Pre-K–12 Teachers’ Views on ASD+ADHD: Prevalence Estimates and Teaching Preparedness

Background/Objectives: Teachers play a significant role in the identification and intervention of neurodevelopmental disorders such as ASD and ADHD. However, their perceptions of ASD+ADHD comorbidity remain underexplored. This study investigates teachers’ estimates of ASD+ADHD prevalence and their p...

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Main Authors: Sidni A. Justus, Emily M. Pogue, Victoria Simanovich
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/12/3/342
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author Sidni A. Justus
Emily M. Pogue
Victoria Simanovich
author_facet Sidni A. Justus
Emily M. Pogue
Victoria Simanovich
author_sort Sidni A. Justus
collection DOAJ
description Background/Objectives: Teachers play a significant role in the identification and intervention of neurodevelopmental disorders such as ASD and ADHD. However, their perceptions of ASD+ADHD comorbidity remain underexplored. This study investigates teachers’ estimates of ASD+ADHD prevalence and their perceived preparedness to teach students with co-occurring diagnoses, exploring key predictors of both outcomes. Methods: Pre-K-12 teachers (<i>N</i> = 199) completed demographic questions and four additional questionnaires assessing ASD- and ADHD-specific knowledge, neurodiversity attitudes and overall teaching self-efficacy. Participants estimated the prevalence of ASD+ADHD comorbidity and rated their preparedness to instruct students with ASD+ADHD, ASD-only, and ADHD-only. Regression analyses examined factors predicting prevalence estimates and preparedness. Results: Teachers underestimated the lifetime prevalence of ASD+ADHD, though current prevalence estimates were more aligned with meta-analytic findings. Personal experience and current teaching of comorbid students predicted higher prevalence estimates, whereas greater ASD knowledge was associated with lower estimates. Preparedness to teach ASD+ADHD was rated lower than for ASD-only or ADHD-only students. Self-efficacy, neurodiversity attitudes, and professional training were predictors of preparedness. Current teaching of comorbid students, disorder-specific knowledge, and total years of teaching experience showed inconsistent associations across conditions. Conclusions: Findings suggest that while direct experience and training enhance both awareness and preparedness, disorder-specific knowledge alone does not consistently translate to confidence in supporting students with co-occurring diagnoses. Implications for teacher training and the need for comorbidity-focused professional development are discussed.
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spelling doaj-art-dc4ef5d6d30e4ce29bb5c621936921772025-08-20T02:11:25ZengMDPI AGChildren2227-90672025-03-0112334210.3390/children12030342Pre-K–12 Teachers’ Views on ASD+ADHD: Prevalence Estimates and Teaching PreparednessSidni A. Justus0Emily M. Pogue1Victoria Simanovich2Department of Psychological Science, Kennesaw State University, Kennesaw, GA 30144, USACollege of Science and Mathematics, Kennesaw State University, Kennesaw, GA 30144, USADepartment of Psychological Science, Kennesaw State University, Kennesaw, GA 30144, USABackground/Objectives: Teachers play a significant role in the identification and intervention of neurodevelopmental disorders such as ASD and ADHD. However, their perceptions of ASD+ADHD comorbidity remain underexplored. This study investigates teachers’ estimates of ASD+ADHD prevalence and their perceived preparedness to teach students with co-occurring diagnoses, exploring key predictors of both outcomes. Methods: Pre-K-12 teachers (<i>N</i> = 199) completed demographic questions and four additional questionnaires assessing ASD- and ADHD-specific knowledge, neurodiversity attitudes and overall teaching self-efficacy. Participants estimated the prevalence of ASD+ADHD comorbidity and rated their preparedness to instruct students with ASD+ADHD, ASD-only, and ADHD-only. Regression analyses examined factors predicting prevalence estimates and preparedness. Results: Teachers underestimated the lifetime prevalence of ASD+ADHD, though current prevalence estimates were more aligned with meta-analytic findings. Personal experience and current teaching of comorbid students predicted higher prevalence estimates, whereas greater ASD knowledge was associated with lower estimates. Preparedness to teach ASD+ADHD was rated lower than for ASD-only or ADHD-only students. Self-efficacy, neurodiversity attitudes, and professional training were predictors of preparedness. Current teaching of comorbid students, disorder-specific knowledge, and total years of teaching experience showed inconsistent associations across conditions. Conclusions: Findings suggest that while direct experience and training enhance both awareness and preparedness, disorder-specific knowledge alone does not consistently translate to confidence in supporting students with co-occurring diagnoses. Implications for teacher training and the need for comorbidity-focused professional development are discussed.https://www.mdpi.com/2227-9067/12/3/342ASDADHDneurodevelopmental disorderscomorbidityneurodiversityinclusive education
spellingShingle Sidni A. Justus
Emily M. Pogue
Victoria Simanovich
Pre-K–12 Teachers’ Views on ASD+ADHD: Prevalence Estimates and Teaching Preparedness
Children
ASD
ADHD
neurodevelopmental disorders
comorbidity
neurodiversity
inclusive education
title Pre-K–12 Teachers’ Views on ASD+ADHD: Prevalence Estimates and Teaching Preparedness
title_full Pre-K–12 Teachers’ Views on ASD+ADHD: Prevalence Estimates and Teaching Preparedness
title_fullStr Pre-K–12 Teachers’ Views on ASD+ADHD: Prevalence Estimates and Teaching Preparedness
title_full_unstemmed Pre-K–12 Teachers’ Views on ASD+ADHD: Prevalence Estimates and Teaching Preparedness
title_short Pre-K–12 Teachers’ Views on ASD+ADHD: Prevalence Estimates and Teaching Preparedness
title_sort pre k 12 teachers views on asd adhd prevalence estimates and teaching preparedness
topic ASD
ADHD
neurodevelopmental disorders
comorbidity
neurodiversity
inclusive education
url https://www.mdpi.com/2227-9067/12/3/342
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