Evidence map›Paper›PMID 42235056›Full record

ArticleJMIR research protocols2026

Efficacy of Extended Time on Exams for College Students and Applicants With Attention-Deficit/Hyperactivity Disorder: Protocol for a Randomized, Counterbalanced Crossover and Within-Subject Trial.

Lui Malcon, Alice Gomes Silva, Arthur Bezerra Falcão, Érica Bonganhi de Bem, Felipe Grevet, Flávia Wagner, Igor Duarte, Leonardo Barbedo, Maitê Schneider, Luis Augusto Rohde and 2 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in JMIR research protocols, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06063382 (Extended Time on Exams as an Accommodation at First Level of Higher Education), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06063382 nacompletednot on this map

Extended Time on Exams as an Accommodation at First Level of Higher Education: A Randomized Controlled Study

TypeinterventionalSponsorHospital de Clinicas de Porto AlegreRan2023 to 2025Enrolled103ConditionsAttention Deficit Disorder With HyperactivityArmsExtended time 25%, Extended time 50%
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Lui MalconGraduate Program in Psychiatry and Behavioral Health, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.ORCID 0000-0003-0215-0283
Alice Gomes SilvaDepartment of Psychiary, ADHD Outpatient Program & Developmental Psychiatry Program, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.ORCID 0009-0007-5384-5321
Arthur Bezerra FalcãoGraduate Program in Psychiatry and Behavioral Health, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.ORCID 0000-0002-5224-8708
Érica Bonganhi de BemGraduate Program in Psychiatry and Behavioral Health, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.ORCID 0009-0000-2516-4229
Felipe GrevetDepartment of Psychiary, ADHD Outpatient Program & Developmental Psychiatry Program, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.ORCID 0009-0001-5503-0974
Flávia WagnerGraduate Program in Psychiatry and Behavioral Health, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.ORCID 0000-0002-7301-1515
Igor DuarteDepartment of Psychiary, ADHD Outpatient Program & Developmental Psychiatry Program, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.ORCID 0000-0003-1121-3223
Leonardo BarbedoDepartment of Psychiary, ADHD Outpatient Program & Developmental Psychiatry Program, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.ORCID 0009-0009-8201-4206
Maitê SchneiderDepartment of Psychiary, ADHD Outpatient Program & Developmental Psychiatry Program, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.ORCID 0000-0002-3028-5364
Luis Augusto RohdeGraduate Program in Psychiatry and Behavioral Health, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.ORCID 0000-0002-4552-4188
Maurício HoffmannGraduate Program in Psychiatry and Behavioral Health, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.ORCID 0000-0003-4232-3169
Arthur CayeGraduate Program in Psychiatry and Behavioral Health, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.ORCID 0000-0002-5341-7147

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtended time on academic exams is one of the most frequently granted accommodations for students with attention-deficit/hyperactivity disorder. However, there is a lack of empirical evidence supporting its effectiveness, particularly in the college population.

objectiveThis study aimed to assess the efficacy and specificity of extended test time as an accommodation for college and college-prospective students with attention-deficit/hyperactivity disorder.

methodsThis study will use a randomized, counterbalanced crossover and within-subject experimental design, using convenience sampling to recruit participants. All participants will undergo clinical and neuropsychological assessments to confirm their diagnostic status and cognitive performance. Following these assessments, participants will be randomized to sequentially complete 3 versions of a test modeled on the Brazilian National High School Exam under standard time conditions, with 25% extra time and with 50% extra time.

resultsThe study was funded in February 2023. Data collection started in August 2023. As of March 2026, we have enrolled 103 participants. Data analysis was initiated in March 2026, and no projected timeline for the publication of results is currently available.

conclusionsThe study will be the first of its kind outside the United States and one of the first to investigate the effectiveness of extended testing time at different dosages in the college population. Findings will provide insights into the impact of extended time accommodations in a distinct academic system, addressing gaps in previous research, such as different intervention doses and predictors of effectiveness.

trial registrationClinicalTrials.gov NCT06063382; https://clinicaltrials.gov/study/NCT06063382. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/80271.

Indexed as

Attention Deficit Disorder with HyperactivityEducational MeasurementStudentsAdolescentBrazilCross-Over StudiesFemaleHumansMaleRandomized Controlled Trials as TopicTime FactorsUniversitiesADHDattention-deficit/hyperactivity disordercollege admission testextended testing timeextra timepsychosocial interventionspecial education

Identifiers

PMID42235056
PMCPMC13276468

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.