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Remote Learning During COVID-19: Examining School Practices, Service Continuation, and Difficulties for Adolescents with and without Attention-Deficit/Hyperactivity Disorder

April 6, 2021

Becker SP, Breaux R, Cusick CN, Dvorsky MR, Marsh NP, Sciberras E, Langberg JM.

J Adolesc Health. 2020 Oct 14:S1054-139X(20)30523-1.
doi: 10.1016/j.jadohealth.2020.09.002.

Commentary* by Dr. Margaret Weiss: Some children with neurodevelopmental disorders may not be able to use remote learning. More research is needed to identify children who are unable to engage in remote or hybrid education, to understand what drives this difficulty, and how to remediate it.


Purpose: This study examined remote learning practices and difficulties during initial stay-at-home orders during the COVID-19 pandemic in adolescents with and without attention-deficit/hyperactivity disorder (ADHD).

Methods: Participants were 238 adolescents (132 males; 118 with ADHD) aged 15.64-17.99 years and their parents. Adolescents and parents completed questionnaires in May/June 2020 when in-person schools were closed in the U.S.

Results: Twenty-two percent of families incurred financial costs to support remote learning, and only 59% of school-based services received before COVID-19 continued during COVID-19 remote learning. Adolescents with ADHD had fewer routines and more remote learning difficulties than adolescents without ADHD. Parents of adolescents with ADHD had less confidence in managing remote learning and more difficulties in supporting home learning and home-school communication. Thirty-one percent of parents of adolescents with ADHD with an Individualized Education Program (IEP) or receiving academic accommodations (504 Plan) reported remote learning to be very challenging, compared with 18% of parents of adolescents with ADHD without an IEP/504 Plan, and only 4% of parents of adolescents with neither ADHD nor an IEP/504 Plan. Fewer adolescent routines, higher negative affect, and more difficulty concentrating because of COVID-19 were each associated with greater adolescent remote learning difficulties only in adolescents with ADHD.

Conclusions: This study provides initial findings of the nature and impact of remote learning during the COVID-19 pandemic. It is imperative for schools and communities to provide the necessary supports to adolescents, particularly those with mental health and/or learning difficulties, and to their parents.

* Abstracts are selected for their clinical relevance by Dr. Margaret Weiss, Director of Clinical Research, Child Psychiatry, Cambridge Health Alliance, Harvard University. Her commentary reflects her own opinion. It is not approved or necessarily representative of the CADDRA board.


Dr. Margaret Weiss is a member of Revibe Technologies' Scientific and Medical Advisory Board.

Morgan Koder

Written by Morgan Koder

Morgan graduated from UNC Chapel Hill in 2013 with degrees in Economics and Political Science and realized her love for marketing during an extended pit stop in corporate technology sales. A wordsmith at heart, she loves communicating through the various marketing content she produces. She joined Team Revibe in 2018 to help launch Revibe Connect, the company's newest invention.