International Journal For Multidisciplinary Research

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A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

Call for Paper Volume 8, Issue 2 (March-April 2026) Submit your research before last 3 days of April to publish your research paper in the issue of March-April.

Teacher Preparedness, Inclusive Education Gaps, and ADHD Support in Rural and Urban Schools: A Mixed-Methods Study in Ghana

Author(s) Dr. Richard Osei Agjei
Country Ghana
Abstract Background: Attention-Deficit/Hyperactivity Disorder (ADHD) is a leading neurodevelopmental condition affecting children worldwide, with significant implications for learning and social development. In Ghana and other low- and middle-income countries, teacher preparedness and institutional capacity remain critical yet underexamined determinants of effective classroom support. A prior qualitative study identified that only one-third of Ghanaian educators had received formal inclusive education training, signalling a systemic professional development deficit. This study builds on that finding by systematically examining disparities in teacher preparedness, knowledge, attitudes, and ADHD support practices across rural and urban school contexts in Ghana.
Methods: An explanatory sequential mixed-methods design was employed. The quantitative phase involved 200 primary and junior high school teachers (100 rural, 100 urban) recruited through stratified purposive sampling who completed the Teacher Knowledge and Attitudes about ADHD Scale (KAADS) and a school resource inventory. Hierarchical regression identified predictors of effective ADHD support practices. The qualitative phase comprised six focus group discussions with purposively selected teachers to contextualise the quantitative findings, analysed using Braun and Clarke's thematic framework.
Results: Urban teachers demonstrated significantly higher mean ADHD knowledge scores than rural teachers (62.4 vs. 54.7; t(198) = 4.83, p < .001, d = 0.68). Formal training (beta = .41, p < .001) and access to specialist support staff (beta = .29, p < .001) were the strongest predictors of effective ADHD classroom practices. Only 38% of the total sample had received any ADHD-specific training. Qualitative themes identified five systemic barriers: absent or superficial pre-service training; absence of referral systems particularly in rural areas; structural impossibility of individualised support under large-class conditions; cultural stigma and family resistance to ADHD labelling; and urban teachers remaining underprepared despite better resource access.
Conclusion: Teacher preparedness, rather than school location per se, is the principal determinant of effective ADHD support. Addressing the training deficit and structural inequities between rural and urban schools is essential for strengthening inclusive education and improving ADHD outcomes in Ghana. Policy reforms should prioritise mandatory pre-service and in-service ADHD training, specialist staffing in rural schools, and culturally responsive awareness campaigns.
Keywords ADHD, teacher preparedness, inclusive education, rural-urban disparities, Ghana, mixed-methods
Field Sociology > Health
Published In Volume 8, Issue 2, March-April 2026
Published On 2026-04-05
DOI https://doi.org/10.36948/ijfmr.2026.v08i02.73662

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