Perceived usefulness of learning strategies by children with Tourette syndrome plus,their parents and their teachers

Abstract

Objective:

Children with Tourette syndrome and other co-morbidities (abbreviated hereafter to TS+) experience significant learning difficulties. We wished to identify educational strategies that these students, their parents and teachers considered useful.

Design:

An ‘educational toolkit’ was compiled of 84 strategies identified by teachers of TS+ children.

Setting:

Children attending the TS+ clinic of a university hospital in Edmonton, Alberta.

Method:

The educational toolkit was administered to 30 randomly selected TS+ children attending the clinic, their teachers, and their parents.

Results:

13 strategies were endorsed by ≥ 50% of the students, 53 by ≥ 50% of parents, and 42 by ≥ 50% of teachers. The 10 strategies students most strongly endorsed were: (1) computers; (2) calculators; (3) spell-checkers; (4) extra time in class; (5) less homework; (6) information from the teacher; (7) feedback on how to improve work; (8) printed assignments; (9) TS+ explained to their teacher; and (10) not being punished or suspended because of TS+ behaviours. The 10 strategies most frequently endorsed by parents were: (1) the student paying attention and being informed; (2) computers; (3) the teacher telling the whole class ‘listen carefully’ when discussing important ideas; (4) providing ideas about organizing work; (5) providing printed assignments; (6) telling students when they are being helpful; (7) encouraging students for good behaviour and signaling incorrect behaviour; (8) checking students understand each idea the teacher presents; (9) outside experts explaining TS+ to the teacher; and (10) exchanging notes with the teacher. The 10 items most strongly endorsed by teachers were: (1) providing information and direction; (2) feedback on how to improve work; (3) checking students wrote down homework assignments; (4) helping students start work assignments; (5) computers; (6) spell-checkers; (7) monitoring time and work; (8) extra time; (9) feedback about the student’s behaviour and advice if misbehaving; and (10) the teacher explaining to the class how students can help students with learning challenges.

Conclusions:

There is considerable agreement among parents and teachers about how to help children with TS+ with their schoolwork and behaviours.

Keywords

Children with disabilities methods and materials of instruction teaching strategies Tourette syndrome plus

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References

American Psychiatric Association. DSM-IV-TR Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision. Arlington, VA: American Psychiatric Association, Division of Research, 2000.

Bruun

Cohen

Leckman

. Guide to the Diagnosis and Treatment of Tourette Syndrome. New York: Tourette Syndrome Association, 1990.

Carroll

Robertson

. Tourette Syndrome: A Practical Guide for Teachers, Parents and Carers. London: David Fulton Publishers, 2000.

Robertson

Eapen

. The national hospital interview schedule for the assessment of Gilles de la Tourettes syndrome. International Journal of Methods in Psychiatric Research, 1996: 6: 203–26.

Robertson

Banerjee

Kurlan

. The Tourette syndrome diagnostic confidence index: Development and clinical associations. Neurology, 1999: 53: 2108–12.

Walter

Carter

. Gilles de la Tourette syndrome in childhood: A Guide for school professionals. School Psychology Review, 1997: 26: 28–46.

Spencer

Biederman

Harding

. Disentangling the overlap between Tourette disorder and ADHD. Journal of Child Psychology and Psychiatry, 1998: 39: 1037–44.

Petter

Richter

Sandor

. Clinical features distinguishing patients with Tourette syndrome and obsessive-compulsive disorder from patients with obsessive-compulsive disorder without tics. Journal of Clinical Psychiatry, 1998: 59: 456–9.

Schwartz

Kim

. Anxiety disorders and tic severity in juveniles with Tourette disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 2000: 39: 562–8.

10.

Robertson

Williamson

Eapen

. Depressive symptomatology in young people with Gilles de la Tourette Syndrome – A comparison of self-report scales. Journal of Affective Disorders, 2006: 9: 1265–8.

11.

Robertson

. Mood disorders and Gilles de la Tourette’s syndrome: An update on prevalence, etiology, comorbidity, clinical associations, and implications. Journal of Psychosomatic Research, 2006: 61: 349–58.

12.

Eapen

Fox-Hiley

Banerjee

Robertson

. Clinical features and associated psychopathology in a Tourette syndrome cohort. Acta Neurologica Scandinavica, 2004: 109: 255–60.

13.

Stephens

Sandor

. Aggressive behaviour in children with Tourette syndrome and comorbid attention-deficit hyperactivity disorder and obsessive-compulsive disorder. Canadian Journal of Psychiatry, 1999: 44: 1036–42.

14.

