Restricted accessResearch articleFirst published online 2018-12-27
Goal-Directed,Nature-Based Physical Activity Training Program Improves Personal Management Behavior of an Adolescent Female with Attention Deficit-Hyperactivity Disorder
Objective. Physical activity has been shown to decrease obesity and improve executive function, but few studies have examined the effects of exercise in the natural environment. The purpose of this study was to explore the impact of a goal-directed, nature-based physical activity (NBPA) training program on exercise time, physical fitness, junk food consumption, and social confidence of a sedentary, overweight pre-adolescent female with Attention-Deficit Hyperactivity Disorder (ADHD).Method. The participant completed a 9-week NBPA program culminating in an 8-mile backpacking trip. Exercise time, junk food servings, and uncomfortable social situations were monitored daily. Physical fitness, skill acquisition, and physical self-perception were assessed pre- and post-intervention.Results.Exercise time and physical fitness increased, junk food consumption decreased, and physical self-perception improved from pretest to posttest. Social confidence was minimally impacted.Conclusion. A structured NBPA program may support changes in exercise and personal management behavior in girls with ADHD, underscoring the need for further research in this area.
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References
1.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. (5th ed.). Washington, DC: Author.
2.
BandoroffS., & SchererD. G. (1994). Wilderness family therapy: An innovative treatment approach for problem youth. Journal of Child and Family Studies, 3, 175–191.
3.
BarkleyR. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65–94.
4.
BiedermanJ., MickE., FaraoneS. V., BraatenE., DoyleA., SpencerT., … JohnsonM. A. (2002). Influence of gender on attention deficit hyperactivity disorder in children referred to a psychiatric clinic. American Journal of Psychiatry, 159, 36–42.
CritchfieldT. S., & KollinsS. H. (2001). Temporal discounting: Basic research and the analysis of socially important behavior. Journal of Applied Behavior Analysis, 34, doi:10.1901/jaba.2001.34-101
9.
DanielsonM. L., BitskoR. H., GhandourR. M., HolbrookJ. R., KoganM. D., & BlumbergS. J. (2018). Prevalence of parent-reported ADHD diagnosis and associated treatment among US children and adolescents, 2016. Journal of Clinical Child & Adolescent Psychology, 47, 199–212.
10.
EklundR. C., WhiteheadJ. R., & WelkG. J. (1997). Validity of the CY-PSPP: A confirmatory factor analysis. Research Quarterly for Exercise and Sport, 68, 249–256.
11.
FjørtoftI., & SageieJ. (2000). The natural environment as a playground for children: Landscape description and analyses of a natural playscape. Landscape and Urban Planning, 48, 83–97.
12.
GapinJ., & EtnierJ. L. (2010). The relationship between physical activity and executive function performance in children with attention deficit-hyperactivity disorder. Journal of Sport and Exercise Psychology, 32, 753–763.
13.
HarterS. (1985). Manual for the self-perception profile for children. Denver, CO: University of Denver.
14.
HartigT., EvansG. W., JamnerL. D., DavisD. S., & GärlingT. (2003). Tracking restoration in natural and urban field settings. Journal of Environmental Psychology, 23, 109–123.
15.
HerzogT. R., ChenH. C., & PrimeauJ. S. (2002). Perception of the restorative potential of natural and other settings. Journal of Environmental Psychology, 22, 295–306.
16.
KaplanS. (1995). The restorative benefits of nature: Toward an integrative framework. Journal of Environmental Psychology, 15, 169–182.
17.
KellertS. R., & WilsonE. O. (Eds.). (1995). The biophilia hypothesis. Washington, DC: Island Press.
18.
KimmS. Y., GlynnN. W., ObarzanekE., KriskaA. M., DanielsS. R., BartonB. A., & LiuK. (2005). Relation between the changes in physical activity and body-mass index during adolescence: A multicentre longitudinal study. The Lancet, 366, 301–307.
19.
KuntsiJ., OosterlaanJ., & StevensonJ. (2001). Psychological mechanisms in hyperactivity: I response inhibition deficit, working memory impairment, delay aversion, or something else?. Journal of Child Psychology and Psychiatry, 42, 199–210.
20.
KuoF. E. (2001). Coping with poverty: Impacts of environment and attention in the inner city. Environment and Behavior, 33, 5–34.
21.
KuoF. E., & TaylorA. F. (2004). A potential natural treatment for attention-deficit/hyperactivity disorder: Evidence from a national study. American Journal of Public Health, 94, 1580–1586.
22.
LawrenceV., HoughtonS., TannockR., DouglasG., DurkinK., & WhitingK. (2002). ADHD outside the laboratory: Boys' executive function in performance on tasks in videogame play and on a visit to the zoo. Journal of Abnormal Psychology, 30, 447–462.
23.
LouvR. (2008). Last child in the woods: Saving our children from nature-deficit disorder. New York, NY: Algonquin Books.
24.
MedinaJ. A., NettoT. L., MuszkatM., MedinaA. C., BotterD., OrbetelliR., … MirandaM. C. (2010). Exercise impact on sustained attention of ADHD children, methylphenidate effects. ADHD Attention Deficit and Hyperactivity Disorders, 2, 49–58.
