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Please note that all times are shown in the time zone of the conference. The current conference time is: 17th May 2024, 07:29:05am GMT

 
 
Session Overview
Session
04 SES 01 E: A Systematic Approach
Time:
Tuesday, 22/Aug/2023:
1:15pm - 2:45pm

Session Chair: Rory Mc Daid
Location: Gilbert Scott, 134 [Floor 1]

Capacity: 25 persons

Paper Session

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Presentations
04. Inclusive Education
Paper

How is Wellbeing Perceived and Applied/implemented by Support Services for Children with ADHD: a Systematic Literature Review?

Sultana Ali Norozi, Anne Torhild Klomsten, Thomas Szulevicz, Torill Moen, Solvor Solhaug, Magnus Rom Jensen

Norwegian University for Science and Technology, Norway

Presenting Author: Norozi, Sultana Ali; Klomsten, Anne Torhild

Wellbeing in education has gained increasing attention in recent years as a vital factor in the overall success and happiness of all students (Spratt, 2017; Norwich, Moore, Stentiford, & Hall, 2021). Wellbeing for children with attention-deficit hyperactivity disorder (ADHD) is equally important as it is for other children´s overall development and quality of life. Children with ADHD often need specialized support services to meet their unique needs and experience holistic wellbeing. Psychological and educational counseling, hereafter termed ‘support services’ are labeled and organized differently in various countries. Albeit the various labeling and organizations, the main objective of support systems globally is to help schools and teachers to develop supportive and inclusive learning environments for all children with a distinctive focus on children with special needs. The study aims to offer a review of how support services understand, perceive, and approach the concept of wellbeing. There are different reasons why a focus on wellbeing in relation to support services is important. First, children with special needs are globally known to suffer from lower levels of wellbeing compared to the general student population (Moreira. et al., 2015). Second, support services are also increasingly expected to help schools develop inclusive learning environments for all learners. So, there is a need to investigate how support services perceive and approach the concept of wellbeing in their work. This study seeks to contribute by providing a comprehensive, systemic, and unbiased overview of the current state of knowledge on the topic. Further, the study contributes to identifying gaps in the literature that may inform future research.

Theoretical framework: Holistic and comprehensive wellbeing

well-being is a complex construct (Ryan and Deci, 2017). Although the meaning of wellbeing has not been adequately worked out in education (Dodge, Daly, Huyton, & Sanders, 2012)., and there is little consensus on the definition of wellbeing (Hooker et al., 2020), wellbeing theories do generally agree that wellbeing is multidimensional with the number of wellbeing dimensions ranging from 3 to 12 (Roscoe, 2009). The consistency that exists in describing the nature of wellbeing in most of the models and definitions, presents common threads. First, most authors base their definition on WHO´s definition that wellbeing is not merely the absence of sickness and infirmity (Roscoe, 2009). Second, according to Roscoe, wellbeing is described as multidimensional in terms of various factors that interact in a complex, integrated and synergistic fashion. Each dimension is integral to the whole and no one dimension operates independently. They are eight dimensions that are reviewed by major theories so far (Hooker et al., 2020). They are social, physical, psychological, intellectual, spiritual, emotional, environmental, and financial (Roscoe, 2009; Adams et al, 2000; Linton, et al., 2016; Hooker, et al., 2020; Montoya, et al., 2021). Holistic and comprehensive wellbeing approach allows students to maintain a level of psychological balance that impacts their physical, social, emotional, and spiritual dimensions. A focus on strengths and personal responsibility rather than dependence or problems and a belief in the capacity to exert personal control in managing total needs. The notion of holistic and comprehensive wellbeing approach is distinct due to its focus on students’ interests, skills, strengths, abilities, and potential to achieve personal goals (Hargreaves, & Shirley, 2021). This approach engenders a positive attitude rather than focusing only on problems and issues. This perspective sparks internal motivation and strengthens an optimistic attitude. This approach offers a holistic framework in which to view a child as a whole being (physical, emotional, social, intellectual, environmental, psychological, cultural, and spiritual dimensions). This approach capitalizes on strengths, abilities, and personal aspirations to take on and fulfill meaningful roles in their learning and development.


