Effectiveness of educational accommodations and interventions for students with ADHD: An integrative literature review
DOI:
https://doi.org/10.33448/rsd-v15i3.50720Keywords:
Attention Deficit Hyperactivity Disorder, Educational Interventions, Academic Performance, Self-Regulation, Teaching.Abstract
Objective: To critically synthesize the scientific evidence on non-pharmacological educational interventions and accommodations aimed at improving academic performance and school engagement in children and adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD). Methods: This study is an integrative literature review guided by the PICO strategy. Electronic searches were conducted in PubMed, SciELO and EBSCOHost databases, including studies published in Portuguese and English between 2011 and 2025. Eligible studies addressed school-based non-pharmacological interventions, including assessment accommodations, physical classroom adaptations, organizational and self-management strategies, behavioral interventions, and technology-based approaches. The study selection process was guided by the PRISMA guidelines. Results: The findings indicate that widely implemented accommodations, such as extended testing time, provide limited and non-specific benefits for students with ADHD. In contrast, individualized interventions—particularly those targeting organizational skills, self-regulation, continuous behavioral support, and environmental modifications—demonstrated more consistent improvements in academic engagement, executive functioning, and classroom behavior. Technology-based interventions showed domain-specific cognitive benefits, especially in attention and working memory, but did not replace broader treatment approaches. Conclusion: The evidence supports the implementation of individualized, evidence-based educational interventions as a core component of multimodal ADHD management. Structured and personalized strategies appear more effective than generic accommodations, underscoring the importance of integrated school and family involvement to optimize academic outcomes.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
Barcelos, F. de O., Campelo, R. P., Araújo, M. G. de, & Oliveira, R. A. de. (2025). A contribuição do psicopedagogo para a aprendizagem do educando com TDAH: The contribution of the psychopedagogue to the learning of students with ADHD. RCMOS – Revista Científica Multidisciplinar O Saber, 1(1). https://doi.org/10.51473/rcmos.v1i1.2025.931
Chacko, A., Merrill, B. M., Kofler, M. J., & Fabiano, G. A. (2024). Improving the efficacy and effectiveness of evidence-based psychosocial interventions for attention-deficit/hyperactivity disorder (ADHD) in children and adolescents. Translational Psychiatry, 14(1), 244. https://doi.org/10.1038/s41398-024-02890-3
Cole, A. M., Chan, E. S. M., Gaye, F., Harmon, S. L., & Kofler, M. J. (2024). The role of working memory and organizational skills in academic functioning for children with attention-deficit/hyperactivity disorder. Neuropsychology, 38(6), 487–500. https://doi.org/10.1037/neu0000960
Crossetti, M. G. O. (2012). Revisão integrativa de pesquisa na enfermagem o rigor cientifico que lhe é exigido. Rev Gaúcha Enferm. 33(2):8-9.
Dekkers, T. J., Huizenga, H. M., Bult, J., Popma, A., & Boyer, B. E. (2021). The importance of parental knowledge in the association between ADHD symptomatology and related domains of impairment. European Child & Adolescent Psychiatry, 30(4), 657–669. https://doi.org/10.1007/s00787-020-01579-4
Dong, Y., Chow, B. W.-Y., Mo, J., & Zheng, H.-Y. (2023). Dialogic reading with attention-deficit/hyperactivity disorder (ADHD) kindergarteners: Does reading with parents or siblings enhance their language development? Developmental Psychology, 59(5), 862–873. https://doi.org/10.1037/dev0001466
Dovis, S., van der Oord, S., Wiers, R. W., & Prins, P. J. M. (2015). Improving executive functioning in children with ADHD: Training multiple executive functions within the context of a computer game. A randomized double-blind placebo-controlled trial. PLOS ONE, 10(4), e0121651. https://doi.org/10.1371/journal.pone.0121651
Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.
