how is homework good for mental health

Is it time to get rid of homework? Mental health experts weigh in.

It's no secret that kids hate homework. And as students grapple with an ongoing pandemic that has had a wide range of mental health impacts, is it time schools start listening to their pleas about workloads?

Some teachers are turning to social media to take a stand against homework. 

Tiktok user @misguided.teacher says he doesn't assign it because the "whole premise of homework is flawed."

For starters, he says, he can't grade work on "even playing fields" when students' home environments can be vastly different.

"Even students who go home to a peaceful house, do they really want to spend their time on busy work? Because typically that's what a lot of homework is, it's busy work," he says in the video that has garnered 1.6 million likes. "You only get one year to be 7, you only got one year to be 10, you only get one year to be 16, 18."

Mental health experts agree heavy workloads have the potential do more harm than good for students, especially when taking into account the impacts of the pandemic. But they also say the answer may not be to eliminate homework altogether.

Emmy Kang, mental health counselor at Humantold , says studies have shown heavy workloads can be "detrimental" for students and cause a "big impact on their mental, physical and emotional health."

"More than half of students say that homework is their primary source of stress, and we know what stress can do on our bodies," she says, adding that staying up late to finish assignments also leads to disrupted sleep and exhaustion.

Cynthia Catchings, a licensed clinical social worker and therapist at Talkspace , says heavy workloads can also cause serious mental health problems in the long run, like anxiety and depression. 

And for all the distress homework  can cause, it's not as useful as many may think, says Dr. Nicholas Kardaras, a psychologist and CEO of Omega Recovery treatment center.

"The research shows that there's really limited benefit of homework for elementary age students, that really the school work should be contained in the classroom," he says.

For older students, Kang says, homework benefits plateau at about two hours per night. 

"Most students, especially at these high achieving schools, they're doing a minimum of three hours, and it's taking away time from their friends, from their families, their extracurricular activities. And these are all very important things for a person's mental and emotional health."

Catchings, who also taught third to 12th graders for 12 years, says she's seen the positive effects of a no-homework policy while working with students abroad.

"Not having homework was something that I always admired from the French students (and) the French schools, because that was helping the students to really have the time off and really disconnect from school," she says.

The answer may not be to eliminate homework completely but to be more mindful of the type of work students take home, suggests Kang, who was a high school teacher for 10 years.

"I don't think (we) should scrap homework; I think we should scrap meaningless, purposeless busy work-type homework. That's something that needs to be scrapped entirely," she says, encouraging teachers to be thoughtful and consider the amount of time it would take for students to complete assignments.

The pandemic made the conversation around homework more crucial 

Mindfulness surrounding homework is especially important in the context of the past two years. Many students will be struggling with mental health issues that were brought on or worsened by the pandemic , making heavy workloads even harder to balance.

"COVID was just a disaster in terms of the lack of structure. Everything just deteriorated," Kardaras says, pointing to an increase in cognitive issues and decrease in attention spans among students. "School acts as an anchor for a lot of children, as a stabilizing force, and that disappeared."

But even if students transition back to the structure of in-person classes, Kardaras suspects students may still struggle after two school years of shifted schedules and disrupted sleeping habits.

"We've seen adults struggling to go back to in-person work environments from remote work environments. That effect is amplified with children because children have less resources to be able to cope with those transitions than adults do," he explains.

'Get organized' ahead of back-to-school

In order to make the transition back to in-person school easier, Kang encourages students to "get good sleep, exercise regularly (and) eat a healthy diet."

To help manage workloads, she suggests students "get organized."

"There's so much mental clutter up there when you're disorganized. ... Sitting down and planning out their study schedules can really help manage their time," she says.

Breaking up assignments can also make things easier to tackle.

"I know that heavy workloads can be stressful, but if you sit down and you break down that studying into smaller chunks, they're much more manageable."

If workloads are still too much, Kang encourages students to advocate for themselves.