Methodology, Methods, Research Instruments or Sources Used
Search strategy
A comprehensive search of academic databases and journals was conducted using a systematic literature review (SLR). The reason for choosing SLS is as it is a methodical, rigorous, and transparent way of finding, collecting, appraising, and synthesizing all relevant research on a specific research question (Newman, & Gough, 2019). It involves a pre-defined protocol, explicit inclusion and exclusion criteria, and an assessment of the risk of bias in the studies included (Xiao, & Watson, 2019). The available sources included academic databases such as the Education Resource Information Center (ERIC), Web of Science (WoS), Education Source (ES), APA PsychInfo, and Scopus.
Inclusion and exclusion criteria
The quality of studies was assessed using established criteria of inclusion of only peer-reviewed journal articles and doctorate dissertations published in the last 10 years. Terms used to define wellbeing and support system are challenging as they greatly vary in usage and meaning. A list of key search words (terms) for inclusion and exclusion was developed. All possible terms were included that are used in the existing literature. The electronic search returned a total of 9261 articles. This is followed by screening the titles and abstracts of all articles to determine candidacy for inclusion in the review by using Rayyan. Rayyan is a web-based platform for systematic literature review that allows users to search, filter, screen, and double-screen articles from various databases. An article was excluded if the title or abstract contained words that aligned with the exclusion criteria. For example, it contained the word “university students”. If the title and abstract did not include any of excluded words, the method section was scanned to determine if the article satisfied one or more of the inclusion criteria. The double screening was carried out to settle the “conflict” and “maybe” categories in Rayyan. Using this process 9 abstracts were identified to be considered to get the full text. Another round of screening will be carried out by reading the full text of 9 articles. Although Rayyan allows users to collaborate during the screening process (with the categorization of live chatting, maybe, conflict, included, excluded, and undecided), 3 of the studies were difficult to decide by reading their titles, abstracts, and keywords only. The purpose of this additional screening of full texted articles is to make sure that these articles meet the pre-defined criteria.

