Document Type : Original Article

Authors

1 Department of Health Education and Promotion, Isfahan University of Medical Sciences

2 Department of Biostatistics and Epidemiology, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

INTRODUCTION: Attention deficit hyperactivity disorder (ADHD) is a common disorder in child
psychiatry, which has a greater impact on the future life of the children affected in case of being
untreated and undiagnosed. Given the undeniable role of teachers in improving this disorder and
preventing its destructive consequences on children, the present research has examined the
knowledge, attitude, and practice of elementary school teachers regarding ADHD.
MATERIALS AND METHODS: This was a descriptive, cross‑sectional study carried out in 2019.
One hundred and twenty teachers were randomly selected as samples among public and private
schools in three districts of Isfahan. Data were collected by a self‑administrated questionnaire
including demographic variables, knowledge, attitude, and practice of teachers regarding ADHD
and were analyzed by descriptive and analytical statistics. The Spearman’s and Kendall’ correlation
coefficient, t‑test, and Kolmogorov–Smirnov test were employed, and P < 0.50 was considered
statistically significant.
RESULTS: The findings indicated that 65% of teachers had favorable knowledge toward ADHD, 50%
of them had a favorable attitude, and 56% of their practice was desirable. The questionnaire showed
that only their knowledge about ADHD symptoms was desirable, but their knowledge about cause
of the disorder and its treatment was not sufficient. There was an inverse relationship between the
knowledge, attitude, and practice of teachers with age, and between education and having a child, a
significant direct relationship was discovered. Teachers of public schools compared to private school
teachers had significantly better knowledge, attitude, and practice.
CONCLUSION: Teachers’ knowledge, attitude, and practice regarding ADHD was relatively high.
However, it is necessary to educate teachers about etiology and methods of treatment of this disorder
and behavior management of these students, especially private school teachers who need more
education.