"They should tell their teachers when a homework assignment just took too much time or if it was too difficult for them to do on their own," she says. "It's good to speak up and ask those questions. Respectfully, of course, because these are your teachers. But still, I think sometimes teachers themselves need this feedback from their students."

More: Some teachers let their students sleep in class. Here's what mental health experts say.

More: Some parents are slipping young kids in for the COVID-19 vaccine, but doctors discourage the move as 'risky'

• Future Students
• Current Students
• Faculty/Staff

News and Media

• News & Media Home
• Research Stories
• School's In
• In the Media

You are here

More than two hours of homework may be counterproductive, research suggests.

A Stanford education researcher found that too much homework can negatively affect kids, especially their lives away from school, where family, friends and activities matter.   "Our findings on the effects of homework challenge the traditional assumption that homework is inherently good," wrote Denise Pope , a senior lecturer at the Stanford Graduate School of Education and a co-author of a study published in the Journal of Experimental Education .   The researchers used survey data to examine perceptions about homework, student well-being and behavioral engagement in a sample of 4,317 students from 10 high-performing high schools in upper-middle-class California communities. Along with the survey data, Pope and her colleagues used open-ended answers to explore the students' views on homework.   Median household income exceeded $90,000 in these communities, and 93 percent of the students went on to college, either two-year or four-year.   Students in these schools average about 3.1 hours of homework each night.   "The findings address how current homework practices in privileged, high-performing schools sustain students' advantage in competitive climates yet hinder learning, full engagement and well-being," Pope wrote.   Pope and her colleagues found that too much homework can diminish its effectiveness and even be counterproductive. They cite prior research indicating that homework benefits plateau at about two hours per night, and that 90 minutes to two and a half hours is optimal for high school.   Their study found that too much homework is associated with:   • Greater stress : 56 percent of the students considered homework a primary source of stress, according to the survey data. Forty-three percent viewed tests as a primary stressor, while 33 percent put the pressure to get good grades in that category. Less than 1 percent of the students said homework was not a stressor.   • Reductions in health : In their open-ended answers, many students said their homework load led to sleep deprivation and other health problems. The researchers asked students whether they experienced health issues such as headaches, exhaustion, sleep deprivation, weight loss and stomach problems.   • Less time for friends, family and extracurricular pursuits : Both the survey data and student responses indicate that spending too much time on homework meant that students were "not meeting their developmental needs or cultivating other critical life skills," according to the researchers. Students were more likely to drop activities, not see friends or family, and not pursue hobbies they enjoy.   A balancing act   The results offer empirical evidence that many students struggle to find balance between homework, extracurricular activities and social time, the researchers said. Many students felt forced or obligated to choose homework over developing other talents or skills.   Also, there was no relationship between the time spent on homework and how much the student enjoyed it. The research quoted students as saying they often do homework they see as "pointless" or "mindless" in order to keep their grades up.   "This kind of busy work, by its very nature, discourages learning and instead promotes doing homework simply to get points," said Pope, who is also a co-founder of Challenge Success , a nonprofit organization affiliated with the GSE that conducts research and works with schools and parents to improve students' educational experiences..   Pope said the research calls into question the value of assigning large amounts of homework in high-performing schools. Homework should not be simply assigned as a routine practice, she said.   "Rather, any homework assigned should have a purpose and benefit, and it should be designed to cultivate learning and development," wrote Pope.   High-performing paradox   In places where students attend high-performing schools, too much homework can reduce their time to foster skills in the area of personal responsibility, the researchers concluded. "Young people are spending more time alone," they wrote, "which means less time for family and fewer opportunities to engage in their communities."   Student perspectives   The researchers say that while their open-ended or "self-reporting" methodology to gauge student concerns about homework may have limitations – some might regard it as an opportunity for "typical adolescent complaining" – it was important to learn firsthand what the students believe.   The paper was co-authored by Mollie Galloway from Lewis and Clark College and Jerusha Conner from Villanova University.

