Structured Water Play and Courage Development in Children with ADHD During Swimming Instruction

Authors

DOI:

https://doi.org/10.31599/z4gdjv71

Keywords:

water play, courage, ADHD, swimming lessons, single subject research

Abstract

This study aimed to examine the effect of structured water play on improving courage in children with ADHD during swimming instruction. The study employed a Single Subject Research (SSR) design with an A1–B–A2 withdrawal model. The participant was a six-year-old boy diagnosed with ADHD, selected using a case study approach. The intervention was conducted over 12 sessions consisting of baseline (A1), intervention (B), and follow-up (A2) phases. Data were collected through systematic observation of courage-related behaviors and pre-test and post-test questionnaires measuring aquatic fear levels. The instruments included an observation sheet adapted from SNAP-IV, Conners, and ADHD RS-5, as well as a fear-level questionnaire. Data were analyzed using SSR visual analysis techniques, including trend direction, level changes, stability, and Percentage of Non-Overlapping Data (PND). The findings demonstrated a consistent increase in courage during the intervention phase, which was maintained during the follow-up phase. In the shallow pool condition, the PND value reached 66%, indicating a moderate effect, while in the deep pool condition the PND value reached 100%, indicating a strong effect. Questionnaire results also showed a reduction in aquatic fear. These findings indicate that structured water play is an effective adaptive pedagogical strategy for enhancing courage and emotional readiness in children with ADHD during swimming instruction and supports the implementation of inclusive physical education practices.

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References

Alif, muhammad N. (2021). Konsep beladiri pada anak: Kajian pedagogy dan psikologi dalam pembelajaran bela diri. CV. SALAM INSAN MULIA.

Alkasasbeh, W. J., Alawamleh, T., Aloran, H., Farash, T., & Orhan, B. E. (2024). The impact of mobile-assisted swimming applications on intrinsic motivation and fear reduction in aquatic environments among students in the swimming course. December, 1–9. https://doi.org/10.3389/fspor.2024.1496733

Barkley, R. A. (1997). ADHD and the nature of self-control. Guilford Press.

Basso, L., Pellegrini, M., & colleagues. (2023). Effects of aquatic therapy on motor and cognitive functions in children with neurodevelopmental disorders: A systematic review. Archives of Physical Medicine and Rehabilitation. https://doi.org/10.1016/j.apmr.2023.03.018

Bull, F. C., Al-, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J.-P., Chastin, S., Chou, R., Dempsey, P. C., Dipietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., … Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. 1451–1462. https://doi.org/10.1136/bjsports-2020-102955

Cheng, G., Song, C., & Hong, X. (2025). The impact of physical activity on working memory in children with ADHD : a meta-analysis. May, 1–14. https://doi.org/10.3389/fpsyt.2025.1578614

Coelho, D., Eira, P., & Azevedo, A. (2025). Fear of the Aquatic Environment in Learning Swimming: Causes, Effects, and Learning Methodologies. Education Sciences, 15(6), 1–10. https://doi.org/10.3390/educsci15060760

Conners, C. K. (2008). Conners 3rd edition manual. Multi-Health Systems.

DuPaul, G. J., Power, T. J., Anastopoulos, A. D., & Reid, R. (2016). ADHD rating scale–5 for children and adolescents: Checklists, norms, and clinical interpretation. Guilford Press.

Fauzi, R. A., Lestari, S. W., & Fauzi, A. (2022). The Effect of Playing Activities on Improving Students’ Social Behavior. International Journal of Multidisciplinary: Applied Business and Education Research, 3(10), 1950–1956. https://doi.org/10.11594/ijmaber.03.10.11.

Langendorfer, S. J., & Bruya, L. D. (1995). Aquatic readiness: Developing water competence in young children. Human Kinetics.

Lestari, F., & Sari, C. K. (2021). Visualisasi sebagai Pendukung Pengembangan Ide dalam Menulis. Jurnal Inovasi Kurikulum, 13(1), 44–53. https://doi.org/10.17509/jik.v13i1.32044

Li, D., Wang, D., Cui, W., Yan, J., Zang, W., & Li, C. (2023). Effects of different physical activity interventions on children with attention-deficit/hyperactivity disorder: A network meta-analysis of randomized controlled trials. Frontiers in Neuroscience, 17(March). https://doi.org/10.3389/fnins.2023.1139263

Martín-rodríguez, A., & Herrero-roldán, S. (2025). The Role of Physical Activity in ADHD Management : Diagnostic , Digital and Non-Digital Interventions , and Lifespan Considerations. 1–29. https://doi.org/10.1016/j.medcli.2024.06.012

Roche, L., Cunningham, I., Rolland, C., Fayaubost, R., & Maire, S. (2022). Reducing fear of water and aquaphobia through 360 degree video use ? Frontiers in Education, 7, 898071. https://doi.org/10.3389/feduc.2022.898071

Stallman, R. K., Quan, L., & Langendorfer, S. (2017). From Swimming Skill to Water Competence : Towards a More Inclusive Drowning Prevention Future From Swimming Skill to Water Competence : Towards a More Inclusive Drowning Prevention Future. 10(2). https://doi.org/10.25035/ijare.10.02.02

Tang, Z., Wang, Y., Liu, J., & Liu, Y. (2022). Effects of aquatic exercise on mood and anxiety symptoms: A systematic review and meta-analysis. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.1051551

Zheng, R., Huang, S., Yang, J., Zhao, P., & Li, E. (2025). The therapeutic effects of physical activity on children with attention deficit hyperactivity disorder: A systematic review and meta-analysis. Medicine, 104, e42063. https://doi.org/10.1097/MD.0000000000042063

Zhu, F., Zhu, X., Bi, X., Kuang, D., Liu, B., Zhou, J., Yang, Y., & Ren, Y. (2023). Comparative effectiveness of various physical exercise interventions on executive functions and related symptoms in children and adolescents with attention deficit hyperactivity disorder : A systematic review and network meta-analysis. March. https://doi.org/10.3389/fpubh.2023.1133727

Published

2026-05-16

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Articles

How to Cite

Structured Water Play and Courage Development in Children with ADHD During Swimming Instruction. (2026). Journal Coaching Education Sports, 7(2), 281-294. https://doi.org/10.31599/z4gdjv71