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Are Reading Interventions Effective for At-Risk Readers with ADHD? A Meta-Analysis
Elizabeth S M Chan1, Jeffrey A Shero1, Eric D Hand1
1Florida State University, Tallahassee, USA.
Journal of Attention Disorders
|October 24, 2022
Summary
Reading interventions significantly improve reading skills in school-aged children with attention-deficit/hyperactivity disorder (ADHD). Interventions focusing on phonemic awareness and decoding for at least 30 hours are well-established, evidence-based practices for ADHD.
Area of Science:
- Educational Psychology
- Neurodevelopmental Disorders
- Clinical Psychology
Background:
- Attention-deficit/hyperactivity disorder (ADHD) is frequently associated with reading difficulties.
- Systematic quantification of reading intervention efficacy for children with ADHD is lacking.
Approach:
- A multi-level meta-analytic approach was employed.
- 18 studies (N=564) published between 1986 and 2020 were analyzed.
- Studies focused on school-aged children with rigorously diagnosed ADHD.
Key Points:
- Reading interventions demonstrate high effectiveness in improving reading skills for children with ADHD.
- Interventions targeting decoding and phonemic awareness for ≥30 hours meet criteria for Level 1 Evidence-Based Practice.
- Effect sizes were substantial on both curriculum-based (g=1.91) and standardized measures (g=1.11).
Conclusions:
- Reading interventions are highly effective for children with ADHD.
- Specific intervention characteristics (≥30 hours, targeting decoding/phonemic awareness) are crucial for success.
- Reading interventions should be considered first-line treatment for reading difficulties in at-risk children with ADHD.
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