Teacher Practical Guidance:
ADD / ADHD Medication & Programs
Category: External
Rank Order
Effect Size
Achievement Gain %
How-To Strategies
Giving Directions – provide visual models; use Do-Say method; I-do we-do you do
Written Assignments – break tasks into small parts; cover up part of work on paper; use scribe; computer speech-to-text; reduce length of assignments; create visual script to help organize
Organization – clear rules; advance planning; visual charts; assignment notebooks; color-coded folders; homework partner; calendar, checklists
Environment – seating arrangements; provide alternative spaces; movement tools and accommodations
Instruction: 504 plans; peer-tutoring; cooperative learning; think-pair-share; learning games; utilization of student strengths to identify modifications and differentiation approaches; computer instruction; transition buddies; increase active learning and engagement strategies
Behavior: non-verbal cues; choice as rewards; visual prompts; teacher proximity; music; praise; corrective feedback; positive teacher-student relationship
Impact of Medication on Behavior and Achievement (by effect size)
- Behavior (0.80)
- Attention span (0.62)
- Lower level tasks – memory and copying (0.34)
- Reduction on social problems (0.30)
- Math productivity (0.08)
- Reading accuracy (0.06)
- Math accuracy (0.03)
Impact of Interventions on Behavior and Achievement (by effect size)
- Social skills programs (0.47)
- Academic interventions (0.46)
- Contingency management programs (0.26)
- Assigning aide to student in classroom (0.02) “Can help reduce pressure on teacher, but does little to enhance learning.”
How-To Resources
Link – Resources (EBI) Attention Seeking
Link – Guide (William & Mary) Classroom Interventions list
Link – Article (CDC) Treatment of ADHD
Link – Guide (WWC) Reducing behavior problems in the Elem School Classroom
Link – Article (CDC) Therapy to improve Children’s Mental Health
Link – Video’s (CHADD) multiple video options
Link – Video (NCMH) Intro to ADHD
Link – Video’s (CHADD) Teacher training ADHD videos
Link – GUIDE (Educ WeeK) Special Education
References
Daley, D., et al (2014). Behavioral interventions in attention-deficit hyperactivity disorder: Meta-analysis, 53(8). Link
DuPaul, G., Eckert, T., (1997). The effects of school-based interventions for attention deficit hyperactivity disorder: Meta-analysis. School Psychology Review, 26(1). Link
Galla, B, & Duckworth, A. (2015). More than resisting temptation: Beneficial habits mediate the relationship between self-control and positive life outcomes. Journal of Personality and Social Psychology, 109 (3). 508-525.
Kortekaas, R. et al (2019). Does methylphenidate improve academic performance? A systematic review and meta-analysis. European Child Adolescent Psychiatry, 28(2). Link
Mischel, W., et. al. (1989). Delay of gratification in children. Science, 244 (4907). 933-938.
Prasad, V., et al (2013). How effective are drug treatments for children with ADHD at improving on-task behavior and academic achievement in the school classroom? Meta-analysis. European Child Adolescent Psychiatry, 22(4). Link
Shoda, Y., et.al. (1990). Predicting adolescent cognitive and self-regulatory competencies from preschool delay of gratification: Identifying diagnostic conditions. Developmental Psychology, 26 (6). 978-986.
Training & Technical Assistance Center (2017). Classroom interventions for attention deficit hyperactivity disorder considerations packet. William & Mary Univ. Link
University of Missouri. Evidence Based Intervention Network (EBI). Link
ADD / ADHD Medication & Program
DEFINITIONS
What is the difference between ADD and ADHD? There is no difference between ADD and ADHD. ADD (attention-deficit disorder) is an outdated term for what is now called ADHD (attention-deficit hyperactivity disorder). Some kids with ADHD have hyperactive behaviors and some don’t, but the diagnosis is ADHD either way.
DATA
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15 meta-analysis reviews
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826 research studies
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60,000 students in research studies
Hattie (2023) p. 183
QUOTES
“Students with ADHD/ADD are more likely to be lower achieving students and this lower achievement and distractibility can be a powerful source of angst for teachers” Daley (2014)
