Pretend Play Therapy In-person Versus Online for Participation Improvement in Children with Attention Deficit Hyperactivity Disorder: Study Protocol for a Clinical Trial

Background: Attention deficit hyperactivity disorder (ADHD) is a common condition in children, affecting 10% of Iranian children. Attention deficit hyperactivity disorder affects many areas of children’s lives, especially their participation. The most important part of a child’s life is playing, which is affected by ADHD. Children with ADHD have difficulties in their playing. Play is a child’s work and the most critical occupation that a child has. However, there are a few bright protocols to improve play for the sake of play. Objectives: This protocol describes interventions to improve play in children with ADHD. Methods: This is a double-blind clinical trial in parallel groups of children with ADHD aged 4 to 6 years. Trained occupational therapists will deliver therapy in the clinic for eight weeks during 16 sessions of 45 minutes. A follow-up assessment will be done eight weeks after the last therapy session. Conclusions: According to the results of the trial, evidence will be provided about a bright and feasible protocol for occupational therapists to address the play of children with ADHD that can have significant effects on their quality of life, play skills, and participation.