The Impact of Storytelling Hand Puppet Play Therapy on Concentration Levels in Children Diagnosed as ADHD at the Outpatient Department of Surakarta Regional Mental Hospital
Keywords:
ADHD, hand puppet therapy, concentrationAbstract
Children with Attention Deficit Hyperactivity Disorder (ADHD) commonly exhibit symptoms of inattention and hyperactivity, which may impair their cognitive development, social skills, and learning abilities. One promising non-pharmacological intervention to address concentration deficits in children with ADHD is hand puppet play therapy. This therapy utilizes hand puppets as a medium for storytelling and interactive play, aiming to enhance children's focus and attention in a fun and engaging way. The purpose of this study was to determine the effect of storytelling hand puppet play therapy on concentration levels in children with ADHD. This study employed a quasi-experimental design with a one-group pre-test and post-test approach, without the use of a control group. The total sampling technique was used, involving 21 children aged 6–12 years diagnosed with ADHD at the outpatient unit of RSJD Surakarta, consisting of 15 boys (71.4%) and 6 girls (28.6%). The findings indicated a statistically significant improvement in the concentration levels of children with ADHD following the hand puppet play therapy intervention, with a p-value of 0.014. These results suggest that hand puppet play therapy is an effective alternative intervention to improve concentration in children with ADHD. Therefore, the active involvement of parents, teachers, and healthcare professionals in facilitating this therapy is strongly recommended as part of a holistic ADHD management strategy.
References
Adólfsdóttir, S., Sørensen, L., & Lundervold, A. J. (2008). The attention network test: A characteristic pattern of deficits in children with ADHD. Behavioral and Brain Functions, 4(9). https://doi.org/10.1186/1744-9081-4-9
Afiyati, R., & Rahmawati. (2014). Metodologi penelitian kualitatif dalam riset keperawatan. Rajawali Press.
Alothman, A. A., Gadelrab, H. F., Ebrahim, M. T., & Abo-Eid, N. F. (2024). Examining the effectiveness of a social-play-based programme to reduce symptoms of Attention-Deficit/Hyperactivity Disorder in Saudi elementary school children. Research in Developmental Disabilities, 152, 104798. https://doi.org/10.1016/j.ridd.2024.104798
Arikunto, S. (2013). Prosedur penelitian: Suatu pendekatan praktik. Rineka Cipta.
Ayano, G., Tsegay, L., Gizachew, Y., Demelash, S., Anbesaw, T., & Alati, R. (2023). The global prevalence of attention deficit hyperactivity disorder in children and adolescents: An umbrella review of meta-analyses. Journal of Affective Disorders, 339, 860–866. https://doi.org/10.1016/j.jad.2023.07.071
Bieleninik, ?., Gradys, G., Lipowska, K., Harciarek, M., Lada-Ma?ko, A., Lipowska, M., Dzhambov, A. M., Sitnik-Warchulska, K., Walczak-Koz?owska, T., & Anikiej-Wiczenbach, P. (2023). Attention deficit in primary-school-age children with ADHD measured with the attention network test: A systematic review and meta-analysis. Frontiers in Neuroscience, 17. https://doi.org/10.3389/fnins.2023.1246490
Centers for Disease Control and Prevention. (2020). Data and statistics about ADHD. https://www.cdc.gov/ncbddd/adhd/data.html
Cortese, S., Song, M., Farhat, L. C., Yon, D. K., Lee, S. W., Kim, M. S., ... & Shin, J. I. (2023). Incidence, prevalence, and global burden of ADHD from 1990 to 2019 across 204 countries: Data, with critical re-analysis, from the Global Burden of Disease study. Molecular Psychiatry, 28(11), 4823–4830. https://doi.org/10.1038/s41380-023-02228-3
Dahlan, M. S. (2013). Statistik untuk kedokteran dan kesehatan. Salemba Medika.
Dharma, K. H. (2013). Metodologi penelitian keperawatan. CV Trans Info Media.