Baron-Cohen

Mortimore

Moriarty

Izaguirre

Robertson

. The prevalence of Gilles de la Tourette syndrome in children and adolescents with autism. Journal of Child Psychology and Psychiatry, 1999: 40: 213–18.

15.

Robertson

Althoff

Hafez

Pauls

. Principal components analysis of a large cohort with Tourette syndrome. British Journal of Psychiatry, 2008: 193: 31–6.

16.

Caine

McBride

Chiverton

Bamford

Rediess

Shiao

. Tourette syndrome in Monroe County school children. Neurology, 1988: 38: 472–5.

17.

Burd

Kerbeshian

Wikenheiser

Wayne

. A prevalence study of Gilles de la Tourette syndrome in North Dakota school-age children. Journal of the American Academy of Child and Adolescent Psychiatry, 1986: 25: 552–3.

18.

Freeman

Fast

Burd

Kerbeshian

Robertson

Sandor

. An international perspective on Tourette syndrome: Selected findings from 3,500 individuals in 2 countries. Developmental Medicine & Child Neurology, 2000: 42: 436–7.

19.

Kurlan

McDermott

Deeley

. Prevalence of tics in school children and association with placement in special education. Neurology, 2001: 57: 1383–8.

20.

Bawden

Stokes

Camfield

Salisbury

. Peer relationship problems in children with Tourette disorder or diabetes mellitus. Journal of Child Psychology and Psychiatry, 1998: 39: 663–8.

21.

Burd

Kauffman

Kerbeshian

. Tourette syndrome and learning difficulties. Journal of Learning Disabilities, 1992: 25: 598–604.

22.

Shady

Broder

Staley

Furer

Papadopolos

. Tourette syndrome and employment: Descriptors, predictors, and problems. Psychiatric Rehabilitation Journal, 1995: 19: 35–42.

23.

Kadesjö

Gillberg

. Tourette disorder: Epidemiology and comorbidity in primary school children. Journal of the American Academy of Child and Adolescent Psychiatry, 2000: 39: 548–55.

24.

Dornbush

. The Neuropsychological Functioning of School-age Children with Tourette Syndrome. Unpublished Doctoral Dissertation, Georgia State University, USA, 1984.

25.

Dornbush

Pruitt

. Handwriting, Computers, and Tourette Students. New York: Tourette Syndrome Association Inc, n.d.

26.

van

Wetering

Martens

Fortgens

Slaets

van Woerkom

. Late components of the auditory evoked potentials in Gilles de la Tourette syndrome. Clinical Neurology and Neurosurgery, 1985: 87: 181–6.

27.

van Woerkom

Roos

van Dijk

. Altered attentional processing of background stimuli in Gilles de la Tourette syndrome: A study in auditory event-related potentials evoked in an oddball paradigm. Acta Neurologica Scandinavica, 1994: 90: 116–123.

28.

Shady

Fulton

Champion

. Tourette syndrome and educational problems in Canada. Neuroscience & Biobehavioral Reviews, 1988: 12: 263–5.

29.

Clarke

. A School-Based Intervention Designed To Reduce The Frequency Of Tics In Children With Tourette Syndrome. Unpublished Doctoral Dissertation, University of Connecticut, USA 1997.

30.

Clarke

Bray

Kehle

Truscott

. A school-based intervention designed to reduce the frequency of tics in children with Tourette syndrome. School Psychology Review, 2001: 30: 11–22.

31.

Pfiffner

Barkley

. Educational placement and classroom management. In: Barkley

(ed.) Attention Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment. (pp. 498–539). New York: Guilford Press, 1990.

32.

Conners

. Specific Classroom Strategies and Techniques for Students with Tourette Syndrome. New York: Tourette Syndrome Association, Inc., n.d.

33.

Odhabi

. Investigating the impact of laptops on students’ learning using Bloom’s learning taxonomy. British Journal of Educational Technology, 2007: 38: 1126–31.

34.

Anderson

. The Architecture of Cognition. Cambridge, MA: Harvard University Press, 1983.

35.

Kail

Bisanz

. Information processing and cognitive development. In: HW

Reese

Lipsitt

(eds) Advances in Child Development and Behavior, Vol. 17 (pp. 45–82). New York: Academic Press, 1982.

36.

Newell

Simon

. Human Problem Solving. Englewood Cliffs, NJ: Prentice-Hall, 1972.

37.

Greer

Reed

. Blogs hit classroom: Students start reading. Problems, Resources, and Issues in Mathematics Undergraduate Studies, 2008: 18: 139–48.

38.

Hughes

Zhang

. Effects of the structure of classmates’ perceptions of peers’ academic abilities on children’s perceived cognitive competence, peer acceptance, and engagement. Contemporary Educational Psychology, 2007: 32: 400–19.