Evans, S. W., Allan, D., Xiang, J., Margherio, S. M., Owens, J. S., & Langberg, J. M. (2021). Organization interventions as a mediator of change in grades in the Challenging Horizons Program. Journal of School Psychology, 87, 18–27. https://doi.org/10.1016/j.jsp.2021.05.001
Fabio, R. A., Caprì, T., Iannizzotto, G., Nucita, A., & Mohammadhasani, N. (2019). Interactive avatar boosts the performances of children with attention deficit hyperactivity disorder in dynamic measures of intelligence. Cyberpsychology, Behavior, and Social Networking, 22(9), 588–596. https://doi.org/10.1089/cyber.2018.0711
Fernández-Quezada, D., Martínez-Fernández, D. E., Fuentes, I., García-Estrada, J., & Luquin, S. (2025). The influence of noise exposure on cognitive function in children and adolescents: A meta-analysis. NeuroSci, 6(1), 22. https://doi.org/10.3390/neurosci6010022
Frolli, A., Cerciello, F., Esposito, C., Ricci, M. C., Laccone, R. P., & Bisogni, F. (2023). Universal design for learning for children with ADHD. Children, 10(8), 1350. https://doi.org/10.3390/children10081350
Harrison, J. R., Evans, S. W., Baran, A., Khondker, F., Press, K., Noel, D., Wasserman, S., Belmonte, C., & Mohlmann, M. (2020). Comparison of accommodations and interventions for youth with ADHD: A randomized controlled trial. Journal of School Psychology, 80, 15–36. https://doi.org/10.1016/j.jsp.2020.05.001
Iznardo, M., Rogers, M. A., Volpe, R. J., Labelle, P. R., & Robaey, P. (2020). The effectiveness of daily behavior report cards for children with ADHD: A meta-analysis. Journal of Attention Disorders, 24(12), 1623–1636. https://doi.org/10.1177/1087054717734646
Jansen, D., Petry, K., Evans, S. W., Noens, I., & Baeyens, D. (2019). The implementation of extended examination duration for students with ADHD in higher education. Journal of Attention Disorders, 23(14), 1746–1758. https://doi.org/10.1177/1087054718787879
Kariippanon, K. E., Cliff, D. P., Ellis, Y. G., Ucci, M., Okely, A. D., & Parrish, A.-M. (2021). School flexible learning spaces, student movement behavior and educational outcomes among adolescents: A mixed-methods systematic review. Journal of School Health, 91(2), 133–145. https://doi.org/10.1111/josh.12984
Kates, M. S., & LaFreniere, L. S. (2025). School-based interventions for attention-deficit/hyperactivity disorder (ADHD) in middle schools: A review of the literature. Education Sciences, 15(9), 1225. https://doi.org/10.3390/educsci15091225
Kofler, M. J., Rapport, M. D., Bolden, J., Sarver, D. E., & Raiker, J. S. (2016). Is hyperactivity ubiquitous in ADHD or dependent on environmental demands? Evidence from meta-analysis. Clinical Psychology Review, 46, 12–24. https://doi.org/10.1016/j.cpr.2016.04.004
Langberg, J. M., Epstein, J. N., Girio, E. L., Becker, S. P., Vaughn, A. J., & Altaye, M. (2011). Materials organization, planning, and homework completion in middle school students with ADHD: Impact on academic performance. School Mental Health, 3(2), 93–101. https://doi.org/10.1007/s12310-011-9052-y
Lee, H., Lee, S., Hwang, M., & Woo, K. (2025). Effectiveness of game-based digital intervention for attention-deficit hyperactivity disorder in children and adolescents: A systematic review and meta-analysis using Beard and Wilson’s conceptualization of perception in experiential learning. European Child & Adolescent Psychiatry, 34, 3853–3869. https://doi.org/10.1007/s00787-025-02788-5
Levenberg, A., & Abu Reesh, S. (2023). Learning from recorded lectures: Perceptions of students with ADHD. Journal of Attention Disorders, 27(9), 960–972. https://doi.org/10.1177/10870547231171725
Lovett, B. J., & Nelson, J. M. (2021). Systematic review: Educational accommodations for children and adolescents with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 60(4), 448–457. https://doi.org/10.1016/j.jaac.2020.07.891
Mealings, K., & Buchholz, J. M. (2025). A scoping review of how classroom environments and activities affect listening, learning and wellbeing in children with ADHD by applying the L³ Assessment Framework. European Journal of Special Needs Education, 1–25. https://doi.org/10.1080/08856257.2025.2536494
Morrow, A. S., Villodas, M. T., Frazier, S. L., Raiker, J. R., Liriano, M. M., English, A. J., Lozano, C. M., Campez, M., Lesperance, S., & Little, K. J. (2022). Mixed‑method examination of Latinx teachers’ perceptions of daily behavioral report card interventions to support students with ADHD. Administration and Policy in Mental Health and Mental Health Services Research, 49(1), 29–43. https://doi.org/10.1007/s10488-021-01140-8
Öncü, B. K., & İnözü, M. (2025). Psychological and psychosocial interventions in attention deficit hyperactivity disorder: A systematic review. Turkish Journal of Psychiatry. https://doi.org/10.5080/u27201
Page, M. J. et al. (2021) PRISMA 2020. Explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. bmj, 372.