Keywords

1. Lewis E. Including a Pupil with Attention Deficit Hyperactivity
Disorder: Exploring Teachers Perspectives [Dissertation]: Cardiff
Metropolitan University; 2018.
2. Narad ME, Garner AA, Peugh JL, Tamm L, Antonini TN,
Kingery KM, et al. Parent‑teacher agreement on ADHD symptoms
across development. Psychol Assess 2015;27:239‑48.
3. Menikdiwela KR, Vojtova V. Attention‑deficit/hyperactivity
disorder through Sri Lankan primary school teachers’ eyes. J Educ
Pract 2017;8:4‑10.
4. Akbarzadeh D, Hovida F, Galegiroasan N, Mesrabadi J.
Comparison of social skill, impatience and sleep problems among
normal students and students with attention deficit/hyperactivity
disorder. J Urmia Univ Med Sci 2015;25:1067‑75.
5. Hashemi T, Nazari MA, Nourazar G, Abbasi NM. Modern
presentations of ADHD in terms of frequency bands in Quntitiative
Electroencephalography (QEEG): The Modern Theoretical
Approach. Journal of Exceptional Children 2017:17(4):49-64.
6. Adeboye M, Akande T, Osagbemi G, Buhari O, Abdulkadir M,
Ojuawo A. Attention deficit hyperactivity disorder in Ilorin:
Screening with the Conner’s teachers’ rating scale. Sierra Leone
J Biomed Res 2018;10:33‑41.
7. American Psychiatric Publication. Diagnostic and Statistical
Manual of Mental Disorders (DSM‑5®). Amazon.com; 2013.
8. DuPaul GJ, Stoner G. Adhd in the Schools: Assessment and
Intervention Strategies. Amazon.com; 2014.
9. Youssef MK, Hutchinson G, Youssef FF. Knowledge of and
attitudes toward ADHD among teachers: Insights from a
Caribbean nation. Sage Open 2015;5:2158244014566761.
10. Sadock BJ, Sadock VA. Kaplan and Sadock's synopsis of
psychiatry: Behavioral sciences/clinical psychiatry: Lippincott
Williams & Wilkins; 2011.
11. Yadegari N, Sayehmiri K, Azodi MZ, Sayehmiri F, Modara F. The
prevalence of attention deficient hyperactivity disorder among
Iranian children: A meta‑analysis. Iranian Journal of Psychiatry
and Behavioral Sciences: 12 (4); e8990.
12. Khademi M, Rajeziesfahani S, Noorbakhsh S, Panaghi L,
Davari‑Ashtiani R, Razjouyan K, et al. Knowledge and attitude
of primary school teachers in Tehran/Iran towards ADHD and
SLD. Glob J Health Sci 2016;8:141‑51.
13. Shehata A, Mahrous E, Farrag E, Hassan Z. Effectiveness of
structured teaching program on knowledge, attitude, and
management strategies among teachers of primary school toward
children with attention deficit hyperactivity disorder. IOSR J Nurs
Health Sci 2016;5:29‑37.
14. Hakimjavadi M, Gholamali Lavasani M, Shakouri H,
Abdolahifar A, Momeni F. Comparison of the efficacy of
behavioral, medicinal and combination of behavioral and
medicinal therapy on reduction of hyperactivity/attention deficit
disorder symptoms in children. Journal of Gorgan University of
Medical Sciences. 2015;17(1).
15. Flanigan L, Climie E. Teachers’ knowledge of ADHD: Review
and recommendations. Emerg Perspect 2018;2:1‑3.
16. Al‑Omari H, Al‑Motlaq MA, Al‑Modallal H. Knowledge of
and attitude towards attention‑deficit hyperactivity disorder
among primary school teachers in Jordan. Child Care Pract
2015;21:128‑39.
17. Latouche AP, Gascoigne M. In‑service training for increasing
teachers’ ADHD knowledge and self‑efficacy. J Atten Disord
2019;23:270‑81.
18. Khodabakhshi Koolaee A, Shahi A, Navidian A, Mosalanejad L.
The effect of positive parenting program training in mothers of children with attention deficit hyperactivity on reducing children’s
externalizing behavior problems. Journal of Fundamentals of
Mental Health. 2015;17(3).
19. Alfageer HH, Aldawodi MD, Al Queflie SA, Masud N,
Al Harthy NA, Alogayyel N, et al. Knowledge and attitude of male
primary school teachers about attention deficit and hyperactivity
disorder in Riyadh, Saudi Arabia. J Nat Sci Biol Med 2018;9:257.
20. Mulholland SM, Cumming TM, Jung JY. Teacher attitudes
towards students who exhibit ADHD‑type behaviours. Aust J
Spec Educ 2015;39:15‑36.
21. Shroff HP, Hardikar‑Sawant S, Prabhudesai AD. Knowledge
and misperceptions about attention deficit hyperactivity
disorder (ADHD) among school teachers in Mumbai, India. Int J
Disabil Dev Educ 2017;64:514‑25.
22. Amiri S, Noorazar SG, Fakhari A, Darounkolaee AG,
Gharehgoz AB. Knowledge and attitudes of preschool teachers
regarding attention deficit hyperactivity disorder. Iranian Journal
of Pediatrics. 2017; 27(1):e3834.
23. Moldavsky M, Pass S, Sayal K. Primary school teachers’ attitudes
about children with attention deficit/hyperactivity disorder
and the role of pharmacological treatment. Clin Child Psychol
Psychiatry 2014;19:202‑16.
24. Walczak S, Estrada RD. Ameliorating negative perceptions of
attention deficit hyperactivity disorder (ADHD) students. SM J
Community Med 2017;3:1025.
25. Atkinson IM, Robinson JA, Shute RH. Between a rock and a hard
place: An Australian perspective on education of children with
ADHD. Educ Child Psychol 1997;14:21‑30.
26. Lasisi D, Ani C, Lasebikan V, Sheikh L, Omigbodun O. Effect of
attention‑deficit‑hyperactivity‑disorder training program on the
knowledge and attitudes of primary school teachers in Kaduna,
North West Nigeria. Child Adolesc Psychiatry Ment Health
2017;11:15.
27. Soroa M, Gorostiaga A, Balluerka N. Review of Tools Used For
Assessing Teachers’ Level of Knowledge With Regards Attention
Deficit Hyperactivity Disorder (ADHD). Attention Deficit
Hyperactivity Disorder in Children and Adolescents. IntechOpen;
2013.
28. Ghanizadeh A, Bahredar MJ, Moeini SR. Knowledge and
attitudes towards attention deficit hyperactivity disorder among
elementary school teachers. Patient Educ Couns 2006;63:84‑8.
29. Koosha M, Soleymani R, Mehrabadi A. Knowledge attitude
and performance of primary school teachers dealing with
attention deficit hyperactivity disorder. J Guilan Univ Med Sci
2012;20:26‑33.
30. Salamatbakhsh N, Khademi M, Noorbakhsh S, Esfahani SR,
Ashtiani RD, Razjouyan K. Investigating the knowledge
and attitude of primary school teachers in Tehran towards
attention‑deficit/hyperactivity and learning disorders and their
relation to teacher’s characteristics. Sci J Rehabil Med 2016;
5(3): 1-11.
31. Yoo IY, Ra J, Oh E, Kim M. Knowledge and Attitude to
Attention Deficit Hyperactive Disorder in Korean Preschool
Teachers. Journal of Korean Academy of Child Health Nursing.
2009;15 (4):383‑91.
32. Jimoh M. Knowledge and Attitudes towards Attention Deficit
Hyperactivity Disorder among Primary School Teachers in
Lagos State, Nigeria. Advances in Life Science and Technology.
2014;23 (9).
33. Blotnicky‑Gallant P, Martin C, McGonnell M, Corkum P. Nova
Scotia teachers’ ADHD knowledge, beliefs, and classroom
management practices. Canadian Journal of School Psychology.
2015;30 (1):3‑21.
34. Nighat M, Nighat N, Zia I. Knowledge, attitude and practices
towards attention deficit hyperactivity disorder among private
elementary school teachers of Karachi, Pakistan. Journal of the
Dow University of Health Sciences. 2017;11 (1):11‑7.
35. Alkahtani KD. Teachers’ knowledge and misconceptions
of attention deficit/hyperactivity disorder. Psychology.
2013;4 (12):963.
36. Brook U, Watemberg N, Geva D. Attitude and knowledge of
attention deficit hyperactivity disorder and learning disability
among high school teachers. Patient education and Counseling.
2000;40 (3):247‑52.
37. Badeleh MT. Attention Deficit Hyperactivity Disorder and
Elementary Teachers awareness. J Med Sci. 2013;13 (8):829‑33.