86
CHAPTER SIX
RESUMÉ
6.1 INTRODUCTION
6.2 SUMMARY
6.3 CONCLUSIONS
6.4 LIMITATIONS OF THE PRESENT STUDY
6.5 SUGGESTIONS FOR FUTURE RESEARCH
87
CHAPTER SIX
RESUMÉ
6.1 INTRODUCTION
The present chapter exemplifies in brief the whole research process,
the analysis employed, the results obtained and its implications for this
research study.
6.2 SUMMARY
The present research attempted to study the effect of Music and
Dance on children with ADHD. The ADHD symptoms of the subjects were
measured using the ADHD Rating Scale IV by DuPaul et al., (1998). This
scale is available in Teacher and Parent versions, and has 3 subscales of
Inattention, Hyperactivity-Impulsivity and a Combined subscale for both the
versions. Based on available literature the following hypotheses were framed:
1. Music intervention significantly reduces ADHD scores derived from
teachers’ as well as parents’ ratings of the study group weighed against that of
the comparison group.
Hence:
i. Inattention Scores – Teacher version of the study group are lower
after Music intervention as weighed against that of the comparison group.
88
ii. Hyperactivity-Impulsivity Scores - Teacher version of the study
group are lower after Music intervention as weighed against that of the
comparison group.
iii. Combined Scores – Teacher version of the study group are lower
after Music intervention as weighed against that of the comparison group.
iv. Inattention Scores – Parent version of the study group are lower
after Music intervention as weighed against that of the comparison group.
v. Hyperactivity-Impulsivity Scores – Parent version of the study
group are lower after Music intervention as weighed against that of the
comparison group.
vi. Combined Scores – Parent version of the study group are lower
after Music intervention as weighed against that of the comparison group.
2. Dance intervention significantly reduces ADHD scores derived from
teachers’ as well as parents’ ratings of the study group weighed against that of
the comparison group.
Hence:
i. Inattention Scores – Teacher version of the study group are lower
after Dance intervention as weighed against the comparison group.
ii. Hyperactivity-Impulsivity Scores - Teacher version of the study
group are lower after Dance intervention as weighed against the comparison
group.
89
iii. Combined Scores – Teacher version of the study group are lower
after Dance intervention as weighed against the comparison group.
iv. Inattention Scores – Parent version of the study group are lower
after Dance intervention as weighed against the comparison group.
v. Hyperactivity-Impulsivity Scores –Parent version of the study
group are lower after Dance intervention as weighed against the comparison
group.
vi. Combined Scores – Parent version of the study group are lower
after Dance intervention as weighed against the comparison group.
3. There is no significant difference between the effects of music and of dance
interventions.
Hence:
i. Inattention Scores – Teacher version are not different for the
Dance and Music Intervention groups.
ii. Hyperactivity-Impulsivity Scores – Teacher version are not
different for the Dance and Music Intervention groups.
iii. Combined Scores – Teacher version are not different for the Dance
and Music Intervention groups.
iv. Inattention Scores – Parent version are not different for the Dance
and Music Intervention groups.
v. Hyperactivity-Impulsivity Scores – Parent version are not different
for the Dance and Music Intervention groups.
90
vi. Combined Scores – Parent version are not different for the Dance
and Music Intervention groups.
4. There is no significant difference between the pre-intervention and post-
intervention ratings of the comparison group.
Hence:
i. Inattention Scores – Teacher version are not different for the
pretest and posttest of the comparison group.
ii. Hyperactivity-Impulsivity Scores – Teacher version are not
different for the pretest and posttest of the comparison group.
iii. Combined Scores – Teacher version are not different for the pretest
and posttest of the comparison group.
iv. Inattention Scores – Parent version are not different for the pretest
and posttest of the comparison group.
v. Hyperactivity-Impulsivity Scores – Parent version are not different
for the pretest and posttest of the comparison group.
vi. Combined Scores – Parent version are not different for the pretest
and posttest of the comparison group.
