Melissa McGonnell’s research while affiliated with College of Mount Saint Vincent and other places

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Publications (21)


Learning Through Focus Groups with Parents, Educators, and Healthcare Providers About the Child’s Journey from Diagnosis to Treatment Adherence for ADHD
  • Article
  • Publisher preview available

July 2024

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22 Reads

Canadian Journal of Community Mental Health

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Melissa McGonnell

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Carolin Van Voorst

The journey of obtaining a diagnosis and treatment for children and youth with ADHD can be challenging for all those involved. Focus groups were conducted with parents (n = 21), educators (n = 76), and healthcare providers (n = 39) to gather information regarding perceptions of this journey, especially as it relates to treatment utilization and adherence. Three cross-cutting categories emerged: the impact of socio-economic variables, the lack of integrated and continuity of care for ADHD, and the stigma surrounding ADHD and treatments. The results help to determine what is needed to support families to facilitate successful treatment for their child with ADHD.

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Don't do More do Different: A Qualitative Description of Teachers’ Perceptions of and Experiences with the Psychoeducational Assessment Process

March 2023

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64 Reads

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2 Citations

Psychology in the Schools

Although teachers are involved in many aspects of the psychological assessment, very little research has examined their experiences with and perceptions of the entire psychoeducational assessment process. Previous research has relied on surveys and has assumed that teachers have a foundational understanding of the purpose of the assessment. The current study used qualitative description to examine teacher perceptions of and experiences with the psychoeducational assessment process. Ten public school teachers participated in individual interviews about their perceptions of and experiences with psychoeducational assessment. Results indicated a “bidirectional disconnect” such that psychologists do not translate assessment findings into a useful product that teachers can apply to the classrooms; reports were described as too long and jargon‐filled, with vague recommendations and feedback meetings do not allow for collaboration or discussion. However, the data also suggested that teachers do not fully understand the purpose and scope of the psychoeducational assessment, the types of referrals that are appropriate, foundational psychological principles, and/or the scope of practice of the school psychologist. Recommendations for practice are provided along with a call for increased interprofessional education and practice in education.



Demographic characteristics of total sample (N = 354).
Hierarchical multiple linear regression analyses predicting academic achievement in reading (WIAT Word Reading Subtest), spelling (WIAT Spelling Subtest), and mathematics (WIAT Numerical Operations Subtest) from background risk factors, cognitive variables, and total symptom count of parent-and teacher-rated inattention and hyperactivity/impulsivity.
The Contributions of Cognitive Abilities to the Relationship between ADHD Symptoms and Academic Achievement

August 2022

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105 Reads

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2 Citations

Abstract: The main objective of this study was to examine whether increased levels of inattentive (INA) and hyperactive/impulsive (H/I) behaviours were associated with lower scores on standardized tests of achievement in basic reading, spelling, and math skills, after accounting for certain known background risk factors and cognitive processes. Clinical assessment data from a rigorously diagnosed, stimulant-medication-naïve sample of 354 elementary school-aged children experiencing academic difficulties and behavioural symptoms of inattention and/or hyperactivity/impulsivity were analyzed. Although higher scores of INA were significantly associated with lower scores in reading, spelling, and math, these associations did not persist when cognitive variables were added to the models. H/I was associated with math achievement, along with cognitive and background variables. Overall, cognitive variables accounted for the majority of the variance across basic reading, spelling, and math skills. Additionally, the only background demographic variables associated with academic achievement were age and sex for spelling and math. This finding highlights the importance of looking beyond observable INA and H/I behaviours to determine the underlying factors influencing academic achievement. Accurate identification of deficits in specific academic skills and the underlying factors influencing achievement in these skills are essential components in determining appropriate recommendations and targeted interventions.


School Psychology Practice in Nova Scotia: An Update and Implications for Role Diversification

August 2021

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9 Reads

Canadian Journal of School Psychology

A survey of school psychology practice in Nova Scotia was conducted to update and extend previous work. Thirty-one school psychologists completed a survey about their practice across the six areas of competency identified by the Canadian Psychological Association (CPA) and their current versus preferred time in various areas of psychology practice. Results indicated that most participants currently practice across all areas of competency to some degree but spend most of their time engaged in assessment and evaluation. Findings suggest that the role of the school psychologist in Nova Scotia has changed very little since the previous work was completed and that school psychologists would like to diversify their practice to include more intervention and professional development. With appropriate training and supervision, the time is right to expand school psychology services to provide much-needed mental health services to a broader range of children and families. Recommendations for training and role diversification are discussed.