Conclusions, Expected Outcomes or Findings
This review aims to highlight the research, policy, and implication for practice from the existing literature. For this, selective articles will be considered for extracting and summarizing the data. Synthesizing and summarizing the main findings of the selective studies included in the review may help to understand and explore how wellbeing is perceived and applied by support services for children with ADHD. Considering the risk of bias assessment at this point, data will be extracted from the included studies, checked, and agreed upon by all the researchers in the study. The perception and implementation of wellbeing by support services within each respective wellbeing dimension will be described and findings within these wellbeing dimensions will be grouped into themes for discussion. The quality and limitations of the included studies will be reported. It is also expected to identify gaps in the literature that need to be addressed in future research and practice, such as the need for more research to consider holistic wellbeing for children with other special needs for example autism. The review identified studies across a range of ages, thus this review considers children and adolescents of school age (6- 18 years old). A systematic review of literature considering children younger than 6 years, kindergarten group, is necessary to be considered to have a comprehensive understanding of the perception and implementation of wellbeing by support services for children with ADHD. Reporting the methodology, and systematic literature review, clearly and transparently in the research paper may inspire other researchers to use this comprehensive methodology in other areas of research including special education.
References
Adams, T. B. et al., (2000). Conceptualization and measurement of the spiritual and psychological dimensions of wellness in a college population. Journal of American College Health, 48(4), 165- 173.
Dodge, R., Daly, A. P., Huyton, J., & Sanders, L. D (2012). The challenge of defining well- being. International Journal of Well-being, 2(3), 222-235.
Hooker, S. A. et al., (2020). Multiple dimensions of wellness: Development and psychometric properties of the Anschutz Wellness Evaluation 360 (AWE 360). Journal of Well-being Assessment, 4(2020), 95- 119.  
Linton M-J., Dieppe P., Medina-Lara A. (2016). Review of 99 self-report measures for assessing wellbeing in adults: exploring dimensions of well-being and developments over time. BMJ Open, 6, doi:10.1136/bmjopen-2015- 010641
Montoya, A. L. & Summers, L. L. (2021). 8 dimensions of wellness for educators. The Learning professional, 42(1), 50- 62.
Moreira et al., (2015). Subjective wellbeing in students with special educational needs. Cognition, Brain, Behavior: An Interdisciplinary Journal, XIX(1), 75–97.
Newman, M., & Gough, D. (2019). Systematic reviews in educational research: Methodology, perspectives, and application. In O, Zawacki-Richter, M. Kerrs, S. Bedenlier, M. Bond, K. Buntins (Eds.). Systematic reviews in educational research: methodology, perspectives and application. Springer
Norwich, B., Moore, D., Stentiford, L., & Hall, D. (2021). A critical consideration of ´mental health and wellbeing´ in education: thinking about school aims in terms of wellbeing. British Educational Research Journal, 1-18. DOI: 10.1002/berj.3795
Roscoe, L. J. (2009). Wellness: A review of theory and measurement for counselors. Journal of Counseling and Development, 87, 216- 226.
Ryan, R. M., & Deci, E. L. (2017). Self-determination theory: Basic psychological needs in motivation, development, and wellness. The Guilford Press.
Spratt, J. (2017). Wellbeing, Equity and Education; A Critical Analysis of Policy Discourses of Wellbeing in Schools. Switzerland: Springer.
Xiao, Y., & Watson, M. (2019). Guidance on conducting a systematic literature review. Journal of Planning Education and Research, 39(1), 93-112.


04. Inclusive Education
Paper

Teachers’ Attitudes Towards Inclusive Education: A Systematic Review Of The Literature

Donatella Camedda, Giampiero Tarantino

Trinity College Dublin, Ireland

Presenting Author: Camedda, Donatella; Tarantino, Giampiero

An inclusive and equitable education is at the core of democratic societies. Over the past decades, the educational landscape has been reshaped by numerous societal changes, with the most recent pandemic highlighting educational inequalities for disadvantaged students in unprecedented ways. Mid-way through the Global Goals 2030 agenda, ensuring inclusive and equitable education for all (SGD#4) is still pivotal for promoting social democracy.  

Traditionally, research in inclusive education has addressed diversity and equality from multiple stances, with a particular interest in the school contexts and the way that teachers respond to the increasingly diverse student population. Teachers’ attitudes have been identified as one of the main elements to create an inclusive environment within mainstream school settings (EADSNE, 2010) and research on this topic is one of most prolific in the field of inclusive education (Hernández-Torrano et al., 2020).  Attitudes have been defined by Eagly and Chaiken as “a psychological tendency that is expressed by evaluating a particular entity with some degree of favour or disfavour” (1993, p.1). In the school context, teachers’ attitudes towards inclusive education can determine the level of inclusive practice in the classroom, where positive attitudes correspond to a higher level of inclusion for all learners (Avradimis & Norwich, 2002).

Over the past two decades, several reviews of the literature on teachers’ attitudes towards inclusion have provided an overview of the factors influencing educational practice (Guillemot et al., 2022). However, since 2002 (i.e., since the publication of the literature review conducted by Avramidis and Norwich), reviews published in this field have not adopted systematic methods or have solely focused on synthesising one type of research method design. For example, Van Steen and Wilson (2020) quantitatively summarised the individual and cultural predictors that influenced teachers’ attitudes, whereas Ewing et al. (2018) systematically reviewed the questionnaires used to explore teachers’ attitudes vis-á-vis inclusive education.

