Improving Self-regulation in Individuals With ADHD Through Adapted Karate Training
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age6-12
SponsorTel Aviv University
About this trial
The goal of this clinical trial is to examine the effectiveness of Adaptive Karate Training (AKT) in improving self-regulation and daily function in children with ADHD, exploring the underlying mechanisms.
The main questions it aims to answer are:
1. Is the AKT more effective than no karate training in enhancing functional performance, self-regulation and school QoL? 2. Are poorer executive functions, emotional regulation, and sensory processing associated with higher gains?
Researchers will compare two sequences: (1) A group receiving AKT followed by a no-intervention period; (2) A group receiving no intervention, followed by the AKT intervention, to see if differences are observed between intervention and no-intervention periods, both between groups and within participants over time.
Participants will engage in AKT sessions twice a week, each session lasting 60 minutes, over a period of two months.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosed by a developmental neurologist with ADHD
Age 6-12 years
Fluent in Hebrew
Disqualifiers
Comorbidity with another psychiatric or neurological diagnosis, or a developmental syndrome
Chronic pain
enrolled in a special education system
substance abuse (i.e., reporting more than 10 cups of alcohol a week)
Trial design
Design model
Parallel
Treatments tested in this trial
Adapted karate training
Other interventionParticipants will undergo adapted karate training practices, 2 hours weekly for two months, with a karate instructor and an Occupational Therapist specializing in neurodevelopmental disorders, including ADHD.
Treatment groups
55 Participants
are divided into 2 treatment groupsGroup A: Adapted karate trainingExperimental treatment 1 intervention
Group B: No interventionNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Canadian Occupational Performance Measure (COPM)
The Canadian Occupational Performance Measure (COPM) is a client-centered outcome measure for individuals to identify and prioritize everyday issues that restrict their participation in everyday living. Participants will define three goals, and rate their current performance \& satisfaction for each goal using a 10-point scale. Higher scores indicate better outcomes.
Time frame
changes in scores between pre (T1-week 0) to T2 (8 weeks later), to T3 (8 weeks post T2).2
Total number of participants completing the intervention
Total number of participants completing the AKT, 15 sessions.
Time frame
completing 15 sessions over eight weeks.Secondary outcomes
1
Dual Tasking gait analysis
gait analysis (stride and pace) of a one minute walk: first walking only, then walking while doing a cognitive task (following digits via audio and recognizing repeated items).
Time frame
changes in scores between pre (T1-week 0) to T2 (8 weeks later), to T3 (8 weeks post T2).2
Behavioral Assessment of the Dysexecutive Syndrome for Children (BADS-zoo map)
A standardized assessment battery that examines executive function in children and adolescents aged 8-16 years. The BADS-C consists of six subtests (adapted and simplified from the BADS) that assess inflexibility, perseverance, novel problem solving, impulsivity, planning, and the ability to utilize feedback in order to moderate behavior. We will use the Zoo map subtest. Raw scores for each of the component subtests can be converted to age-scaled scores, which are adjusted for the child's age and estimated IQ. Age-scaled scores range from 1 to 19, with a mean of 10 and a standard deviation of 3.
Time frame
Changes in scores between pre (T1-week 0) to T2 (8 weeks later), to T3 (8 weeks post T2).3
The Birthday Task Assessment
The Birthday Task Assessment is a performance-based tool assessing executive functions in children aged 8-16, through a simulated daily activity. It includes three progressively complex tasks: wrapping gifts, writing a card, and making sandwiches. Performance is evaluated by sequencing, timing, and rule adherence, with higher error rates indicating greater executive difficulties.
Time frame
Changes in scores between pre (T1-week 0) to T2 (8 weeks later), to T3 (8 weeks post T2).4
The The Preschool Executive Task Assessment (PETA)
The The Preschool Executive Task Assessment (PETA) is a performance-based measure assessing executive functioning in young children aged 3-8, through completion of a structured, multi-step task involving assembling a caterpillar picture. Performance is scored based on task completion time and a standardized hierarchy of cues ranging from independent performance to full physical assistance, with higher scores indicating greater reliance on external.
Time frame
Changes in scores between pre (T1-week 0) to T2 (8 weeks later), to T3 (8 weeks post T2).Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Tel Aviv University
Lead sponsor
Assuta Ashdod Hospital
Collaborator
Ministry of Health, Israel
Collaborator
Source ClinicalTrials.gov
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