Knowledge of Attention Deficit Hyperactivity Disorder among Primary School Teachers in Kirkuk City: A Descriptive Cross-Sectional Study
Abstract
Background: Attention Deficit Hyperactivity Disorder (ADHD) significantly impacts academic outcomes, yet teacher knowledge gaps persist globally. This study assesses ADHD knowledge among primary school teachers in Kirkuk, Iraq.
Methods: A cross-sectional study (November 2024-May 2025) included 429 teachers from 88 schools (36 public, 47 special public, 5 private) via random sampling. Data were collected using a validated questionnaire (reviewed by 14 experts) covering ADHD symptoms, causes, and treatments. Analyses used IBM SPSS v20.
Results: The results showed that while general awareness of ADHD was high, only 44.5% of teachers demonstrated a good level of knowledge, particularly lacking in understanding symptoms, causes, and treatment options. A significant difference was found between male and female teachers, with males scoring higher (t (427) = 2.88, p = .005) Female teachers and those with prior ADHD-related training showed higher levels of knowledge. Other demographic factors did not show a significant association.
Conclusion: While ADHD awareness is high, deep knowledge remains limited, especially regarding treatment options. The findings highlight the urgent need for structured teacher training programs and evidence-based information dissemination.
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References
Abouammoh, N., Younis, A., Alwatban, L., Alkhalil, M., Alharbi, R., AlHalabi, R., Alzahrani, S., & Alrwais, S. (2023). Knowledge about attention deficit hyperactivity disorder among primary school teachers in Riyadh, Saudi Arabia. Journal of Nature and Science of Medicine, 6(1), 51–57.
Adamis, D., Tatlow-Golden, M., Hayden, J., Quigley, E., Gavin, B., & McNicholas, F. (2024). Primary and Secondary Education teachers’ Knowledge and Attitudes Towards Attention Deficit Hyperactivity Disorder (ADHD). International Journal of Disability, Development and Education, 1–17. https://doi.org/10.1080/1034912X.2024.2370800
Agnew‐Blais, J., & Michelini, G. (2023). Taking stock of the present and looking to the future of ADHD research: A commentary on Sonuga‐Barke et al. (2023). Journal of Child Psychology and Psychiatry, 64(4), 533–536. https://doi.org/10.1111/jcpp.13758
Al-Amarei, H. M., & Mohamed, S. H. (2020). Assessment of Knowledge and Attitudes toward Attention Deficit/Hyperactivity Disorders among Primary Schools’ Teachers in AL-Najaf City.
Al-Hendawi, M. K., Keller, C., & Alqahwaji, A. (2024). Special Education Teachers’ Self-Efficacy and Knowledge of Learning Disabilities in inclusive Education in Qatar. Journal of Educational Sciences–Qatar University, 24(2). https://journals.qu.edu.qa/index.php/jes/article/view/4544
Al-Robaiaay, Y. K. H. (2013). Knowledge of primary school teachers regarding first aid in Baghdad Al-Rusafa. Al-Kindy College Medical Journal, 9(1), 54–59.
Alsubaie, M., Alshehri, Z., Alawadh, I., Abulreesh, R., Altaweel, H., & Alateeq, D. (2024). Treatment Adherence and Related Factors Among Children with Attention-Deficit/Hyperactivity Disorder in Saudi Arabia. Patient Preference and Adherence, Volume 18, 337–348. https://doi.org/10.2147/PPA.S443481
Al-Wily, M. A. S., Al-Waly, L. A. M., & Ibrahim, R. H. (2020). Teachers’ Knowledge Regarding Attention-Deficit Hyperactivity Disorder between Pupils at Elementary Schools in Mosul City. Medico Legal Update, 20(1), 1259–1264. https://doi.org/10.37506/mlu.v20i1.547
Amha, H., & Azale, T. (2022). Attitudes of primary school teachers and its associated factors toward students with attention deficit hyperactivity disorder in Debre Markos and Dejen Towns, Northwest Ethiopia. Frontiers in Pediatrics, 10, 805440.
