Play Therapy Modified Ludo Games Decreasing Hyperactivity, Impulsivity, And Inattention In Children With Attention Deficit And Hiperactivity Disorder
Main Article Content
Background: Attention Deficit and Hyperactivity Disorder (ADHD) is a disorder experienced by children with characteristics including hyperactivity, impulsiveness, and inattention things that affect the occupational performance of children in their activities. Occupational therapy play a role in handling ADHD children through play therapy methods. One of the children's games that have therapeutic value is the modified ludo game. Modified ludo game can be applied to decreasing symptom ADHD. The aim of the study was to investigate the effect of modified ludo game on hyperactivity, impulsivity and inattention in children with ADHD.
Methods: Quantitative with pre-experimental research design, one group pretest-posttest with a sample size of 36 children with ADHD in RSUP Dr. Sardjito Yogjakarta. The sampling technique was purposive sampling, inclusion criteria: being able to understand simple commands, aged 3 - 6 years old, no motor impairment and able to move. The time of study was carried out in 2020-2021. Three rules modified ludo games models are provided in each session. The measuring instrument use ADHD rating scale that is valid and reliable. The data analysis method uses a paired sample t-test.
Results: Paired sample t-test results showed that p-value < 0.05. Play therapy modified ludo games intervention have a possitive and significant effect on hyperactivity, impulsivity, and inattention in children with ADHD (ρ = 0.001).
Conclusion: Play therapy modified ludo games has an effect on decreasing hyperactivity, impulsivity, and inattention in children with ADHD, so it’s recommended as an alternative game for occupational therapy for ADHD children.
ADHD Institute. (2021). ADHD affects people of all ages, and prevalence rate and symptom presentation varies between children, adolescents and adults. https://adhd-institute.com/burden-of-adhd/epidemiology/
Afifah, F., Anwar, M., & Hermawan, H. (2019). The Effectiveness of Play Therapy to Minimize Hyperactive Behavior of Mild Intellectual Disabilities Student in 1st Grade at SLB C Setya Darma Surakarta Academic Year of 2018/2019. IJDS Indonesian Journal of Disability Studies, 6(2), 169–175. https://doi.org/10.21776/ub.ijds.2019.006.02.7
Alvi, F., & Ahmed, M. (2011). Complexity analysis and playing strategies for Ludo and its variant race games. 2011 IEEE Conference on Computational Intelligence and Games, CIG 2011, October 2011, 134–141. https://doi.org/10.1109/CIG.2011.6031999
Ashori, M., & Bidgoli, F. D. (2018). The Effectiveness of Play Therapy Based on Cognitive-Behavioral Model: Behavioral Problems and Social Skills of Pre-School Children With Attention Deficit Hyperactivity Disorder. Journal of Rehabilitation, 19(2), 102–115. https://doi.org/10.32598/rj.19.2.102
Azmi, N., Yusman, A. R. A., & Nurhasanah. (2017). Jelajah Sejarah Melalui Ludo Carpet : Upaya Mewujudkan Generasi Nasionalis Bagi Anak Sekolah Dasar. Jurnal Penelitian Pendidikan INSANI, 20(2), 122–126.
Bitta, M., Kariuki, S. M., Abubakar, A., & Newton, C. R. J. (2017). Burden of neurodevelopmental disorders in low and middle-income countries: A systematic review and meta-analysis. Wellcome Open Research, 2, 121. https://doi.org/10.12688/wellcomeopenres.13540.1
El-Nagger, N. S., Abo-Elmagd, M. H., & Ahmed, H. I. (2017). Effect of applying play therapy on children with attention deficit hyperactivity disorder. Journal of Nursing Education and Practice, 7(5), 104. https://doi.org/10.5430/jnep.v7n5p104
Farzadfard, S. A., Abdekhodaee, M. S., Ghenaee, A., & Abadi, C. (2015). Effectiveness of combined purposeful play therapy and narrative therapy on pre-school children’s attention and concentration. Journal of Fundamentals of Mental Health, 17(5), 222–228.