In the context of inclusive education, a mixed methods approach to investigate teachers’ attitudes, albeit limited to physical education, has been used to comprehensively synthesise empirical research evidence (Tarantino et al., 2022) and results offered an extensive view on physical education teachers’ attitude towards inclusive education. As researchers encourage the employment of mixed-methods systematic reviews to produce evidence synthesis of direct relevance to policy makers and practitioners (Pearson et al., 2015; Stern et al., 2020), this paper presents the first mixed-methods systematic review of the literature on teachers’ attitudes towards inclusive education.

The aim of this review is to comprehensively synthesise quantitative and qualitative research evidence on teachers’ attitudes towards inclusive education in mainstream primary and secondary schools published over the past two decades. The primary objective is to identify what influences teachers’ attitudes towards inclusive education in mainstream schools. Illustrating evidence from qualitative and quantitative research designs will provide corroborating evidence for stakeholders, policy makers, and teachers educators.

Setting to be the most up-to-date comprehensive review of the literature on teachers’ attitudes towards inclusive education in mainstream primary and secondary schools, this paper will offer a valuable contribution to the conference and will inform researchers and policy makers working in the field of inclusive education highlighting the implications for inclusive educational practice.


Methodology, Methods, Research Instruments or Sources Used
The protocol of this mixed-methods systematic review was registered with PROSPERO (CRD42023382025) and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Five electronic databases (ERIC, PubMed, PsycINFO, Scopus, and Web of Science) were searched for articles published between January 1st 2002, and December 31st 2022. The search strategy was developed around three main concepts: (1) schoolteachers; (2) attitudes; and (3) inclusive education. The articles yielded by the search strategy were imported into Covidence, and the duplicates automatically removed.  

Eligibility criteria

The records obtained through the database search were deemed eligible for inclusion in this systematic review if they (i) were focused on in-service general teachers; (ii) investigated attitudes; (iii) employed an empirical research design; (iv) were conducted within primary or secondary settings; and (v) were written in English and peer-reviewed. Articles that were excluded from this systematic review if they investigated: (i) pre-service teachers; (ii) teaching assistants/support teachers; (iii) self-efficacy, perceptions, or beliefs; and (iv) preschool or university settings. Any discrepancies were resolved through consensus.  

Study Quality

Considering that this systematic review seeks to summarise evidence from both qualitative and quantitative research, the quality of the studies was independently assessed by the two authors using a mixed-methods appraisal tool. The Mixed-Methods Appraisal Tool (MMAT) Version 2018 (Hong et al., 2018) has been widely used for quality assessment in similar mixed-methods systematic reviews (Clifford et al., 2018; Mey et al., 2017). This tool permitted the evaluation of the quality of five categories of studies: qualitative research, randomised controlled trials, non-randomised studies, quantitative descriptive studies, and mixed methods studies. The quality of each study was assessed using a score of 1 (if the criterion was met) or 0 (if the criterion was not met) for 5 items. This resulted in a total score for each study ranging from 0 (poor quality) to 5 (high quality).

Data Extraction, Analysis, and Synthesis

The two authors independently extracted the data from the qualitative, quantitative, and mixed-methods studies and exported it in an Excel spreadsheet. Data reported in the quantitative articles were meta-analysed to estimate the overall attitudinal levels among teachers (namely, if teachers hold positive, neutral, or negative attitudes towards inclusive education). If data was not suitable for inclusion in the meta-analysis, the results were synthesised in a narrative way. Data gathered through qualitative research designs was categorised into themes and narratively synthesised.  

Conclusions, Expected Outcomes or Findings
Preliminary findings

The search strategy yielded 4,912 studies, of which 2,359 were removed as duplicates. Of the remaining 2,553 studies, 578 articles were retrieved for the full-text screening against the inclusion and exclusion criteria. A total of 307 studies were deemed eligible for inclusion in this systematic review.  

 

Expected outcomes

The systematic review is still ongoing; however, the authors expect to summarise the data using two different approaches.  