Clifton B. Parker is a writer at the Stanford News Service .

More Stories

⟵ Go to all Research Stories

Get the Educator

Subscribe to our monthly newsletter.

Stanford Graduate School of Education

482 Galvez Mall Stanford, CA 94305-3096 Tel: (650) 723-2109

Improving lives through learning

• Contact Admissions
• GSE Leadership
• Site Feedback
• Web Accessibility
• Career Resources
• Faculty Open Positions
• Explore Courses
• Academic Calendar
• Office of the Registrar
• Cubberley Library
• StanfordWho
• StanfordYou

• Stanford Home
• Maps & Directions
• Search Stanford
• Emergency Info
• Terms of Use
• Non-Discrimination
• Accessibility

© Stanford University , Stanford , California 94305 .

• Bipolar Disorder
• Therapy Center
• When To See a Therapist
• Types of Therapy
• Best Online Therapy
• Best Couples Therapy
• Best Family Therapy
• Managing Stress
• Sleep and Dreaming
• Understanding Emotions
• Self-Improvement
• Healthy Relationships
• Student Resources
• Personality Types
• Guided Meditations
• Verywell Mind Insights
• 2023 Verywell Mind 25
• Mental Health in the Classroom
• Editorial Process
• Meet Our Review Board
• Crisis Support

What Is Therapy Homework?

Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.

Dr. Sabrina Romanoff, PsyD, is a licensed clinical psychologist and a professor at Yeshiva University’s clinical psychology doctoral program.

Astrakan Images / Getty Images

Types of Therapy That Involve Homework

If you’ve recently started going to therapy , you may find yourself being assigned therapy homework. You may wonder what exactly it entails and what purpose it serves. Therapy homework comprises tasks or assignments that your therapist asks you to complete between sessions, says Nicole Erkfitz , DSW, LCSW, a licensed clinical social worker and executive director at AMFM Healthcare, Virginia.

Homework can be given in any form of therapy, and it may come as a worksheet, a task to complete, or a thought/piece of knowledge you are requested to keep with you throughout the week, Dr. Erkfitz explains.

This article explores the role of homework in certain forms of therapy, the benefits therapy homework can offer, and some tips to help you comply with your homework assignments.

Therapy homework can be assigned as part of any type of therapy. However, some therapists and forms of therapy may utilize it more than others.

For instance, a 2019-study notes that therapy homework is an integral part of cognitive-behavioral therapy (CBT) . According to Dr. Erkfitz, therapy homework is built into the protocol and framework of CBT, as well as dialectical behavior therapy (DBT) , which is a sub-type of CBT.

Therefore, if you’re seeing a therapist who practices CBT or DBT, chances are you’ll regularly have homework to do.

On the other hand, an example of a type of therapy that doesn’t generally involve homework is eye movement desensitization and reprocessing (EMDR) therapy. EMDR is a type of therapy that generally relies on the relationship between the therapist and client during sessions and is a modality that specifically doesn’t rely on homework, says Dr. Erkfitz.

However, she explains that if the client is feeling rejuvenated and well after their processing session, for instance, their therapist may ask them to write down a list of times that their positive cognition came up for them over the next week.

"Regardless of the type of therapy, the best kind of homework is when you don’t even realize you were assigned homework," says Erkfitz.

Benefits of Therapy Homework

Below, Dr. Erkfitz explains the benefits of therapy homework.

It Helps Your Therapist Review Your Progress

The most important part of therapy homework is the follow-up discussion at the next session. The time you spend reviewing with your therapist how the past week went, if you completed your homework, or if you didn’t and why, gives your therapist valuable feedback on your progress and insight on how they can better support you.

It Gives Your Therapist More Insight

Therapy can be tricky because by the time you are committed to showing up and putting in the work, you are already bringing a better and stronger version of yourself than what you have been experiencing in your day-to-day life that led you to seek therapy.

