Effects of Animation Therapy on Children With ADHD

Use of Animation in Therapy: Effects on Symptom Levels of Children With Attention Deficit and Hyperactivity Disorder, a Randomized Trial

The aim of the study is to determine the effects of animation therapy on the main symptoms of Attention Deficit - Hyperactivity Disorder; hyperactivity, inattention and impulsivity.

Study Overview

• Status: Completed
• Conditions: Attention Deficit Disorder With Hyperactivity
• Intervention / Treatment: Other: Animation Therapy

Detailed Description

Attention Deficit and Hyperactivity Disorder (ADHD) is the most frequent childhood disorder, that is characterized with three main symptoms: inattention, hyperactivity, and impulsivity. Animation Therapy is the use of a stop-motion movie production process for therapeutic purposes. This new approach may have promising effect on attention because of its flow effect. Also, there is only one study on the effectiveness of Animation Therapy in literature. This study is planned to investigate the effects of Animation Therapy on the main symptoms of the disorder.

• Study Type: Interventional
• Enrollment (Actual): 48
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Ankara, Turkey
    • Hacettepe University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 6 years to 12 years (Child)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Being at the age between 6-12 years.
• Being diagnosed with ADHD by a psychiatrist.
• Taking prescribed medication for treatment of ADHD.
• Having no physical, visual or mental problems.

Exclusion Criteria:

