30. Kee, K. H. (1995). A study on Error Patterns on Oral Reading and Reading Process as Reading Ability and Passage Difficulty Level. Master's thesis, University of Korea national Education, Cheongju.
  31. Kim, H. S. (2006). The effect of a teacher education program an elementary-school teachers and children with ADHD tendency. Master's thesis, University of KeiMyung, Daegu.
  32. Kim, H. S. (2007). The Effects of LAD Program on Attention and Attitude of Learning among ADHD Children. Korean Society For Child Education, 16(4), 83-94.
  33. Kim, J. Y., Kim, J. K., Lee, T. Y. (2009). A Study on the Prevalence of Attention Deficit Hyperactivity Disorder in Normal Children and Their Self-Efficacy and Self-Control. The Korean Society of Occupational Therapy, 17(4), 81-87.
  34. Kim, K. M., Ji, S. Y., Noh, J. S. (2003). Sensory Integration Q&A. Seoul: Jungdam Media.
  35. Kim, K. M., Kim, J. M. (2007). The Effects of Sensory Integrative Intervention on the Balance and Attention of Children with Attention Deficit Hyperactivity Disorder: Single-Subject Research Design. Journal of Special Education & Rehabilitation Science, 46(4), 103-130.
  36. Kim, P. S. (2005). The Relationship between Schoolrelated Adjustment, Stress Coping behaviors and Self-effcacy of Attention-Deficit Hyperactivity Disorder Children. Master's thesis, Catholic University of Daegu, Daegu.
  37. Ko, B. K. (2009). The Way of Improving Self-Esteem for the Cerebral Palsy. The Journal of Public Policy and Governance, 3(2), 35-68.
  38. Konrad, A., Dielentheis, T. F., El Masri, D., Bayerl, M., Fehr, C., Gesierich, T. et al. (2010). Disturbed structural connectivity is related to inattention and impulsivity In adult attention deficit hyperactivity disorder. European Journal of Neuroscience, 31(5), 912-191. https://doi.org/10.1111/j.1460-9568.2010.07110.x
  39. Koo, J. H., Oh, C. Y. (2007). Integrated Child Art Education. PaJu: Yangseowon.
  40. Korea Ministry of Government Legislation (2016). Article 28 of the Act on Elementary and Secondary Education. Korea Ministry of Government Legislation. www.law.go.kr
  41. Korea National Institute for Special Education (2014). 2014 Special Education Status Survey. Asan: Korea National Institute for Special Education.
  42. Kwag, S. W., Nam, Y. S., Roh, H. L. (2013). Developing an Instructional Medial Selection Attributes Check list for Students with Intellectual Disabilities. Journal of Special Education & Rehabilitation Science, 52(4), 305-319.
  43. Kwag, S. W., Sim, J. M., Roh, H. L. (2014). Study on the Characteristics and Quality Level of Single Subject Researches in the Sensory Integration Therapy Field of Korean Occupational Therapy. Korean Academy of Sensory integration, 12(2), 25-36.
  44. Kwon, M. K., Jeon, W. C. (2012). Developm ent and Application of MLE-based Smart Education System for Improving Self-efficacy of ADHD Students. Journal of The Korean Association of information Education, 16(3), 337-352.
  45. Lee, D. Y., Kim, K. H. (2011). Effects of Sensory Integration Training Based on Tactile Sense for Attention Cathexis of the Child With ADHD. Journal of Special Physical Education, 9(1), 108-181.
  46. Lee, E. K. (2015). The effect of proprioceptive activities in sensory integration on body scheme, motor function and physical self-efficacy in children with cerebral palsy. Master's thesis, University of Gachon, Seongnam.
  47. Lee, H. J. (1990). The relationship between the child's perceived type of language control and the child's sense of self respect. Master's thesis, University of Korea, Seoul.
  48. Lee, M. S. (2010). ADHD The relationship between sensory profile and functional activities in school for children with ADHD. Master's thesis, University of Dankook, Yongin.
  49. Lee, N. H., Kim, K. M. (2014). The Intervention and Outcome Measurement Tools of Children With Attention Deficit Hyperactivity Disorder: A Systematic Review. Korean Academy of Sensory integration, 12(1), 39-50. https://doi.org/10.18064/JKASI.2014.12.1.039
  50. Lee, S. B., Yoon, C. Y. (2004). K-ADHD Diagnostic Scale. Busan: Tespia.
  51. Lee, S. K. (2010). Brain-scientific Understanding of Attention Deficit Hyperactivity Disorder and Educational Application. Master's thesis, University of Seoul Education, Seoul.
  52. Lee, S. Y. (2013). Relations among Writing Achievement Goal Orientations, Writing Self-Efficacy, Writing Meta-Cognitive Strategies and Writing Ability. Doctoral dissertation, University of Hanyang, Seoul.