Banks, J., MERGEN, R. L., & WILLIAMS, K. F. (2024). A Critical Approach to Reducing Referrals for Diverse Students At-Risk of ADHD. Multiple Voices: Disability, Race, and Language Intersections in Special Education, 24(1), 22–37. https://meridian.allenpress.com/mvedel/article/24/1/22/505847
Carrillo-Sierra, S. M., Silva-Monsalve, G., Cabrera-Gómez, C. C., Gutiérrez-Suárez, C., Rincón-Rodríguez, N., & Rivera-Porras, D. (2023). Psychometric Properties of the Teachers’ Knowledge and Practice Scale for Students with ADHD. Revista Criterios, 30(2), 67–82. http://portal.amelica.org/ameli/journal/659/6594670005/6594670005.pdf
Castanho, J. M., Polanczyk, G, & Rohde LA. (2020). attention deficit hyperactivity disorder. IACAPAP Textbook of Child and Adolescent Mental Health.
Center for Diseases Control and Prevention. (2024, October 25). Treatment of ADHD. Attention-Deficit / Hyperactivity Disorder (ADHD).
central intelligence Agency. (2025, May 21). Iraq. The World Factbook.
Chronis-Tuscano, A., & Bounoua, N. (2024). ADHD Prevalence Rose, Yet Disparities Remain: Commentary on the 2022 National Survey of Children’s Health. Journal of Clinical Child & Adolescent Psychology, 53(3), 361–372. https://doi.org/10.1080/15374416.2024.2359075
Dessie, M., Techane, M. A., Tesfaye, B., & Gebeyehu, D. A. (2021). Elementary school teachers knowledge and attitude towards attention deficit-hyperactivity disorder in Gondar, Ethiopia: A multi-institutional study. Child and Adolescent Psychiatry and Mental Health, 15(1), 16. https://doi.org/10.1186/s13034-021-00371-9
Eltyeb, E. E., Gohal, G. A., Alhazmi, N. H., Hamdi, S., Shutayfi, N. A., Al-Khairat, A. H., Sumayli, H. A., Someli, T. A., Someli, S. A., & Shutayfi, N. (2023). The Efficacy of Educational Interventions in Improving School Teachers’ Knowledge of Attention Deficit Hyperactivity Disorder. Cureus, 15(9).
Faraone, S. V., Bellgrove, M. A., Brikell, I., Cortese, S., Hartman, C. A., Hollis, C., Newcorn, J. H., Philipsen, A., Polanczyk, G. V., & Rubia, K. (2024). Attention-deficit/hyperactivity disorder. Nature Reviews Disease Primers.
Francés, L., Quintero, J., Fernández, A., Ruiz, A., Caules, J., Fillon, G., Hervás, A., & Soler, C. V. (2022). Current state of knowledge on the prevalence of neurodevelopmental disorders in childhood according to the DSM-5: A systematic review in accordance with the PRISMA criteria. Child and Adolescent Psychiatry and Mental Health, 16(1), 27. https://doi.org/10.1186/s13034-022-00462-1
Garcia, M. A., & Johnson, P. D. (2022). Psychology in the Schools. Wiley Online Library.
Hamed, A. S., & Ghafel, H. H. (2022). Evaluation of Elementary School Teachers’ Knowledge about Attention Deficit Hyperactivity Disorder (ADHD). J Contemp Med Sci| Vol, 8(4), 235–238. https://www.iasj.net/iasj/download/7cab0db870833084
Hasan, N. N., Rash, M. Q. H., & Mahmood, N. A. (2023). Burnout and resilience among nurses during COVID-19 in Kirkuk city. Informatics in Medicine Unlocked, 43, 101392. https://www.sciencedirect.com/science/article/pii/S2352914823002381
Hasan, N. N., Sameen, F. Y., Gli, F. A. A., & Abass, K. S. (2019). A Study of Job Burnout among Faculty Teacher at Kirkuk University. Indian Journal of Public Health Research & Development, 10(10). https://search.ebscohost.com/login.aspx?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=09760245&AN=140756514&h=HhtZvjgDjtscv6Snc1e05kd1XhaZpRcASJnzZ5LRXsHg1BYMiPJm7paXIGTxGmqEEx9WmUbzF%2ByJB4A1wTZKVA%3D%3D&crl=c
Hosseinnia, M., Mazaheri, M. A., & Heidari, Z. (2020). Knowledge, attitude, and behavior of elementary teachers regarding attention deficit hyperactivity disorder. Journal of Education and Health Promotion, 9(1), 120. https://journals.lww.com/jehp/fulltext/2020/09000/knowledge,_attitude,_and_behavior_of_elementary.119.aspx
Hussain, E. N., Ashour, Q. K., & Abdulkarim, E. A. (2023). Teachers’ Knowledge about Attention Deficient Hyperactivity Disorder (ADHD) among Student at Primary School in Karbala City. Journal of Population Therapeutics and Clinical Pharmacology, 30(3), Article 3. https://doi.org/10.47750/jptcp.2023.30.03.068
Kennedy, I. (2022). Sample size determination in test-retest and Cronbach alpha reliability estimates. British Journal of Contemporary Education, 2(1), 17–29. https://www.researchgate.net/profile/Muftah-Elbahloul-2/post/What-is-minimum-required-sample-size-to-compute-Cronbachs-alpha-reliability-for-questionnaires-scales/attachment/6461e86597e2867d50912028/AS%3A11431281158392461%401684138084979/download/sample+size+for+relaibility.pdf
Koutsoklenis, A., & Honkasilta, J. (2023). ADHD in the DSM-5-TR: What has changed and what has not. Frontiers in Psychiatry, 13, 1064141. https://doi.org/10.3389/fpsyt.2022.1064141
Lee, S., & Park, J. (2023). Educational Psychology Review. SpringerLink.
