Authors: Navoda Wijerathna; Charith Wijerathne; Himeshika Wijeratne; Chathuri Wijesiri; Randika Wijerathna; Windhya Wijerathna; Janith Warnasekara; Thilini Agampodi; Shashanka Rajapakse · Research
How Much Do Teachers Know About ADHD in Children?
A study of teachers in rural Sri Lanka finds gaps in knowledge about ADHD but positive attitudes toward helping affected students.
Source: Wijerathna N, et al. (2023). Knowledge and attitudes on attention deficit hyperactivity disorder (ADHD) among school teachers in Anuradhapura district, Sri Lanka: a descriptive cross-sectional study. BMJ Open, 13:e080039. https://doi.org/10.1136/bmjopen-2023-080039
What you need to know
- Teachers in rural Sri Lanka have limited knowledge about ADHD in children, with many misconceptions about the condition
- However, teachers generally have positive attitudes toward helping students with ADHD
- Providing better education and training about ADHD for teachers could improve identification and support for affected students
Teachers play a key role in identifying ADHD
Attention deficit hyperactivity disorder (ADHD) is a common condition that affects many children’s ability to focus, control impulses, and regulate their activity level. Because ADHD symptoms often become apparent in the classroom setting, teachers are in a unique position to notice signs of the disorder and help affected students get appropriate support.
However, teachers’ ability to recognize and assist students with ADHD depends on having accurate knowledge about the condition. To explore this issue, researchers surveyed 458 teachers from 21 schools in the rural Anuradhapura district of Sri Lanka. They assessed the teachers’ knowledge, attitudes, and sources of information regarding ADHD.
Limited knowledge but positive attitudes
The study found that teachers’ overall knowledge about ADHD was quite limited. On a 39-point scale measuring ADHD knowledge, the median score was only 11 points. Over 45% of teachers lacked sufficient knowledge about the condition.
Some key findings about teachers’ knowledge:
- Only 28.2% of responses to knowledge questions were correct
- 24.5% of responses reflected misconceptions about ADHD
- 45.5% of responses were “don’t know” answers
Despite the knowledge gaps, teachers generally had positive attitudes toward students with ADHD symptoms. On scales measuring attitudes toward hyperactive and inattentive behaviors, teachers scored above the midpoint, indicating favorable views overall.
Common misconceptions
The study revealed several widespread misconceptions about ADHD among teachers:
- 63.5% incorrectly believed children with ADHD have more problems in new situations than familiar ones
- 61.1% thought an ADHD diagnosis alone makes a child eligible for special education
- 61.1% incorrectly believed children with ADHD do not often have trouble organizing tasks
- 56.8% wrongly attributed ADHD to ineffective parenting
- 12% believed punishment would improve outcomes for children with ADHD
These misconceptions could lead teachers to misinterpret students’ behaviors or recommend ineffective strategies for managing ADHD symptoms.
Reliance on informal information sources
When asked about their sources of ADHD information, most teachers (76%) said they relied primarily on informal knowledge gained through classroom experience. Other common sources included:
- Electronic media (60%)
- Print media (52.8%)
- Seminars (42.6%)
However, 67.7% of teachers said they would prefer to learn about ADHD through formal seminars. This suggests teachers recognize the need for more reliable information but may lack access to appropriate training opportunities.
Implications for supporting students with ADHD
The study’s findings have important implications for how children with ADHD are identified and supported in schools:
Early identification: Teachers with limited ADHD knowledge may miss signs of the condition in students. This could delay diagnosis and treatment.
Classroom management: Misconceptions about ADHD could lead teachers to use ineffective strategies for helping affected students. For instance, teachers who believe punishment improves ADHD symptoms may take counterproductive disciplinary approaches.
Stigma: While teachers’ attitudes were generally positive, some misconceptions could contribute to stigma. For example, the belief that ADHD stems from poor parenting may lead to unfair judgments of families.
Referrals: Teachers play a key role in recommending students for evaluation. Limited knowledge may result in under-referral of students who need assessment.
Educational planning: Misconceptions about special education eligibility could affect how schools plan supports for students with ADHD.
Recommendations for improvement
Based on the study’s findings, the researchers recommend:
Providing comprehensive ADHD training for teachers, especially those newly entering the profession
Integrating ADHD education into teachers’ initial training programs
Offering ongoing professional development to keep teachers updated on ADHD
Improving school health programs to better address mental and behavioral disorders
Increasing collaboration between schools and mental health professionals
By enhancing teachers’ knowledge about ADHD, schools can create more supportive environments for affected students. This may help children with ADHD reach their full academic and social potential.
Cultural considerations
It’s important to note that this study focused on teachers in a rural area of Sri Lanka. The findings may not fully apply to urban settings or other countries. Cultural factors can influence how ADHD is perceived and addressed in different regions.
For instance, the study found lower ADHD knowledge scores compared to similar research in some other countries. This may reflect differences in teacher training, available resources, or cultural views on child behavior and mental health.
However, the positive attitudes of teachers despite limited knowledge is encouraging. It suggests teachers are open to learning more about ADHD and supporting affected students.
The need for a systematic approach
Currently, Sri Lanka lacks a systematic program for educating teachers about ADHD. The study’s findings highlight the urgent need to address this gap.
Implementing comprehensive teacher training on ADHD could have far-reaching benefits, including:
- Earlier identification of affected students
- More effective classroom management strategies
- Reduced stigma surrounding ADHD
- Improved academic and social outcomes for children with ADHD
- Better collaboration between schools and healthcare providers
While the study focused on Sri Lanka, its implications likely apply to many other regions where teacher education on ADHD may be limited. Globally, there is a need to ensure educators have accurate, up-to-date knowledge about this common condition.
Conclusions
- Teachers in rural Sri Lanka have significant knowledge gaps and misconceptions about ADHD in children
- Despite limited knowledge, teachers generally have positive attitudes toward students with ADHD symptoms
- Providing systematic education and training on ADHD for teachers could improve support for affected students
- Cultural factors may influence perceptions of ADHD, highlighting the need for locally-relevant teacher training
- Globally, ensuring educators have accurate ADHD knowledge is crucial for supporting students with the condition
By addressing the knowledge gaps identified in this study, schools can empower teachers to better recognize and assist students with ADHD. This proactive approach can help create more inclusive, supportive learning environments for all children.