Project Play was a pilot randomized-controlled trial of a 10-week after-school physical activity program for children with Attention-Deficit Hyperactivity Disorder (ADHD) and Disruptive Behavior Disorders (DBD) living in an urban poor community. Students were randomly assigned to either a physical activity or sedentary arts & crafts after-school program for 10-weeks. Results suggested that the program was feasible (high attendance and retention rates, and sustained moderate-vigorous intensity physical activity participation) with clinically significant benefits on executive function, inattentive & hyperactive symptom severity, functional impairment, and classroom behavior, regardless of group assignment. There were only small differences between groups on a few measures, underscoring the importance of programmatic features, such as routines, engaging activities, behavior management strategies, and adult attention, and highlighting the potential for after-school programming to benefit children with ADHD and DBD living in urban poor communities (Bustamante et al., 2016).

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