Mahone, E. M., & Denckla, M. B. (2017). Attention-Deficit/Hyperactivity Disorder: A Historical Neuropsychological Perspective. Journal of the International Neuropsychological Society: JINS, 23(9–10), 916–929. https://doi.org/10.1017/S1355617717000807
Martín, I. S. M., Blumenfeld Olivares, J. A., Garicano Vilar, E., Echeverry López, M., García Bernat, M., Quevedo Santos, Y., Blanco López, M., Elortegui Pascual, P., Borregon Rivilla, E., & Rincón Barrado, M. (2018). Nutritional and environmental factors in attention-deficit hyperactivity disorder (ADHD): A cross-sectional study. Nutritional Neuroscience, 21(9), 641–647. https://doi.org/10.1080/1028415X.2017.1331952
Milledge, S. V., Cortese, S., Thompson, M., McEwan, F., Rolt, M., Meyer, B., Sonuga-Barke, E., & Eisenbarth, H. (2019). Peer relationships and prosocial behaviour differences across disruptive behaviours. European Child & Adolescent Psychiatry, 28(6), 781–793. https://doi.org/10.1007/s00787-018-1249-2
Mohr-Jensen, C., Steen-Jensen, T., Bang-Schnack, M., & Thingvad, H. (2019). What Do Primary and Secondary School Teachers Know About ADHD in Children? Findings From a Systematic Review and a Representative, Nationwide Sample of Danish Teachers. Journal of Attention Disorders, 23(3), 206–219. https://doi.org/10.1177/1087054715599206
Monteiro, E. M., & Sims, W. (2023). Using a brief web‐based, on demand training to improve preservice teacher knowledge of attention deficit hyperactivity disorder. Psychology in the Schools, 60(9), 3266–3283. https://doi.org/10.1002/pits.22915
Saadoon, N. Y., & Salih, H. S. (2017). Assessment of primary school teachers’ knowledge regarding child abuse in Kirkuk city. Research Journal of Pharmacy and Technology, 10(6), 1929–1933.
Shehata, A., Mahrous,E., & Hassan,Z. (2016). Effectiveness of Structured Teaching Program on Knowledge, Attitude, and Management Strategies among Teachers of Primary School toward Children with ADHD. Journal of Nursing and HealthScience,5(6),29 37.
Smith, Z. R., & Langberg, J. M. (2018). Review of the Evidence for Motivation Deficits in Youth with ADHD and Their Association with Functional Outcomes. Clinical Child and Family Psychology Review, 21(4), 500–526. https://doi.org/10.1007/s10567-018-0268-3
Walpert, M., Zaman, S., & Holland, A. (2021). A Systematic Review of Unexplained Early Regression in Adolescents and Adults with Down Syndrome. Brain Sci. 2021, 11, 1197. Down Syndrome, 107. https://www.academia.edu/download/73353131/pdf.pdf
Ward, R. J., Bristow, S. J., Kovshoff, H., Cortese, S., & Kreppner, J. (2022). The Effects of ADHD Teacher Training Programs on Teachers and Pupils: A Systematic Review and Meta-Analysis. Journal of Attention Disorders, 26(2), 225–244. https://doi.org/10.1177/1087054720972801
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