• Absence in pre- and post-intervention evaluations
• Not completing 10-weeks of re-animation approach intervention process.
• Discontinuation of medical treatment for ADHD.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control Group; No intervention
Experimental: Animation Therapy Group; 10 sessions of Animation Therapy (1 session/week)	Other: Animation Therapy; Stop-motion movie shooting process designed for improving attention skill and regulating hyperactive and impulsive behaviours.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Conners Parents Rating Scale-Revised Long Form	Conners Parents Rating Scale-Revised Long Form is a 4-points-Likert-scale, consisting of 80 items. The given items are expressions defining the daily life behaviors of children at home setting due to ADHD. Parents mark a score between 0 (means "expression never suits my child's behavior) and 3 (means expression suits my child's behavior completely). It comprises of 14 behavioral categories: Oppositional, Cognitive Problems/Inattention, Hyperactivity, Anxious/Shy, Perfectionism, Social Problems, Psychosomatic, ADHD Index, Restless/Impulsive, Emotional Lability, Global Index, DSM-IV Inattention, DSM-IV Hyperactive/Impulsive, and DSM-IV Total. A higher score indicates more severe symptoms.	Baseline, pre-intervention
Conners Parents Rating Scale-Revised Long Form	Conners Parents Rating Scale-Revised Long Form is a 4-points-Likert-scale, consisting of 80 items. The given items are expressions defining the daily life behaviors of children at home setting due to ADHD. Parents mark a score between 0 (means "expression never suits my child's behavior) and 3 (means expression suits my child's behavior completely). It comprises of 14 behavioral categories: Oppositional, Cognitive Problems/Inattention, Hyperactivity, Anxious/Shy, Perfectionism, Social Problems, Psychosomatic, ADHD Index, Restless/Impulsive, Emotional Lability, Global Index, DSM-IV Inattention, DSM-IV Hyperactive/Impulsive, and DSM-IV Total. A higher score indicates more severe symptoms.	Immediately after the intervention
Conners Teachers Rating Scale-Revised Long	Conners Teachers Rating Scale-Revised Long is a 4-points-Likert-scale, consisting of 59 items. The items define the school life behaviors of children due to ADHD. The child's teacher marks a score from 0 (means "expression never suits child's behavior) to 3 (means expression suits child's behavior completely). It comprises 14 behavioral categories: Oppositional, Cognitive Problems/Inattention, Hyperactivity, Anxious/Shy, Perfectionism, Social Problems, ADHD Index - Inattention, ADHD Index - Hyperactivity, Restless/Impulsive, Emotional Lability, Global Index, DSM-IV Inattention, DSM-IV Hyperactive/Impulsive, and DSM-IV Total. A higher score indicates more severe symptoms.	Baseline, pre-intervention
Conners Teachers Rating Scale-Revised Long	Conners Teachers Rating Scale-Revised Long is a 4-points-Likert-scale, consisting of 59 items. The items define the school life behaviors of children due to ADHD. The child's teacher marks a score from 0 (means "expression never suits child's behavior) to 3 (means expression suits child's behavior completely). It comprises 14 behavioral categories: Oppositional, Cognitive Problems/Inattention, Hyperactivity, Anxious/Shy, Perfectionism, Social Problems, ADHD Index - Inattention, ADHD Index - Hyperactivity, Restless/Impulsive, Emotional Lability, Global Index, DSM-IV Inattention, DSM-IV Hyperactive/Impulsive, and DSM-IV Total. A higher score indicates more severe symptoms.	Immediately after the intervention
the Scales for Diagnosing Attention-Deficit/Hyperactivity Disorder - Home Rating Scale	the Scales for Diagnosing Attention-Deficit/Hyperactivity Disorder - Home Rating Scale measures the levels of hyperactivity, impulsivity, and inattention from the parent's perspective. It is a 4-points-Likert-scale, consisting of 40 items. Each item describes a specific behavior correlated with ADHD and parents scores items due to the frequency of behavior described by the item, considering the behaviors of the child at home setting. A high score means high frequency and more severe symptoms.	Baseline, pre-intervention
the Scales for Diagnosing Attention-Deficit/Hyperactivity Disorder - Home Rating Scale	the Scales for Diagnosing Attention-Deficit/Hyperactivity Disorder - Home Rating Scale measures the levels of hyperactivity, impulsivity, and inattention from the parent's perspective. It is a 4-points-Likert-scale, consisting of 40 items. Each item describes a specific behavior correlated with ADHD and parents scores items due to the frequency of behavior described by the item, considering the behaviors of the child at home setting. A high score means high frequency and more severe symptoms.	Immediately after the intervention
the Scales for Diagnosing Attention-Deficit/Hyperactivity Disorder - School Rating Scale	A scale that measures the levels of hyperactivity, impulsivity, and inattention from the teachers' perspective. It is a 4-points-Likert-scale, consisting of 39 items. Each item describes a specific behavior correlated with ADHD and parents scores items due to the frequency of behavior described by the item, considering the behaviors of the child at home setting. A high score means high frequency and more severe symptoms.	Baseline, pre-intervention
the Scales for Diagnosing Attention-Deficit/Hyperactivity Disorder - School Rating Scale	A scale that measures the levels of hyperactivity, impulsivity and inattention on the perspective of the teachers. It is a 4-points-Likert-scale, consisting of 39 items. Each item describes a specific behavior correlated with ADHD and parents scores items due to frequency of behavior described by the item, considering the behaviors of the child at home setting. High score means high frequency and more severe symptom.	Immediately after the intervention

Collaborators and Investigators

• Sponsor: Kutahya Health Sciences University
• Collaborators: Hacettepe University
• Investigators: Principal Investigator: Özgün Belen, MSc, Kütahya Health Sciences University; Study Director: Burcu Semin Akel, Professor, Istanbul Kultur University

Study record dates

Study Major Dates

• Study Start (Actual): May 15, 2023
• Primary Completion (Actual): February 9, 2024
• Study Completion (Actual): February 9, 2024

Study Registration Dates

• First Submitted: February 15, 2022
• First Submitted That Met QC Criteria: March 1, 2022
• First Posted (Actual): March 10, 2022

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: March 2, 2025
• Last Verified: March 1, 2025

More Information

Terms related to this study

• Keywords: Occupational Therapy; Attention; Hyperactivity; Animation
• Additional Relevant MeSH Terms: Neurologic Manifestations; Nervous System Diseases; Mental Disorders; Neurodevelopmental Disorders; Attention Deficit and Disruptive Behavior Disorders; Dyskinesias; Hyperkinesis; Attention Deficit Disorder with Hyperactivity
• Other Study ID Numbers: GO 15/728-22

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No