Homework gives your therapist an inside look into your day-to-day life, which can sometimes be hard to recap in a session. Certain homework assignments keep you thinking throughout the week about what you want to share during your sessions, giving your therapist historical data to review and address.

It Helps Empower You

The sense of empowerment you can gain from utilizing your new skills, setting new boundaries , and redirecting your own cognitive distortions is something a therapist can’t give you in the therapy session. This is something you give yourself. Therapy homework is how you come to the realization that you got this and that you can do it.

"The main benefit of therapy homework is that it builds your skills as well as the understanding that you can do this on your own," says Erkfitz.

Tips for Your Therapy Homework

Below, Dr. Erkfitz shares some tips that can help with therapy homework:

• Set aside time for your homework: Create a designated time to complete your therapy homework. The aim of therapy homework is to keep you thinking and working on your goals between sessions. Use your designated time as a sacred space to invest in yourself and pour your thoughts and emotions into your homework, just as you would in a therapy session .
• Be honest: As therapists, we are not looking for you to write down what you think we want to read or what you think you should write down. It’s important to be honest with us, and yourself, about what you are truly feeling and thinking.
• Practice your skills: Completing the worksheet or log are important, but you also have to be willing to put your skills and learnings into practice. Allow yourself to be vulnerable and open to trying new things so that you can report back to your therapist about whether what you’re trying is working for you or not.
• Remember that it’s intended to help you: Therapy homework helps you maximize the benefits of therapy and get the most value out of the process. A 2013-study notes that better homework compliance is linked to better treatment outcomes.
• Talk to your therapist if you’re struggling: Therapy homework shouldn’t feel like work. If you find that you’re doing homework as a monotonous task, talk to your therapist and let them know that your heart isn’t in it and that you’re not finding it beneficial. They can explain the importance of the tasks to you, tailor your assignments to your preferences, or change their course of treatment if need be.

"When the therapy homework starts 'hitting home' for you, that’s when you know you’re on the right track and doing the work you need to be doing," says Erkfitz.

A Word From Verywell

Similar to how school involves classwork and homework, therapy can also involve in-person sessions and homework assignments.

If your therapist has assigned you homework, try to make time to do it. Completing it honestly can help you and your therapist gain insights into your emotional processes and overall progress. Most importantly, it can help you develop coping skills and practice them, which can boost your confidence, empower you, and make your therapeutic process more effective.

Get Help Now

We've tried, tested, and written unbiased reviews of the best online therapy programs including Talkspace, BetterHelp, and ReGain. Find out which option is the best for you.

Conklin LR, Strunk DR, Cooper AA. Therapist behaviors as predictors of immediate homework engagement in cognitive therapy for depression . Cognit Ther Res . 2018;42(1):16-23. doi:10.1007/s10608-017-9873-6

Lebeau RT, Davies CD, Culver NC, Craske MG. Homework compliance counts in cognitive-behavioral therapy . Cogn Behav Ther . 2013;42(3):171-179. doi:10.1080/16506073.2013.763286

By Sanjana Gupta Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.

Does Homework Really Help Students Learn?

A conversation with a Wheelock researcher, a BU student, and a fourth-grade teacher

“Quality homework is engaging and relevant to kids’ lives,” says Wheelock’s Janine Bempechat. “It gives them autonomy and engages them in the community and with their families. In some subjects, like math, worksheets can be very helpful. It has to do with the value of practicing over and over.” Photo by iStock/Glenn Cook Photography

Do your homework.

If only it were that simple.

Educators have debated the merits of homework since the late 19th century. In recent years, amid concerns of some parents and teachers that children are being stressed out by too much homework, things have only gotten more fraught.

“Homework is complicated,” says developmental psychologist Janine Bempechat, a Wheelock College of Education & Human Development clinical professor. The author of the essay “ The Case for (Quality) Homework—Why It Improves Learning and How Parents Can Help ” in the winter 2019 issue of Education Next , Bempechat has studied how the debate about homework is influencing teacher preparation, parent and student beliefs about learning, and school policies.

