Navigating ADHD in Belgian Elementary Schools: Teacher Insights and Intervention Gaps

IF 2 4区 医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2025-04-03 DOI:10.1111/cch.70070
Laura Michiels, Jonathan Michiels, David De Coninck, Shauni Van Doren, Jaan Toelen
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Abstract

Background

The presence of pupils with ADHD in the classroom can influence the learning climate, impacting both the individual pupil and the broader class group. However, limited research has examined teachers' perspectives on this impact and on effective classroom approaches to support pupils with ADHD.

Method

We conducted five semistructured focus group discussions with 22 elementary school teachers from different school networks in Flanders, the Dutch-speaking part of Belgium. Data analysis was independently conducted by two researchers.

Results

According to teachers in this study, ADHD behaviour shapes the learning climate both for the pupil and their peers, as well as the broader class relations. Interventions in the approach to a pupil with ADHD can be categorized based on the level of application: individual pupil level or class context level, each encompassing multiple interventions. A key finding is that Flemish primary teachers often feel inadequately trained to address behavioural or attention disorders. Despite available resources in Belgium, such as an ADHD toolkit, their limited awareness and under-implementation in practice pose challenges.

Conclusions

The positive characteristics of a pupil with ADHD were more apparent in our research than in previously conducted studies. We also shed light on interventions within the classroom environment to support learning, such as teachers' mixed feelings about medication administration and the importance of providing information to peers. Most teachers unanimously expressed a significant lack of knowledge regarding classroom interventions due to minimal coverage in their teacher training, highlighting a need for accessible and relevant tools to address ADHD in pupils.

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在比利时小学引导ADHD:教师的见解和干预差距
ADHD学生在课堂上的存在会影响学习氛围,既影响个别学生,也影响更广泛的班级群体。然而,有限的研究调查了教师对这种影响的看法,以及有效的课堂方法来支持患有多动症的学生。方法我们与来自比利时荷兰语区法兰德斯不同学校网络的22名小学教师进行了五次半结构化焦点小组讨论。数据分析由两名研究人员独立进行。结果在这项研究中,教师们认为,多动症的行为不仅影响了学生和他们的同龄人的学习氛围,也影响了更广泛的班级关系。针对ADHD学生的干预措施可以根据应用水平进行分类:个体学生水平或班级环境水平,每一种都包含多种干预措施。一项重要的发现是,佛兰德小学教师经常感到在处理行为或注意力障碍方面缺乏足够的培训。尽管比利时拥有资源,如多动症工具包,但这些资源的认识有限,在实践中实施不足,构成了挑战。结论:与以往的研究相比,本研究中ADHD小学生的积极特征更为明显。我们还阐明了课堂环境中支持学习的干预措施,例如教师对药物管理的复杂感受以及向同龄人提供信息的重要性。大多数教师一致表示,由于教师培训的覆盖范围很小,他们对课堂干预的知识严重缺乏,强调需要可获得的相关工具来解决学生的ADHD问题。
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来源期刊
CiteScore
3.40
自引率
5.30%
发文量
136
审稿时长
4-8 weeks
期刊介绍: Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.
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