  53. Maeng, H. S. (2011). Syntax Characteristic shown in Written Expression of School Age ADHD Children. Master's thesis, University of Daegu, Daegu.
  54. MTA Cooperative Group (!999). A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 56(1), 1073-1086. https://doi.org/10.1001/archpsyc.56.12.1073
  55. Oh, K. J., Kim, Y. A., Ha, E. H., Lee, H. R., Hong, K. E. (2010). Korean Version of CBCL 6-18 for Parents. Seoul: Huno.
  56. Oh, S. B. (2017). Diffusion Tensor Imaging of White Matter Tracts in Children with Attention Deficit/Hyperactivity Disorder: Tracy Based Spatial Statistics Analtsis. Master's thesis, University of Ewha Womans, Seoul.
  57. Parente, J. A. (1976). Music preference sa a factor of music distraction. Perceptual and Motor Skills, 43(1), 337-338. https://doi.org/10.2466/pms.1976.43.1.337
  58. Park, J. H. (2016). Multigenerational transmission of ADHD-like behavioral phenot ypes in rodent offspring exposed to EtOH during gestation period. Doctoral dissertation, University of Konkuk, Seoul.
  59. Park, K. S. Chung, D. Y., Jung, I. S., Kim, G. O., Song, Y. J. (2009). KNISE-BATT. Seoul: Korea National Institute for Special Education.
  60. Park, K. S., Kim, K. O., Song, Y. J., Jung, D. Y., Jung, I. S. (2004). A Study on the Development of KISE-BAAT. Seoul: Korea National Institute for Special Education.
  61. Purdie, N., Hattie, J., Carroll, A. (2002). A Review of the Research on Interventions for Attention Deficit Hyperactivity Disorder: What Works Best? Review of Educational Research, 72(1), 61-99 https://doi.org/10.3102/00346543072001061
  62. Rohde, L. A. (2008). Is there a need to reformulate attention deficit hyperactivity disorder criteria in future nosologic classification? Child and Adolescent Psychiatry Clinics of North America, 17(2), 405-420. https://doi.org/10.1016/j.chc.2007.11.007
  63. Schaaf, R. C., Miller, L. J. (2005). Occupational therapy using a sensory integrative approach for children with developmental disabilities. Mental Retardation and Developmental Disabilities Research Reviews, 11(2), 143-148. https://doi.org/10.1002/mrdd.20067
  64. Seo, V. A., Min E. J. (2013). The effects of the cognitive-behavioral program for depression problem with ADHD-prone children's self-esteem and self-efficacy. Korean Journal of Child Psychotherapy, 8(2), 43-60.
  65. Shin, H. S. (2016). Activity of Drama for Education using Graphic Organizers on Middle School Students with Intellectual Disabilities' Reading and Writing Ability. Doctoral dissertation, University of Uiduk, Gyeongju.
  66. Shin, M. K., Park, J. H. (2016). Effects of a Task-Oriented Intervention on Handwriting of School Aged Children With ADHD : A Case Study. The Korean Society of Occupational Therapy, 24(1), 65-74. https://doi.org/10.14519/jksot.2016.24.1.06
  67. Son, M. H. (2009). Effects of Sensory Integration Education in Elementary School on Improving ADHD(Attention Deficit Hyperactivity Disorder) Children's Concentration. Master's thesis, University of Konkuk, Seoul.
  68. Song, B. B. (2015). The Study of Relationship Between Sensory Processing Ability and the Problem Behavior of ADHD Children in Lower Grade Elementary School. The Special Education Research Institute, 14(1), 7-25. https://doi.org/10.18541/ser.2015.02.14.1.7
  69. Song, Y. J. (2014). Estimated Prevalence of ADHD Symptoms and Relationships among ADHD Symptoms, Environmental Variables, and Peer Relationships in Elementary School Students. Asian Journal of Education, 15(4), 189-217.
  70. Yang, Y. H., Kim, J. W., Kim, Y. N., Cho, S. C., Kim, B. N. (2008). Screening for Attention Deficit/Hyperactivity Disorder for Children in Seoul. The Korean Neuropsychiatric Association, 47(3), 292-298.
  71. Yoo, E. Y., Lee, J. Y. (2005). Effects of a Weighted Vest on Attention Task in Children with Attention Deficit and Hyperactivity Disorder. The Korean Society of Occupational Therapy, 13(1), 37-44.
  72. Yoon, J. H. (2007). The Effects of Group Game-Play Program on Executive Function and Self-Control of Children with ADHD. Master's thesis, University of Duksung Women's, Seoul.
  73. Yoon, J. Y. (2016). The Effect of Multiple Sensory Exercise Program on the Attentiveness of Children with ADHD. Master's thesis, University of Yongin, Yongin.
  74. Zentall, S. S. (1993). Research on the educational implications of attention deficit hyperactivity disorder. Exceptional Children, 60(1), 143-153.