Bop, look, and listen: a playful sensorimotor approach to address attention-deficit/hyperactivity disorder-like symptoms among young children
Rebels, Alison Leigh
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Bop, Look, and Listen (BLL): A Playful Sensorimotor Approach to Address Attention-Deficit/Hyperactivity Disorder-Like Symptoms Among Young Children is an evidence-based and theory-driven treatment method that aims to support child development and learning within preschool classrooms. There has been a substantial increase in the prevalence of attention-deficit/hyperactivity disorder (ADHD), as well as other developmental disabilities, since the turn of the century. Given that ADHD-like symptoms most frequently emerge during preschool and are associated with future maladaptive functioning, there is an imperative need for effective and optimal intervention at this life stage. Due to the controversy surrounding the act of diagnosing a child at such a young age, BLL has been created to address “ADHD-like symptoms”, regardless of diagnosis, or lack thereof. BLL was developed by an occupational therapist and may be considered: 1) an intervention that uses the meaningful childhood occupation of play to target multiple potential neurological underpinnings of ADHD-like symptoms; 2) a health promotion program that educates school-related professionals and parents about the relationship between sensorimotor play, child development, and learning; and 3) a prevention program that aims prevent or alter the trajectory of ADHD-like symptoms in preschoolers. A BLL storybook is used to guide children through specific playful sensorimotor activities, which are based on techniques that research has shown to be effective in reducing ADHD-like symptoms. Secondarily, evidence-based behavioral strategies that maintain the integrity of key concepts from Sensory Integration Theory are woven throughout the program to support participation. In addition, educational materials are provided to school-related professionals and parents. The evidence-based literature regarding the effectiveness of sensorimotor-based interventions for addressing ADHD-like symptoms is scarce, yet promising. Dissemination efforts for program expansion and the future application of an evaluative study of BLL will address this practice gap. BLL has the potential to decrease ADHD-like symptoms and positively impact children’s participation in meaningful occupations and roles within preschool classrooms and beyond.