Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Interactive Metronome Training on Increasing Attention and Impulsivity Control for Children With Attention Deficit Hyperactivity Disorder

상호작용식 메트로놈(Interactive Metronome; IM) 훈련이 주의력결핍 과잉행동장애(Attention Deficit Hyperactivity Disorder; ADHD) 아동의 집중력 향상과 충동성 조절에 미치는 효과 : 개별 실험 연구

  • Received : 2016.11.30
  • Accepted : 2016.12.30
  • Published : 2017.01.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : The purpose of this study was to investigate the effects of an Interactive Metronome on increasing attention and impulsivity control for children with attention deficit hyperactivity disorder(ADHD). Methods : This study was conducted through the ABA'design among single-case research methods with one child with ADHD. From May to July, 2014, 3 sessions of baseline phase(A), 15 sessions of intervention phase(B), and 3 sessions of post baseline(A') were conducted. The intervention was IM training, and each session carried out short form assessment(SFA) of IM and concentration tasks. In addition, long form assessment(LFA) of IM and Self-Control Rating Scale (SCRS) were conducted at baseline, intervention and post baseline. Results : After IM training as the intervention, the participation showed an increase in attention and controled in impulsivity. After the intervention, it was demonstrated that the effects were maintained or improved in the post baseline. Conclusions : IM training can be useful for increasing attention and impulsivity control of children with ADHD. The results demonstrated the efficacy of IM training as a new approach for children with ADHD.

목적 : 본 연구는 주의력결핍 과잉행동장애(ADHD) 아동들의 집중력 향상과 충동성 조절에 상호작용식 메트로놈(IM) 훈련이 효과가 있는지 알아보고자 한다. 연구방법 : ADHD 아동 1명을 대상으로 2016년 5월부터 7월까지 개별 실험 연구(single-subject experimental research design) 중 ABA'디자인을 적용하여 실시하였다. 총 21회기로 기초선 3회기, 중재기 15회기, 추적기 3회기를 시행하였다. 중재는 IM 훈련이었으며 매 회기마다 IM의 SFA(Short Form Assessment)와 집중력 측정과제를 수행하였다. 또한 기초선, 중재기, 추적기 때 각 한번씩 IM의 LFA(Long Form Assessment)와 자기통제력 검사(SCRS) 평가를 진행하였다. 매회기 SFA와 집중력 측정과제의 결과를 시각적 그래프로 나타내었으며 LFA와 SCRS의 값은 표로 제시하였다. 결과 : 기초선과 비교하여 IM 훈련 중재 후에 대상자의 집중력은 향상되었으며 충동성은 감소하였다. 중재가 끝나고 한 달 후인 추적기에도 그 효과가 유지되거나 향상됨을 확인 할 수 있었다. 결론 : 본 연구는 IM이 ADHD 아동의 집중력 향상과 충동성 조절에 긍정적인 영향을 미친다는 것을 확인하였고 ADHD 아동의 중재방법으로써 임상적 근거를 제공하는데 의의가 있다.