Evaluation of accountability, presentation, content and alignment with evidence-based practice, and readability of web- sites describing ADHD treatment.
(Continued).
Paging Dr. Google: Availability and Reliability of Online Evidence-Based Treatment Information about ADHD

March 2021

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112 Reads

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7 Citations

Evidence-Based Practice in Child and Adolescent Mental Health

It is becoming increasingly common for caregivers and patients to search for health and mental health information on the Internet. Although there is a sizable scientific literature outlining an evidence-based approach to managing Attention Deficit Hyperactivity Disorder (ADHD) in children and adolescents, it is not clear how much of the online information about the disorder and its treatment aligns with evidence-based practice. The goal of this study was to conduct a review of online information about ADHD treatment and to systematically analyze this information with respect to accountability, presentation, content and alignment with evidence-based practice, and readability. Thirty-one ADHD-themed websites identified by three common Internet search engines were coded using a set of standardized criteria. Results indicated that the quality of information about ADHD treatment was generally poor, with websites meeting less than half the standardized criteria. Alignment with evidence-based practice was especially poor; most websites did not discuss psychosocial treatments and very few mentioned the treatment guidelines produced by the American Academy of Pediatrics. Flesch-Kincaid reading level was, on average, much higher than the recommended grade 8 level. Results indicate that, although conducting online searches about ADHD treatment could be beneficial in the context of shared-decision making, it is important for clinicians and caregivers to understand the limitations of this approach and to continue to engage in evidence-based treatment of ADHD to ensure positive outcomes for children and adolescents with the disorder.


A Qualitative Exploration of the Perceived Social Benefits of Playing Table-top Role-playing Games

November 2020

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147 Reads

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7 Citations

International Journal of Role-Playing

This study explored the lived experiences of young adults who play tabletop role-playing games (TRPGs) to gain deeper insights into the perceived social impact of tabletop role-playing games. Six young adults (3 men, 3 women) between the ages of 19 and 24 (M = 21.2, SD = 2.6) were recruited from role-playing communities within Nova Scotia, Canada. The Strengths and Difficulties Questionnaire (SDQ) was used to assess perceived social competence and semi-structured interviews were conducted to collect detailed qualitative data about lived experiences with role-playing games. Responses on the SDQ indicated that participants had typical strengths and difficulties with respect to social competence at the time of the current study. The qualitative description indicated the emergence of four main themes related to role-playing games from the interviews: Content Focus, Social Focus, Creativity Focus, and Identity Focus. The themes present in the interviews are consistent with findings from previous case study research, suggesting that role-playing games may have the potential to improve perceived social competence, and further elucidate the lived experiences of people who play role-playing games in terms of why they engage with tabletop role-playing games.


A Qualitative Exploration of the Perceived Social Benefits of Playing Tabletop Role-playing Games International Journal of Role-Playing -Issue 10

November 2020

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1,018 Reads

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1 Citation

This study explored the lived experiences of young adults who play tabletop role-playing games (TRPGs) to gain deeper insights into the perceived social impact of tabletop role-playing games. Six young adults (3 men, 3 women) between the ages of 19 and 24 (M = 21.2, SD = 2.6) were recruited from role-playing communities within Nova Scotia, Canada. The Strengths and Difficulties Questionnaire (SDQ) was used to assess perceived social competence and semi-structured interviews were conducted to collect detailed qualitative data about lived experiences with role-playing games. Responses on the SDQ indicated that participants had typical strengths and difficulties with respect to social competence at the time of the current study. The qualitative description indicated the emergence of four main themes related to role-playing games from the interviews: Content Focus, Social Focus, Creativity Focus, and Identity Focus. The themes present in the interviews are consistent with findings from previous case study research, suggesting that role-playing games may have the potential to improve perceived social competence, and further elucidate the lived experiences of people who play role-playing games in terms of why they engage with tabletop role-playing games.