Pandian, G. S. B., Jain, A., Raza, Q., & Sahu, K. K. (2021). Digital health interventions (DHI) for the treatment of attention deficit hyperactivity disorder (ADHD) in children – A comparative review of literature among various treatment and DHI. Psychiatry Research, 297, 113742. https://doi.org/10.1016/j.psychres.2021.113742
Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Santa Maria/RS. Ed. UAB/NTE/UFSM
Peterson, B. S., Trampush, J., Maglione, M., Bolshakova, N., Pakdaman, S., Rozelle, C., … Hempel, S. (2024). Treatments for ADHD in children and adolescents: A systematic review. Pediatrics, 153(4), e2024065787. https://doi.org/10.1542/peds.2024-065787
Risemberg, R. I. C., Wakin, M., & Shitsuka, R. (2026). A importância da metodologia científica no desenvolvimento de artigos científicos. Revista E-Acadêmica. 7(1), e0171675. https://doi.org/10.52076/eacad-v7i1.675. https://eacademica.org/eacademica/article/view/675
Saka, N., Malinovitch, T., & Shlepack, S. (2025). Give me a break: Assessing the effectiveness of test-break with small-group testing accommodations for individuals with attention-deficit hyperactivity disorder. Assessment and Evaluation in Higher Education, 50(8), 1188–1206. https://doi.org/10.1080/02602938.2025.2547053
Salari, N., Ghasemi, H., Abdoli, N., Rahmani, A., Shiri, M. H., Hashemian, A. H., Akbari, H., & Mohammadi, M. (2023). The global prevalence of ADHD in children and adolescents: A systematic review and meta‑analysis. Italian Journal of Pediatrics, 49(1), 48. https://doi.org/10.1186/s13052-023-01456-1
Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of Business Research, Elsevier. 104(C), 333-9. Doi: 10.1016/j.jbusres.2019.07.039.
Stanić, V., Žnidarič, T., Repovš, G., & Geršak, G. (2022). Dynamic seat assessment for enabled restlessness of children with learning difficulties. Sensors, 22(9), 3170. https://doi.org/10.3390/s22093170
Sunde, H. F., Kleppestø, T. H., Gustavson, K., Nordmo, M., Reme, B.-A., & Torvik, F. A. (2022). The ADHD deficit in school performance across sex and parental education: A prospective sibling‑comparison register study of 344,152 Norwegian adolescents. JCPP Advances, 2(1), Article e12064. https://doi.org/10.1002/jcv2.12064
Thomas, N. & Karuppali, S. (2022). The efficacy of visual activity schedule intervention in reducing problem behaviors in children with attention-deficit/hyperactivity disorder between the age of 5 and 12 years: A systematic review. Journal of Korean Academy of Child and Adolescent Psychiatry, 33(1), 2–15. https://doi.org/10.5765/jkacap.210021
Veenman, B., Luman, M., & Oosterlaan, J. (2018). Efficacy of behavioral classroom programs in primary school: A meta‑analysis focusing on randomized controlled trials. PLOS ONE, 13(10), e0201779. https://doi.org/10.1371/journal.pone.0201779
Volpe, R. J., & Fabiano, G. A. (2013). Daily behavior report cards: An evidence-based system of assessment and intervention. Guilford Press.
Witmer, S. E., Barker, E., Marinho, N., & Barrett, C. A. (2024). The extended time test accommodation conundrum: Accessing test process data to help improve decision-making. Journal of Applied School Psychology, 40(4), 340–360. https://doi.org/10.1080/15377903.2024.2405812
Wong, K. P., Qin, J., Xie, Y. J., & Zhang, B. (2023). Effectiveness of technology-based interventions for school-age children with attention-deficit/hyperactivity disorder: Systematic review and meta-analysis of randomized controlled trials. JMIR Mental Health, 10, e51459. https://doi.org/10.2196/51459
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