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The Association Between Behavioral Attention and Academic Achievement: A Meta-Analysis

Anthony Gioia, University of Houston, Houston, United States
Peng Peng, University of Texas at Austin, Austin, United States
Matthew Gallagher, University of Houston, Houston, United States
Jeremy Miciak, University of Houston, Houston, United States
Michael Williams, University of Houston, Houston, United States
Abigail Farrell, University of Houston, Houston, United States
Cassidy Salentine, University of Houston, Houston, United States
Cristina Boada, University of Houston, Houston, United States
Ileana Dragoi, University of Houston, Houston, United States
Sirine Harmouch, University of Houston, Houston, United States
Andrea Ortiz-Jimenez, University of Houston, Houston, United States
Paul Cirino, University of Houston, Houston, United States



Objective:

Extant literature has found attention and academic achievement to be related at multiple levels throughout development (Macdonald et al., 2021; Rogers et al., 2011; Scholtens et al., 2013). Surprisingly, there are no comprehensive meta-analytic studies of the size of this effect. Therefore, the present study evaluates the relation between behavioral attention and academic achievement with moderators assessing: (1) study design type (group-based versus correlational); (2) type of attention (inattention versus hyperactivity); (3) academic domain (e.g., reading, writing, math) and subskills (e.g., decoding, fluency, comprehension); (4) rater (parent versus teacher); (5) gender; and (6) age.

Participants and Methods:

There were 106 studies and over 450 individual effect sizes included. Included studies had: (1) students from Kindergarten to undergraduate level; (2) an ADHD group or behavioral attention rating measure; (3) an academic achievement measure; and (4) effect size availability (mean difference or correlation). All effect sizes were converted to pooled correlations, r. Analyses were conducted in R.

Results:

The overall pooled correlation for behavioral attention and academic achievement was r = -.25 (p < .001). Meta-regression analyses were completed and significantly differed for the moderators of behavioral attention type (inattention r = -.30, hyperactivity/impulsivity r = -.13), and behavior attention rater (parent r = -.19, teacher r = -.34). There were no significant differences for the moderators of study type, academic domain or subskill, gender, or age. Post-hoc analyses found that higher academic level (e.g., combined reading comprehension, written expression, and math word problems) was more related to behavioral attention than low academic level (e.g., combined decoding, spelling, and math computation), β = -.10, t =-3.21, p < .01, 95% CI [-.17, -.04].

Conclusions:

Overall, this meta-analysis quantified and systematized the sporadically known significant negative relation between behavioral attention and academic achievement using scientifically rigorous methodology. Results also highlight the importance of inattention (relative to hyperactivity) and teacher ratings (relative to parents) for academic achievement. These findings can help inform how students can be most appropriately identified (i.e., teacher report), which students are at greater risk of achievement difficulties (i.e., inattentive students), and which academic areas (i.e., higher-level academics) are a potential target for intervention.

Category: ADHD/Attentional Functions

Keyword 1: academic achievement
Keyword 2: attention
Keyword 3: attention deficit hyperactivity disorder