Figure 1: Category system for qualitative content analysis
Figure 2: Estimated locations of interviewees' experiences of playing a professor character at College of Wizardry.
International Journal of Role-playing 10 -- Full Issue -- IJRP

November 2020

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116 Reads

International Journal of Role-Playing

IJRP 10: Social Dynamics within Role-playing Communities Table of Contents Shekinah Hoffman, “Dedication” This issue is dedicated to Dr. Matthew. M. LeClaire (1989-2018), with a special memorial from his close colleague Shekinah Hoffman, as well as biographical information about his many accomplishments from his parents, Guy M. and Mary Jo LeClaire. Sarah Lynne Bowman, Evan Torner, and William J. White, “Editorial: Retrospective, Challenges, and Persistence” This editorial discusses the history of the journal, including shifts in scope. The editors also thank the contributors and reviewers for their persistence in times of great challenge. Aaron Trammell and Nikki Crenshaw, “The Damsel and the Courtesan: Quantifying Consent in Early Dungeons & Dragons” This article applies critical gender theory to early fanzine discourse. The authors examine discussions around rules for sexual encounters that were seen to objectify women characters. Steven L. Dashiell, “Hooligans at the Table: The Concept of Male Preserves in Tabletop Role-playing Games” This paper examines sociolinguistics in tabletop role-playing communities, asserting that player behaviors such as “rules lawyering” and “gamesplaining” privilege exclusionary “nerd” masculinity. William J. White, “Indie Gaming Meets the Nordic Scene: A Dramatistic Analysis” This article analyzes a discussion between indie designers Ron Edwards from the Forge and Tobias Wrigstad from Jeepform. The author applies Kenneth Burke’s dramatic pendad to the rhetorical moves made by each participant. Matthew M. LeClaire, “Live Action Role-playing: Transcending the Magic Circle” This participant-observer ethnography examines the ways in which Dagorhir larpers explore identity and negotiate social dynamics withing their role-playing community. Matthew Orr, Sara King, and Melissa McGonnell, “A Qualitative Exploration of the Perceived Social Benefits of Playing Table-top Role-playing Games” This qualitative analysis discusses how participants perceived tabletop role-playing as beneficial to the development of their social competence. Juliane Homann, “Not Only Play: Experiences of Playing a Professor Character at College of Wizardry with a Professional Background in Teaching” This paper presents experiences of teachers who played professors at the larp College of Wizardry, applying concepts from studies of work and leisure.


Citations (15)


... Regarding the layout of classrooms that are attractive to ECE children, several studies also highlight the design and concept of classrooms that can spur children's enthusiasm for learning (Ritchie et al., 2023). An attractive learning space requires the sensitivity and creativity of the teacher to organize it so that children feel comfortable learning and exploring themselves (Visuri, 2024). ...

Reference:

Literacy Innovation in Toilets: Integration of Discovery Learning Model for Early Childhood Education in Sikka, NTT
Exploring teachers’ emotions in Eastern Canada: Understanding positive, neutral and negative experiences
  • Citing Article
  • January 2023

Social Sciences & Humanities Open

... In the most extensive literature review of TRPGs in therapeutic settings we could find, Arenas et al. (2022) found that computer-based and tabletop role-playing games have been increasingly used as therapeutic tools to address various therapeutic needs, with particular success when combined with cognitive behavior therapy (CBT) focused on depression and anxiety (Arenas et al., 2022). TRPGs have been successfully used to develop and strengthen social competencies critical to empathy development and relationship building (Bowman & Lieberoth, 2018;Orr et al., 2020), and have even been connected to career development and general financial success (Betz, 2011). ...

A Qualitative Exploration of the Perceived Social Benefits of Playing Table-top Role-playing Games

International Journal of Role-Playing

... Too many children are not properly evaluated or, when evaluated, show little response to the resulting interventions. One reason for this is because evaluations provide little guidance for educators to address the student's needs (King et al., 2023;Umaña et al., 2020). ...