García-Redondo, P., García, T., Areces, D., Núñez, J. C., & Rodríguez, C. (2019). Serious games and their effect improving attention in students with learning disabilities. International Journal of Environmental Research and Public Health, 16(14). https://doi.org/10.3390/ijerph16142480
Heath, C., McDaniel, T., & Panchanathan, S. (2022). Examining Motivational Game Features for Students With Learning Disabilities or Attention Disorders (pp. 705–732). https://doi.org/10.4018/978-1-6684-3710-0.ch032
Javanbakhsh, F., & Shahidi, S. (2021). The effectiveness of play therapy based on cognitive-behavioral therapy on the rate of hyperactivity in primary school children. 2(5).
Jihan, A. N. F., Reffiane, F., & Arisyanto, P. (2019). Pengembangan Media Ludo Raksasa Pada Tema Selalu Berhemat Energi Untuk Meningkatkan Motivasi Belajar Siswa Kelas IV Sekolah Dasar. Mimbar PGSD Undiksha. 7(2), 107–113. https://ejournal.undiksha.ac.id/index.php/JJPGSD/article/view/17501
Larasati, R., Boediman, L. M., & Aswanti, M. (2017). Penerapan prinsip DIR/Floortime Meningkatkan Kemampuan Memusatkan Atensi pada Anak dengan ADHD. Jurnal Ilmu Perilaku, 1(1), 33. https://doi.org/10.25077/jip.1.1.33-44.2017
Lelong, M., Zysset, A., Nievergelt, M., Luder, R., Götz, U., Schulze, C., & Wieber, F. (2021). How effective is fine motor training in children with ADHD? A scoping review. BMC Pediatrics, 21(1), 490. https://doi.org/10.1186/s12887-021-02916-5
Mirzai, H., Teimourian, S., Mirzaei, H., Pishyare, E., & Hosseinzadeh, S. (2020). Effect of Group Play Therapy on Emotional/Behavioral Problems on ADHD. Archives of Rehabilitation, 21(3), 390–405. https://doi.org/10.32598/RJ.21.3.3158.1
Mohammadabad, M. S., & Shahbazi, S. (2017). Effectiveness of Perceptual – Motor Training on Reaction Time and Anticipation Children with Hyperactivity Disorder / Attention Deficit Department of Physical Education , Faculty of Human Sciences , Department of Motor Behavior , University of Medical Sci. 38–47.
Newton, K. (2021). The Best Board Games for Kids with ADHD (Pandemic Edition). https://www.additudemag.com/slideshows/best-board-games-adhd-kids/
Olfers, K. J. F., & Band, G. P. H. (2018). Game-based training of flexibility and attention improves task-switch performance: near and far transfer of cognitive training in an EEG study. Psychological Research, 82(1), 186–202. https://doi.org/10.1007/s00426-017-0933-z
Sikhah. (2018). Manfaat di balik permainan ular tangga dan ludo. https://disdikpora.bulelengkab.go.id/informasi/detail/artikel/manfaat-di-balik-permainan-ular-tangga-dan-ludo-79
Timothy, L. (2021). Strategy games, ADHD, and the curse of ‘one more turn’’.’ https://www.pcgamesn.com/adhd-strategy-gaming
Ulhusna, M., Putri, S. D., & Zakirman, Z. (2020). Permainan Ludo untuk Meningkatkan Keterampilan Kolaborasi Siswa dalam Pembelajaran Matematika. International Journal of Elementary Education, 4(2), 130. https://doi.org/10.23887/ijee.v4i2.23050
Utami , P. R. D., Safitri, W., Pangesti, B. C., & Rakhmawati, N. (2021). Pengalaman Orang Tua Dalam Merawat Anak Dengan Attention Deficit Hyperactivity Disorder (Adhd). Jurnal Kesehatan Kusuma Husada, 12(2), 222–230. https://doi.org/10.34035/jk.v12i2.772
Zakershoshtari, M., & Bozorgi, Z. D. (2016). The effectiveness of play therapy on reduction of the symptoms of attention deficit hyperactivity disorder (ADHD) in children. Asian Social Science, 12(6), 188–192. https://doi.org/10.5539/ass.v12n6p188