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First published online March 1, 2009

Children With Attention Deficits Concentrate Better After Walk in the Park

Abstract

Objective: In the general population, attention is reliably enhanced after exposure to certain physical environments, particularly natural environments. This study examined the impacts of environments on attention in children with ADHD. Method: In this within subjects design, each participant experienced each of three treatments (environments) in single blind controlled trials. Seventeen children 7 to12 years old professionally diagnosed with ADHD experienced each of three environments—a city park and two other well-kept urban settings—via individually guided 20-minute walks. Environments were experienced 1 week apart, with randomized assignment to treatment order. After each walk, concentration was measured using Digit Span Backwards. Results: Children with ADHD concentrated better after the walk in the park than after the downtown walk (p = .0229) or the neighborhood walk (p = .0072). Effect sizes were substantial (Cohen's d =.52 and .77, respectively) and comparable to those reported for recent formulations of methylphenidate. Conclusion: Twenty minutes in a park setting was sufficient to elevate attention performance relative to the same amount of time in other settings. These findings indicate that environments can enhance attention not only in the general population but also in ADHD populations. “Doses of nature” might serve as a safe, inexpensive, widely accessible new tool in the tool kit for managing ADHD symptoms. (J. of Att. Dis. 2009; 12(5) 402-409)

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References

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Press.
Antrop, I., Roeyers, H., Van Oost, P., & Buysse, A. (2000). Stimulation seeking and hyperactivity in children with ADHD. Journal of Child Psychology & Psychiatry, 41(2), 225-231.
Antshel, K., & Remer, R. (2003). Social skills training in children with attention deficit hyperactivity disorder: A randomized-controlled clinical trial. Journal of Clinical Child & Adolescent Psychology, 32, 153-165.
Barkley, R.A. (1990). Attention Deficit Hyperactivity Disorder: A handbook for diagnosis and treatment. New York: Guilford Press.
Barkley, R.A. (1995). Taking charge of ADHD. New York: Guilford Press.
Barkley, R.A. (2006). Attention-Deficit Hyperactivity Disorder. A handbook for diagnosis and treatment (3rd ed.). New York: Guilford Press.
Dane, A.V., Schachar, R.J., & Tannock, R. (2000). Does actigraphy differentiate ADHD subtypes in a clinical research setting? Journal of the American Academy of Child and Adolescent Psychiatry, 39(6), 752-760.
Dodrill, C.B. (1978). A neuropsychological battery for epilepsy. Epilepsia, 19, 611-623.
DuPaul, G.J., & Barkley, R.A. (1992). Situational variability of attention problems-psychometric properties of the revised home and school situations questionnaires. Journal of Clinical Child Psychology, 21, 178-188.
Duncan, G.J., Claessens A., Huston A.C., Pagani, L.S., Engel M., Sexton H., et al. (2007). School readiness and later achievement . Developmental Psychology, 43(6), 1428-1446.
Faber Taylor, A., Kuo, F.E., & Sullivan, W. (2001). Coping with ADD: The surprising connection to green play settings. Environment and Behavior, 33, 54-77.
Faber Taylor, A., Kuo, F.E., & Sullivan, W.C. (2002). Views of nature and self-discipline: Evidence from inner city children. Journal of Environmental Psychology, 22, 49-64.
Fiore, T.A., Becker, E.A., & Nero, R.C. (1993). Interventions for students with attention deficits . Exceptional Children: Special Issue: Issues in Education of Children with Attention Deficit Disorder, 60(2), 163-173.
Gordon, M., McClure, D.F., & Aylward, G.P. (1996). The Gordon Diagnostic System: Interpretive guide . DeWitt, NY: GSI Publications.
Hale, J.B., Hoeppner, J.B., & Fiorello, C.A. (2002). Analyzing digit span components for assessment of attention processes. Journal of Psychoeducational Assessment, 20, 128-143.
Hallowell, E., & Ratey, J. (1994). Driven to distraction: Recognizing and coping with attention deficit disorder from childhood through adulthood. New York: Pantheon.
Hinshaw, S.P. (1994). Attention deficits and hyperactivity in children (Vol. 29). Thousand Oaks, CA : Sage.
Jackson, N.E., & Myers, M.G. (1982). Letter naming time, digit span, and precocious reading-achievement. Intelligence, 6, 311-329.