 

Quantitative studies

Data extracted from studies that employed a quantitative design will be synthesised in two ways: (1) data that were gathered using questionnaires will be meta-analysed to estimate the overall attitudinal levels among teachers (namely, if teachers hold positive, neutral, or negative attitudes). Moreover, this data will be also used to investigate the extent to which teachers’ attributes (i.e., age, gender, teaching experience) and schools’ characteristics (i.e., class size, level) influence teachers’ attitudes toward inclusion. (2) If data will not be suitable for inclusion in the meta-analysis (namely, the original authors did not report all the information required for the meta-analysis), it will be converted into standardised effect sizes (e.g., Cohen's d for evaluating mean differences between groups, and correlation coefficient for evaluating the correlation between continuous variables) by the authors and synthesised in a narrative way.

 

Qualitative studies

Data retrieved from the studies that employed qualitative research designs will be categorised into broader higher-order themes based on whether they had been reported across multiple studies. If the themes were generated and identified by the original authors, the themes will be grouped and categorised into broader higher-order themes. If the original authors did not generate and identify themes, the two authors will independently read the studies and identify the themes using an inductive/bottom-up approach. The new themes that will emerge will be subsequently grouped into the higher-order categories previously identified.

References
Avramidis, E., & Norwich, B. (2002). Teachers' attitudes towards integration/inclusion: a review of the literature. European journal of special needs education, 17(2), 129-147.

Clifford, B. K., Mizrahi, D., Sandler, C. X., Barry, B. K., Simar, D., Wakefield, C. E., & Goldstein, D. (2018). Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Supportive Care in Cancer, 26, 685-700.

European Agency for Development in Special Needs Education (2012). Teacher Education for Inclusion.  

Ewing, D. L., Monsen, J. J., & Kielblock, S. (2018). Teachers’ attitudes towards inclusive education: a critical review of published questionnaires. Educational Psychology in Practice, 34(2), 150-165.

Guillemot, F., Lacroix, F., & Nocus, I. (2022). Teachers' attitude towards inclusive education from 2000 to 2020: An extended meta-analysis. International Journal of Educational Research Open, 3, 100175.

Hernández-Torrano, D., Somerton, M., & Helmer, J. (2022). Mapping research on inclusive education since Salamanca Statement: a bibliometric review of the literature over 25 years. International Journal of Inclusive Education, 26(9), 893-912.  

Hong, Q. N., Fàbregues, S., Bartlett, G., Boardman, F., Cargo, M., Dagenais, P., ... & Pluye, P. (2018). The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Education for information, 34(4), 285-291.

Mey, A., Plummer, D., Dukie, S., Rogers, G. D., O’Sullivan, M., & Domberelli, A. (2017). Motivations and barriers to treatment uptake and adherence among people living with HIV in Australia: a mixed-methods systematic review. AIDS and Behavior, 21, 352-385.

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., ... & Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. International journal of surgery, 88, 105906.

Pearson, A., White, H., Bath-Hextall, F., Salmond, S., Apostolo, J., & Kirkpatrick, P. (2015). A mixed-methods approach to systematic reviews. JBI Evidence Implementation, 13(3), 121-131.

Stern, C., Lizarondo, L., Carrier, J., Godfrey, C., Rieger, K., Salmond, S., ... & Loveday, H. (2020). Methodological guidance for the conduct of mixed methods systematic reviews. JBI evidence synthesis, 18(10), 2108-2118.

Tarantino, G., Makopoulou, K., & Neville, R. D. (2022). Inclusion of children with special educational needs and disabilities in physical education: A systematic review and meta-analysis of teachers’ attitudes. Educational Research Review, 100456.

Van Steen, T., & Wilson, C. (2020). Individual and cultural factors in teachers’ attitudes towards inclusion: A meta-analysis. Teaching and teacher Education, 95, 103127.


 
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