Teacher Practical Guidance:

ADD / ADHD Medication & Programs

Category: External

Rank Order

61

Effect Size

0.30

Achievement Gain %

11

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.”

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

  • 15 meta-analysis reviews

  • 826 research studies

  • 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)