Keywords

References

  1. Barkley, R. A. (1997). Attention-deficit hyperactivity disorder, self-regulation, and time: toward a more comprehensive theory. Journal of Developmental and Behaviroral Pediatirics, 18, 271-279.
  2. Choi, C. O. (2000). The effect of attention concentration training program on the ADHD children's attention concentration and impulsiveness (Master's thesis). The Catholic University of Korea, Seoul.
  3. Choi, S. Y., Han, S. W., & Lee, J. S. (2015). The effect of dynavision training on visual attention during task after stroke: single subject research design. Journal of Korean Society of Occupational Therapy, 23(3), 1-13. doi: https://doi.org/10.14519/jksot.2015.23.3.01
  4. Cosper, S. M., Lee, G. P., Peters, S. B., & Bishop, E. (2009). Interactive Metronome training in children with attention deficit and developmental coordination disorders. International Journal of Rehabilitation Research, 32(4), 331-336. doi: 10.1097/MRR.0b013e328325a8cf
  5. Greenspan, S. I., & Benderly, B. L. (1997). The growth of the mind: And the endangered origins of intelligence. Da Capo Press.
  6. Hill, V., Dunn, L., Dunning, K., & Page, S. J. (2011). A pilot study of rhythm and timing training as a supplement to occupational therapy in stroke rehabilitation. Topics in stroke rehabilitation, 18(6), 728-737. doi: 10.1310/tsr1806-728
  7. Jang, S. Y., Park, J. W., Lee, S. W., Lee, J. H., Jang, K. M., Choi, B. N., & Kim, S. K. (2012). The Effect of Interactive Metronome(R)Training for increasing concentration of attention deficit-hyperactive disorder (ADHD) Child. Journal of Korean Society of Assistive Technology, 4(1), 73-87.
  8. Jeong, S. K. & Rhie, S. J. (2011). Effects of psychomotorik and sensory integration on sensory modulation and attention of children with ADHD tendency. Journal of Special Children Education, 13(4). 331-356. https://doi.org/10.21075/kacsn.2011.13.4.331
  9. Jung, J. H., & Kim, S. K. (2013). The effects of interactive metronome on bilateral coordination, balance, and upper extremity function for children with hemiplegic cerebral palsy. Journal of Korean Society of Occupational Therapy, 21(2), 37-48. https://doi.org/10.14519/jksot.2013.21.4.04
  10. Kendall, P. C. & Wilcox, L. E. (1979). Self-control in children: development of a rating scale. Journal of Consulting and Clinical Psychology, 47(6), 1020-1029. https://doi.org/10.1037/0022-006X.47.6.1020
  11. Kim, H. H., Bo, G. H., & Yoo, B. K. (2012). The effects of a sensory integration programme with applied interactive metronome training for children with developmental disabilities: a pilot study. Hong Kong Journal of Occupational Therapy, 22(1), 25-30. doi:10.1016/j.hkjot.2012.05.001
  12. Kim, J. M., Kim, S. K., Jang, J. Y., & Jo, A, Y. (2013). The effects of interactive metronome on memory, attention, and social interaction skills in patients with mild dementia. Journal of Korean Society of Occupational Therapy, 21(3), 31-44.
  13. Koomar, J., Burpee, J. D., DeJean, V., Frick, S., Kawar, M. J., & Fischer, D. M. (2001). Theoretical and clinical perspectives on the Interactive Metronome: a view from occupational therapy practice. American journal of occupational therapy, 55(2), 163. doi:10.5014/ajot.55.2.163
  14. Namgung, Y., Son, D. I., & Kim, K. M. (2015). Effect of Interactive Metronome(R)Training on timing, attention and motor function of children with ADHD: case report. Journal of Korean Academy of Sensory Integration, 13(2), 63-73. doi: 10.18064/JKASI.2015.13.2.063
  15. Ritter, M., Colson, K. A., & Park, J. (2013). Reading intervention using interactive metronome in children with language and reading impairment a preliminary investigation. Communication Disorders Quarterly, 34(2), 106-119. https://doi.org/10.1177/1525740112456422
  16. Seok, I. S. (2009). Effects of behavioral characteristics and learning abilities through interactive metronome training on children with ADHD. (Doctoral dissertation). Daegu University, Kyungbuk. doi: 10.1177/1525740112456422
  17. Shaffer, R. J., Jacokes, L. E., Cassily, J. F., Greenspan, S. I., Tuchman, R. F., & Stemmer, P. J., Jr. (2001). Effect of interactive metronome training on children with ADHD. American Journal of Occupational Therapy, 55, 155-162. doi:10.5014/ajot.55.2.155

Cited by

  1. 실행문제가 있는 아동의 상호작용식 메트로놈 중재를 통한 타이밍 변화: 단일 대상 연구 vol.18, pp.3, 2020, https://doi.org/10.18064/jkasi.2020.18.3.27