Occupational therapy interventions for ADHD

71 Pages·2017·1.22 MB·English

University of North Dakota
UND Scholarly Commons
Occupational Therapy Capstones Department of Occupational Therapy
2016
Occupational Therapy Interventions for ADHD: A
Systematic Review
Kamela L. Kelsch
University of North Dakota
Kaci L. Miller
University of North Dakota
Follow this and additional works at:https://commons.und.edu/ot-grad
Part of theOccupational Therapy Commons
Recommended Citation
Kelsch, Kamela L. and Miller, Kaci L., "Occupational Therapy Interventions for ADHD: A Systematic Review" (2016).Occupational
Therapy Capstones. 107.
https://commons.und.edu/ot-grad/107
This Scholarly Project is brought to you for free and open access by the Department of Occupational Therapy at UND Scholarly Commons. It has been
accepted for inclusion in Occupational Therapy Capstones by an authorized administrator of UND Scholarly Commons. For more information, please
[email protected].
OCCUPATIONAL THERAPY INTERVENTIONS FOR ADHD: A
SYSTEMATIC REVIEW
by
Kamela L. Kelsch, MOTS & Kaci L. Miller, MOTS
Advisor: Dr. Sarah Nielsen, PhD, OTRIL
A Scholarly Project
Submitted to the Occupational Therapy Department
of the
University of North Dakota
In partial fulfillment of the requirements
for the degree of
Master of Occupational Therapy
Grand Forks, North Dakota
May 14th, 2016
This scholarly project, submitted by Kamela L. Kelsch, MOTS and Kaci L.
Miller, MOTS in partial fulfillment of the requirement for the Degree of Master's
of Occupational Therapy from the University of North Dakota, has been read by
the Faculty Advisor under whom the work has been done and is hereby approved.
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PERMISSION
Title Occupational Therapy Interventions for ADHD: Systematic
Review
Department Occupational Therapy
Degree Master's of Occupational Therapy
In presenting this Scholarly Project in paltial fulfillment of the
requirement for a graduate degree from the University of North Dakota, we agree
that the Department of Occupational Therapy shall make it freely available for
inspection. We further agree that permission for extensive copying for scholarly
purposes may be granted by the professor who supervised our work or, in her
absence, by the Chairperson of the Department. It is understood that any coping
or publication or other use of this Scholarly Project or part thereof for financial
gain shall not be allowed without our written permission. It is also understood that
due recognition shall be given to us and the University of North Dakota in any
scholarly use which may be made of any material in our Scholarly Project Report.
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ii
TABLE OF CONTENTS
LIST OF FIGURES ......................................................................... vi
LIST OF TABLES ......................................................................... vii
ACKNOWLEDGEMENTS .............................................................. viii
ABSTRACT ................................................................................. ix
CHAPTER
I. INTRODUCTION ......................................................... 1
Purpose ............................................................. 3
Definitions ......................................................... 3
Summary ........................................................... 4
II. REVIEW OF STUDIES & LITERATURE ............................ 6
Attention Deficit Hyperactivity Disorder ..................... 6
Impact on Occupational Performance ......................... 7
Interventions ...................................................... 9
Conclusion ....................................................... 15
III. RESEARCH METHODOLOGy ...................................... 16
Ethics Approval. ................................................ 23
Theory ............................................................ 23
IV. PRESENTATION, ANALYSIS, & INTERPRETATION OF
DATA ..................................................................... 25
V. SUMMARY, CONCLUSIONS, & RECOMMENDATIONS ..... 47
Discussion ....................................................... .47
Strengths & Limitations ........................................ 51
iii
Recommendations for Occupational Therapy ............... 54
REFERENCES ............................................................................. 56
iv
LIST OF FIGURES
Figure Page
1. Article Selection through the Systematic Review Process .................. 24
v
LIST OF TABLES
Table Page
l.l-1.2 Level I Research Study Synopses ................................. 26
2.1-2.2 Level II Research Study Synopses ................................ .32
3.1-3.9 Level III Research Study Synopses ............................... .36
vi
ACKNOWLEDGEMENTS
Together, we would like to thank all of the faculty and support staff in the
UNO Occupational Therapy Department. They have all provided support and
guidance the past three years and prepared us to complete this scholarly project.
Together, we would like to thank Dr. Nielsen for support through every
aspect of the scholarly project process. With your guidance, you have pushed us
to become better researchers and students. We also appreciate your push to make
our project more than just a passing grade and look forward to creating a research
article with you.
vii
ABSTRACT
Background: ADHD can have a negative impact on occupational performance of
a child, interfering with ADLs, IADLs, education, leisure, and play. However, at
this time, a cumulative review of evidence based occupational therapy
interventions for children with ADHD do not exist.
Purpose: The purpose of this scholarly project was to complete a systematic
review of what occupational therapy interventions are effective for school-aged
children with ADHD.
Methods: An extensive systematic review for level T, II, or II research articles
was completed using CINAHL and OT Search. Inclusion, exclusion, subject
terms, and words or phrases were determined with assistance from the librarian at
the Harley French Library at the University of North Dakota.
Results: The systematic review yielded !3 evidence-based articles with
interventions related to cognition, motor, sensory, and play. Upon completion of
the systematic review, articles were categorized based upon an initial literature
search understanding common occupational therapy interventions for children
with ADHD. Specifically, level I, II, and III occupational therapy research is
available for interventions addressing cognition, motor, sensory, and play.
Conclusion: Implications for practice and education include the need for
foundational and continuing education opportunities reflecting evidenced-based
interventions for ADHD. Further research is needed to solidify best practices for
children with ADHD including more rigorous studies across interventions.
viii