25.
MiyakeA., FriedmanN. P., EmersonM. J., WitzkiA. H., HowerterA., & WagerT. D. (2000). The unity and diversity of executive functions and their contributions to complex “frontal lobe” tasks: A latent variable analysis. Cognitive Psychology, 41, 49–100.
26.
NaterU. M., La MarcaR., FlorinL., MosesA., LanghansW., KollerM. M., & EhlertU. (2006). Stress-induced changes in human salivary alpha-amylase activity—Associations with adrenergic activity. Psychoneuroendocrinology, 31, 49–58.
27.
National Environmental Education Foundation. (2018). National Environmental Education Foundation: To ensure the wellbeing of the earth and its people. Retrieved from https://www.neefusa.org
28.
National Wildlife Federation. (2018). Be out there. Retrieved from https://www.nwf.org
29.
NevinJ. A. (1992). An integrative model for the study of behavioral momentum. Journal of the Experimental Analysis of Behavior, 57, 301–316.
30.
NielsenT. S., & Hansen KB. (2007). Do green areas affect health? Results from a Danish survey on the use of green areas and health indicators. Health Place, 13, 839–850.
O'NeillR. E., HornerR. H., AlbinR. A., SpragueJ. R., StoreyK., & NewtonS. J. (1997). Functional assessment and program development for problem behavior: A practical handbook. Belmont, CA: Brooks/Cole, Cengage Learning.
ParkB. J., TsunetsuguY., KasetaniT., HiranoH., KagawaT., SatoM., & MiyazakiY. (2007). Physiological effects of shinrin-yoku (taking in the atmosphere of the forest)—using salivary cortisol and cerebral activity as indicators. Journal of Physiological Anthropology, 26, 123–128.
35.
PiepmeierA. T., ShihC. H., WhedonM., WilliamsL. M., DavisM. E., HenningD. A., … EtnierJ. L. (2015). The effect of acute exercise on cognitive performance in children with and without ADHD. Journal of Sport and Health Science, 4, 97–104.
SkinnerB. F. (1938). The behavior of organisms: An experimental analysis. Oxford, UK: Appleton-Century.
38.
SolantoM. V., AbikoffH., Sonuga-BarkeE., SchacharR., LoganG. D., WigalT., … TurkelE. (2001). The ecological validity of delay aversion and response inhibition as measures of impulsivity in AD/HD: A supplement to the NIMH multimodal treatment study of AD/HD. Journal of Abnormal Child Psychology, 29, 215–228.
39.
StigsdotterU. K., EkholmO., SchipperijnJ., ToftagerM., Kamper-JørgensenF., & RandrupT. B. (2010). Health promoting outdoor environments—Associations between green space, and health, health-related quality of life and stress based on a Danish national representative survey. Scandinavian Journal of Public Health, 38, 411–417.
40.
TaylorA. F., & KuoF. E. (2009). Children with attention deficits concentrate better after walk in the park. Journal of Physical Activity and Health, 8, 157–163.
41.
TaylorA. F., & KuoF. E. (2011). Could exposure to everyday green spaces help treat ADHD? Evidence from children's play settings. Applied Psychology: Health and Well-Being, 3, 281–303.
42.
TaylorA. F., KuoF. E., & SullivanW. C. (2001). Coping with ADD: The surprising connection to green play settings. Environment and Behavior, 33, 54–77.
43.
TaylorA. F., KuoF. E., & SullivanW. C. (2002). Views of nature and self-discipline: Evidence from inner city children. Journal of Environmental Psychology, 22, 49–63.
44.
TomporowskiP. D., DavisC. L., MillerP. H., & NaglieriJ. A. (2008). Exercise and children's intelligence, cognition, and academic achievement. Educational Psychology Review, 20, 111–131.
45.
Van den BergA. E., HartigT., & StaatsH. (2007). Preference for nature in urbanized societies: Stress, restoration, and the pursuit of sustainability. Journal of Social Issues, 63, 79–96.
46.
Van den BergA. E., & Van den BergC. G. (2011). A comparison of children with ADHD in a natural and built setting. Child: Care, Health and Development, 37, 430–439.
47.
VerretC., GuayM., BerthiaumeC., GardinerP., & BéliveauL. (2012). A physical activity program improves behavior and cognitive functions in children with ADHD: An exploratory study. Journal of Attention Disorders, 16, doi:10.1177/1087054710379735
48.
WellsN. M. (2000). At home with nature: Effects of “greenness” on children's cognitive functioning. Environment and Behavior, 32, 775–795.
49.
WellsN. M., & EvansG. W. (2003). Nearby nature: A buffer of life stress among rural children. Environment and Behavior, 35, 311–330.
50.
WhiteheadJ. R. (1995). A study of children's physical self-perceptions using an adapted physical self-perception questionnaire. Pediatric Exercise Science, 7, 132–151.
51.
WillcuttE. G., DoyleA. E., NiggJ. T., FaraoneS. V., & PenningtonB. F. (2005). Validity of the executive function theory of attention-deficit/hyperactivity disorder: A meta-analytic review. Biological Psychiatry, 57, 1336–1346.