The subjects for the study consisted of 90 boys from English medium schools
in the age range of 10 to 12 years. They were from middle-class families and
lived with both parents. The parents of the subjects were well-versed in
English and none of the subjects were being medicated for ADHD at the time
91
of the research. The boys were initially identified by their respective class
teachers following which the parent version of the test was administered to the
subjects’ parents, so as to obtain a delineation of home and school behavior.
The participants were randomly assigned to either, the Music intervention
group, the Dance intervention group or the Comparison group. Thus, there
were 30 subjects in each group. Both the intervention groups participated in
30 sessions of Music and Dance respectively, over a period of 6 weeks
approximately after which all the groups were tested again.
Keeping in mind the hypotheses and the objectives of the study ANCOVA
was carried out with the obtained data, which revealed significant differences
between the comparison group and the music and dance intervention groups.
6.3 CONCLUSIONS
The conclusions drawn from this study were:
1. Music intervention significantly reduced ADHD scores derived from
teachers’ as well as parents’ ratings of the study group weighed against that of
the comparison group.
2. Dance intervention significantly reduced ADHD scores of the teachers’ as
well as parents’ ratings of the study group weighed against that of the
comparison group.
92
3. There was no significant difference between the results of music and dance
interventions.
4. There is no significant difference between the pre-intervention and post-
intervention scores of the comparison group except for the Inattention Parents
subscale which showed an increase at the time of the posttest.
6.4 LIMITATIONS OF THE STUDY
Due to unavailability of resources, the study is not as exhaustive as it
could have been, hence has its share of limitations, which are listed below:
1. The sample was restricted to only boys, hence no comparison or
generalization in terms of gender is possible. As ADHD is more rampant
among the male population, identifying male subjects was relatively easier.
However, future research using female subjects is a requisite.
2. The effect of the therapist variable could not be studied as there was only
one therapist who worked with both the intervention groups. It would be
interesting to study, if different therapists or therapists of different genders
would have yielded varying results.
3. Though a cursory attempt at obtaining case histories of the subjects was
made, it was by no means sufficient. Moreover, regular meetings and
feedback from both parents and teachers would have painted a more lucid
picture of the progress of the interventions as well as the history of the child.
93
This is important so as to formulate a more tailor-made intervention program
for the child.
4. There were no follow ups to ascertain if the obtained results were sustained
and if they were for how long. The sample consisted of school going boys,
after the treatment period, as the schools were pressed for time, and were not
able to accommodate any research follow ups due to the strict Zilla Parishad
time table and it was arduous to follow up with such a large group outside of
school.
6.5 SUGGESTIONS FOR FUTURE RESEARCH
In order to be able to generalize across populations, the study could
be replicated with different age levels and genders. This would provide a
deeper understanding of the effectiveness of Music and Dance in the
emancipation of ADHD symptoms.
As mentioned earlier, studying the therapist variable would be of
interest, as this could determine the effectiveness of the treatment. If
confounding is observed, it would better help to plan treatment alternatives
for children based on gender. Also, patient identification with the therapist
can be studied.
This study concerned itself only with reduction of ADHD symptoms,
however, in the course of research it was observed that ADHD associated
problems, like peer acceptance and academic achievement were positively
94
affected. Hence, it would be worth while to study in detail the kind of effects
Music and Dance interventions would have on ADHD associated
complications, like peer acceptance, academic achievement, and disorders
that accompany ADHD.
Given the nature and constraints of the study an in depth qualitative
study was not possible. Qualitative analysis could have thrown light on
several factors that may have had an effect on the outcome. For instance,
would the subject being musically inclined, have a bearing on the outcome?
Hence a study, taking into account the preferences of the subjects would be of
use to provide a better tailor-made therapy.
National Institute of Mental Health (2000) conducted a study with
combined treatments that had positive results. The results of the present study
demonstrate the efficacy of music and dance intervention independently.
However, the effects of these interventions along with traditional existing
therapies can be explored.
Art based interventions seem to hold a lot of promise, especially for
children and those adults that are looking for alternative treatment options.
Hence research with other disorders like autism, mental retardation,
depression etc. should be carried out. Moreover, since they are in their
nascent stage any research at this point will simply add to the existing body of
knowledge and will not be redundant.
95
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APPENDICES