She worries especially about socioeconomically disadvantaged students from low-performing schools who, according to research by Bempechat and others, get little or no homework.

BU Today  sat down with Bempechat and Erin Bruce (Wheelock’17,’18), a new fourth-grade teacher at a suburban Boston school, and future teacher freshman Emma Ardizzone (Wheelock) to talk about what quality homework looks like, how it can help children learn, and how schools can equip teachers to design it, evaluate it, and facilitate parents’ role in it.

BU Today: Parents and educators who are against homework in elementary school say there is no research definitively linking it to academic performance for kids in the early grades. You’ve said that they’re missing the point.

Bempechat : I think teachers assign homework in elementary school as a way to help kids develop skills they’ll need when they’re older—to begin to instill a sense of responsibility and to learn planning and organizational skills. That’s what I think is the greatest value of homework—in cultivating beliefs about learning and skills associated with academic success. If we greatly reduce or eliminate homework in elementary school, we deprive kids and parents of opportunities to instill these important learning habits and skills.

We do know that beginning in late middle school, and continuing through high school, there is a strong and positive correlation between homework completion and academic success.

That’s what I think is the greatest value of homework—in cultivating beliefs about learning and skills associated with academic success.

You talk about the importance of quality homework. What is that?

Quality homework is engaging and relevant to kids’ lives. It gives them autonomy and engages them in the community and with their families. In some subjects, like math, worksheets can be very helpful. It has to do with the value of practicing over and over.

What are your concerns about homework and low-income children?

The argument that some people make—that homework “punishes the poor” because lower-income parents may not be as well-equipped as affluent parents to help their children with homework—is very troubling to me. There are no parents who don’t care about their children’s learning. Parents don’t actually have to help with homework completion in order for kids to do well. They can help in other ways—by helping children organize a study space, providing snacks, being there as a support, helping children work in groups with siblings or friends.

Isn’t the discussion about getting rid of homework happening mostly in affluent communities?

Yes, and the stories we hear of kids being stressed out from too much homework—four or five hours of homework a night—are real. That’s problematic for physical and mental health and overall well-being. But the research shows that higher-income students get a lot more homework than lower-income kids.

Teachers may not have as high expectations for lower-income children. Schools should bear responsibility for providing supports for kids to be able to get their homework done—after-school clubs, community support, peer group support. It does kids a disservice when our expectations are lower for them.

The conversation around homework is to some extent a social class and social justice issue. If we eliminate homework for all children because affluent children have too much, we’re really doing a disservice to low-income children. They need the challenge, and every student can rise to the challenge with enough supports in place.

What did you learn by studying how education schools are preparing future teachers to handle homework?

My colleague, Margarita Jimenez-Silva, at the University of California, Davis, School of Education, and I interviewed faculty members at education schools, as well as supervising teachers, to find out how students are being prepared. And it seemed that they weren’t. There didn’t seem to be any readings on the research, or conversations on what high-quality homework is and how to design it.

Erin, what kind of training did you get in handling homework?

Bruce : I had phenomenal professors at Wheelock, but homework just didn’t come up. I did lots of student teaching. I’ve been in classrooms where the teachers didn’t assign any homework, and I’ve been in rooms where they assigned hours of homework a night. But I never even considered homework as something that was my decision. I just thought it was something I’d pull out of a book and it’d be done.

I started giving homework on the first night of school this year. My first assignment was to go home and draw a picture of the room where you do your homework. I want to know if it’s at a table and if there are chairs around it and if mom’s cooking dinner while you’re doing homework.

The second night I asked them to talk to a grown-up about how are you going to be able to get your homework done during the week. The kids really enjoyed it. There’s a running joke that I’m teaching life skills.

Friday nights, I read all my kids’ responses to me on their homework from the week and it’s wonderful. They pour their hearts out. It’s like we’re having a conversation on my couch Friday night.