James, W. (1962). Psychology: The briefer course. New York: Collier Books. (Original work published 1892).
Kaplan, R. (2001). The nature of the view from home: Psychological benefits. Environment & Behavior, 33, 507-542.
Kaplan, S. (1995). The restorative benefits of nature: Toward an integrative framework. Journal of Environmental Psychology, 15, 169-182.
Kaplan, R., Kaplan, S., & Ryan, R. (1998) With people in mind: Design and management of everyday nature. Washington, DC: Island Press .
Katcher, A.H., & Wilkins, G.G. (2000). The centaur's lessons: Therapeutic education through care of animals and nature study. In A. Fine (Ed.), Handbook on animal-assisted therapy: Theoretical foundations and guidelines for practice (pp. 153-177). San Diego: Academic Press.
Kuo, F. (2001). Coping with poverty: Impacts of environment and attention in the inner city. Environment and Behavior, 33, 5-34.
Kuo, F.E., & Faber Taylor, A. (2004). A potential natural treatment for Attention-Deficit/Hyperactivity Disorder: Evidence from a national study . American Journal of Public Health, 94, 1580-1586.
Lieberman, G.A., & Hoody, L. (1998). Closing the achievement gap. San Diego, CA: State Education and Environment Roundtable .
Liu, G.C., Wilson, J.S., Qi, R., & Ying, J., (2007). Green neighborhoods, food retail and childhood overweight: Differences by population density. American Journal of Health Promotion, 21(4), 317-325.
MTA Cooperative Group. (2004). National Institute of Mental Health Multimodal Treatment Study of ADHD follow-up: 24-month outcomes of treatment strategies for attention-deficit/hyperactivity disorder. Pediatrics, 113, 754-761.
National Institute of Health. (1998). Diagnosis and treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) . NIH Consensus Statement, 16, 1-45.
Porrino, L.J., Rapoport, J.L., Behar, D., Sceery, W., Ismond, D.R., & Bunney, W.E. (1983). A naturalistic assessment of the motor activity of hyperactive boys. Archives General Psychiatry, 40, 681-687.
Rosenthal, E.N., Riccio, C.A., Gsanger, K.M., & Jarratt, K.P. (2006). Digit Span components as predictors of attention problems and executive functioning in children. Archives of Clinical Neuropsychology, 21, 131-139.
Rowland, A.S., Lesesne, C.A., & Abramowitz, A.J. (2002). The epidemiology of Attention-Deficit/Hyperactivity Disorder (ADHD): A public health view. Mental Retardation & Developmental Disabilities Research Reviews, 8, 162-170.
Shue, K.L., & Douglas, V.I. (1992). Attention-deficit hyperactivity disorder and the frontal-lobe syndrome. Brain and Cognition, 20, 104-124.
Smith, A. (1968). The Symbol Digit Modalities Test: A neuropsychologic test for economic screening of learning and other cerebral disorders. Learning Disorders, 3, 83-91.
Steenari, M.R., Vuontela, V., Paavonen, E.J., Carlson, S., Fjallberg, M., & Aronen, E.T. (2003) Working memory and sleep in 6- to 13-year-old schoolchildren . Journal of the American Academy of Child and Adolescent Psychiatry, 42(1), 85-92.
Swanson, J.M., Wigal, S.B., Wigal, T., Sonuga-Barke, E., Greenhill, L.L., Biederman, J., et al. (2004). A comparison of once-daily extended-release methylphenidate formulations in children with Attention-Deficit/Hyperactivity Disorder in the laboratory school (the Comacs study). Pediatrics, 113, e206-e216.
Tennessen, C.M., & Cimprich, B. (1995). Views to nature: Effects on attention. Journal of Environmental Psychology, 15, 77-85.
Urschitz, M.S., Eitner, S., Guenther, A., Eggebrecht, E., Wolff, J., Urschitz-Duprat, P.M., et al. (2004). Habitual snoring, intermittent hypoxia, and impaired behavior in primary school children. Pediatrics, 114(4), 1041-1048.
Wechsler, D. (1955).Wechsler Adult Intelligence Scale manual. New York: Psychological Corporation.
Zagar, R., & Bowers, N.D. (1983). The effect of time of day on problem solving and classroom behavior. Psychology in the Schools, 20, 337-345.
Zentall, S.S. (1993). Research on the educational implications of attention deficit hyperactivity disorder. Exceptional Children, 60, 143-152.

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Article first published online: March 1, 2009
Issue published: March 2009

Keywords

  1. children
  2. attention
  3. physical environment
  4. symptom management

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PubMed: 18725656

Authors

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Andrea Faber Taylor
University of Illinois, Urbana-Champaign, [email protected]
Frances E. Kuo
University of Illinois, Urbana-Champaign

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