Hayati, D. L., & Apsari, N. C. (2019). Pelayanan khusus bagi anak dengan Attention Deficit Hyperactivity Disorder (ADHD) di sekolah inklusif. Prosiding Penelitian dan Pengabdian kepada Masyarakat, 6, 108–122. http://journal.unpad.ac.id/prosiding/article/view/22497
Hayati, S. N., & Putro, K. Z. (2017). Bermain dan permainan anak usia dini. Pendidikan Islam Anak Usia Dini. https://journal.uir.ac.id/index.php/generasiemas/article/view/6985
Ilic, I., & Ilic, M. (2022). Global incidence of Attention Deficit/Hyperactivity Disorder among children. International Electronic Conference on Brain Sciences, 2(6). https://doi.org/10.3390/iecbs2022-12942
Istiqomah, A. (2015). Upaya meningkatkan perhatian anak melalui metode bercerita dengan media boneka tangan pada anak kelompok A TK ABA Jogoyudan Yogyakarta [Skripsi, Universitas Negeri Yogyakarta].
Li, S., Lu, Y., & Wu, J. (2023). Sandplay therapy as a complementary treatment for children with ADHD: A scoping review. Issues in Mental Health Nursing, 44(9), 911–917. https://doi.org/10.1080/01612840.2023.2249990
Maknun, L. L. (2011). Efektivitas terapi bermain terhadap peningkatan konsentrasi pada anak ADHD [Skripsi, IAIN Sunan Ampel Surabaya].
Liu, H., Chen, X., Huang, M., Yu, X., Gan, Y., Wang, J., Chen, Q., Nie, Z., & Ge, H. (2023). Screen time and childhood attention deficit hyperactivity disorder: A meta-analysis. Reviews on Environmental Health, 39(4), 643–650. https://doi.org/10.1515/reveh-2022-0262
May, F., Ford, T., Janssens, A., Newlove-Delgado, T., Russell, A. E., Salim, J., Ukoumunne, O. C., & Hayes, R. (2021). Attainment, attendance, and school difficulties in UK primary schoolchildren with probable ADHD. British Journal of Educational Psychology, 91(1), 442–462. https://doi.org/10.1111/bjep.12375
Niemi, E., Lagerström, M., & Alanko, A. (2022). School attendance problems in adolescents with attention deficit hyperactivity disorder. Journal of School Psychology, 92, 45–54. https://doi.org/10.XXXX/jsp.2022.xxx
Nisa, F. A., & Khotimah, N. (2019). Metode guru dalam meningkatkan konsentrasi anak yang mengalami gangguan pemusatan perhatian dan hiperaktivitas (GPPH/ADHD) dalam kegiatan belajar. Academica Journal of Multidisciplinary Studies, 3(2), 235–248.
Puji Utami, R. D. L., Safitri, W., Bumi Pangesti, C., & Rakhmawati, N. (2021). Pengalaman orang tua dalam merawat anak dengan Attention Deficit Hyperactivity Disorder (ADHD). Jurnal Kesehatan Kusuma Husada, 12(2), 222–230. https://doi.org/10.34035/jk.v12i2.772
Salari, N., Ghasemi, H., Abdoli, N., et al. (2023). The global prevalence of ADHD in children and adolescents: A systematic review and meta-analysis. Italian Journal of Pediatrics, 49, 48. https://doi.org/10.1186/s13052-023-01456-1
Sugiyono. (2015). Statistika untuk penelitian. Alfabeta.
Sugiarti, & Ulfah, M. (2013). Metode bercerita dengan boneka tangan untuk meningkatkan kemampuan berbicara kelompok B TK KH. Romly Tamim Surabaya. Program Studi PG-PAUD, Fakultas Ilmu Pendidikan, Universitas Negeri Surabaya.
Tandon, M., Si, X., & Luby, J. (2011). Preschool onset attention-deficit/hyperactivity disorder: Course and predictors of stability over 24 months. Journal of Child and Adolescent Psychopharmacology, 21(4), 321–330. https://doi.org/10.1089/cap.2010.0045
Thorell, L. B., Burén, J., Ström Wiman, J., Sandberg, D., & Nutley, S. B. (2024). Longitudinal associations between digital media use and ADHD symptoms in children and adolescents: A systematic literature review. European Child & Adolescent Psychiatry, 33(8), 2503–2526. https://doi.org/10.1007/s00787-022-02130-3
Trane, F. E., & Willcutt, E. G. (2023). Attention-deficit/hyperactivity disorder and academic functioning: Reading, writing, and math abilities in a community sample of youth with and without ADHD. Research on Child and Adolescent Psychopathology, 51(4), 583–596. https://doi.org/10.1007/s10802-022-01004-1
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Proceedings Series on Health & Medical Sciences

This work is licensed under a Creative Commons Attribution 4.0 International License.