Don't do More do Different: A Qualitative Description of Teachers’ Perceptions of and Experiences with the Psychoeducational Assessment Process
  • Citing Article
  • March 2023

Psychology in the Schools

... Numerous studies examined potential shared cognitive factors across ADHD and LD (e.g., Mattison & Mayes, 2012;Parke et al., 2020;Peterson et al., 2017;Toffalini et al., 2022;Tsantilas et al., 2022). Tsantilas et al. (2022) investigated the contributions of cognitive abilities to the relationship between ADHD symptoms and reading, math, and spelling outcomes. ...

The Contributions of Cognitive Abilities to the Relationship between ADHD Symptoms and Academic Achievement

... Whereas academic peer-reviewed articles are likely to provide information that is consistent with evidence-based practice (i.e., practice that includes using research-based evidence in the care of clients in a critical and conscientious manner; APA Presidential Task Force on Evidence-Based Practice, 2006;Dozois et al., 2014;Spring, 2007), websites generated by online searches are not. Given that there are no quality standards required for information published on the Internet, researchers have investigated the quality of online health and mental health information available to determine whether this lack of standard matters (e.g., King et al., 2021;Kisley et al., 2003). Kisley and colleagues (2003) investigated the quality of Internet sources regarding the treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) and schizophrenia. ...

Paging Dr. Google: Availability and Reliability of Online Evidence-Based Treatment Information about ADHD

Evidence-Based Practice in Child and Adolescent Mental Health

... Es besteht die Möglichkeit, sich K selbstwirksam zu fühlen, in einer konsequenzfreien Umgebung neue Rollen auszuprobieren, die das Selbst erweitern, was bei der Identitätsentwicklung unterstützen und einen Rückzugsort darstellen kann, wenn die Realität als überfordernd erlebt wird (vgl. zu Rollenspielen und Wohlbefinden Lehto 2021; zu subjektiv wahrgenommenen Verbesserungen sozialer Interaktion Orr et al. 2020;zur jugendlichen Identitätsentwicklung Schacht 2003; zu D&D als Rückzugsort TheGuardian 2022). Andererseits bleiben die geknüpften Beziehungen oberflächlich, reduziert und sie tragen nicht dazu bei, wahre Intimität in Beziehungen zu erleben. ...

A Qualitative Exploration of the Perceived Social Benefits of Playing Tabletop Role-playing Games International Journal of Role-Playing -Issue 10

... Several studies examined the usability of e-learning systems for learners [6], [7], [8]. However, these studies often focused on online lecturing (instructor-led) platforms rather than selfpaced online learning platforms. ...

Usability Testing of the Teacher Help for Learning Disabilities Program: An eHealth Intervention for Teachers
  • Citing Article
  • February 2019

Canadian Journal of School Psychology

... Teachers, on the other hand, could benefit from internet-based training programs to better understand and effectively address students' needs. The literature also includes IBIs designed to support teachers in fostering children's mental health (Corkum et al., 2019;Pereira et al., 2015). ...

Web-Based Intervention for Teachers of Elementary Students With ADHD: Randomized Controlled Trial

... Teachers' beliefs about the inclusion of students with ADHD shape their choice of classroom management strategies. The less negative the teachers' beliefs are, the more often they choose methods whose effectiveness has been scientifically proven (Blotnicky-Gallant et al., 2015). Similar results were found by Sunko et al. (2021), who found that teachers' positive beliefs about inclusion of students with ADHD are a predictor of more frequent use of praise and positive communication, adaptive assessment and a comprehensive inclusive approach. ...

Nova Scotia Teachers' ADHD Knowledge, Beliefs, and Classroom Management Practices
  • Citing Article
  • February 2014

Canadian Journal of School Psychology

... Based on a recent systematic review, it was estimated medication adherence rates are less than 70% for ADHD patients over a 12-month period (Gajria et al., 2014). Much less is known about adherence to behavioural interventions, but it is thought to be about 50% for parent-based interventions (Corkum et al., 2015). Given the chronic nature of ADHD, poor adherence to medication and to behavioural/psychosocial interventions by parents and teachers is concerning as it impacts outcomes (Villodas et al., 2014;Gau et al., 2006). ...

Barriers to evidence-based treatment for children with attention-deficit/hyperactivity disorder
  • Citing Article
  • July 2014

ADHD Attention Deficit and Hyperactivity Disorders