It matters to know that the teacher cares about you and that what you think matters to the teacher. Homework is a vehicle to connect home and school…for parents to know teachers are welcoming to them and their families.

Bempechat : I can’t imagine that most new teachers would have the intuition Erin had in designing homework the way she did.

Ardizzone : Conversations with kids about homework, feeling you’re being listened to—that’s such a big part of wanting to do homework….I grew up in Westchester County. It was a pretty demanding school district. My junior year English teacher—I loved her—she would give us feedback, have meetings with all of us. She’d say, “If you have any questions, if you have anything you want to talk about, you can talk to me, here are my office hours.” It felt like she actually cared.

Bempechat : It matters to know that the teacher cares about you and that what you think matters to the teacher. Homework is a vehicle to connect home and school…for parents to know teachers are welcoming to them and their families.

Ardizzone : But can’t it lead to parents being overbearing and too involved in their children’s lives as students?

Bempechat : There’s good help and there’s bad help. The bad help is what you’re describing—when parents hover inappropriately, when they micromanage, when they see their children confused and struggling and tell them what to do.

Good help is when parents recognize there’s a struggle going on and instead ask informative questions: “Where do you think you went wrong?” They give hints, or pointers, rather than saying, “You missed this,” or “You didn’t read that.”

Bruce : I hope something comes of this. I hope BU or Wheelock can think of some way to make this a more pressing issue. As a first-year teacher, it was not something I even thought about on the first day of school—until a kid raised his hand and said, “Do we have homework?” It would have been wonderful if I’d had a plan from day one.

Explore Related Topics:

• Share this story

Senior Contributing Editor

Sara Rimer A journalist for more than three decades, Sara Rimer worked at the Miami Herald , Washington Post and, for 26 years, the New York Times , where she was the New England bureau chief, and a national reporter covering education, aging, immigration, and other social justice issues. Her stories on the death penalty’s inequities were nominated for a Pulitzer Prize and cited in the U.S. Supreme Court’s decision outlawing the execution of people with intellectual disabilities. Her journalism honors include Columbia University’s Meyer Berger award for in-depth human interest reporting. She holds a BA degree in American Studies from the University of Michigan. Profile

She can be reached at [email protected] .

Comments & Discussion

Boston University moderates comments to facilitate an informed, substantive, civil conversation. Abusive, profane, self-promotional, misleading, incoherent or off-topic comments will be rejected. Moderators are staffed during regular business hours (EST) and can only accept comments written in English. Statistics or facts must include a citation or a link to the citation.

There are 81 comments on Does Homework Really Help Students Learn?

Insightful! The values about homework in elementary schools are well aligned with my intuition as a parent.

when i finish my work i do my homework and i sometimes forget what to do because i did not get enough sleep

same omg it does not help me it is stressful and if I have it in more than one class I hate it.

Same I think my parent wants to help me but, she doesn’t care if I get bad grades so I just try my best and my grades are great.

I think that last question about Good help from parents is not know to all parents, we do as our parents did or how we best think it can be done, so maybe coaching parents or giving them resources on how to help with homework would be very beneficial for the parent on how to help and for the teacher to have consistency and improve homework results, and of course for the child. I do see how homework helps reaffirm the knowledge obtained in the classroom, I also have the ability to see progress and it is a time I share with my kids

The answer to the headline question is a no-brainer – a more pressing problem is why there is a difference in how students from different cultures succeed. Perfect example is the student population at BU – why is there a majority population of Asian students and only about 3% black students at BU? In fact at some universities there are law suits by Asians to stop discrimination and quotas against admitting Asian students because the real truth is that as a group they are demonstrating better qualifications for admittance, while at the same time there are quotas and reduced requirements for black students to boost their portion of the student population because as a group they do more poorly in meeting admissions standards – and it is not about the Benjamins. The real problem is that in our PC society no one has the gazuntas to explore this issue as it may reveal that all people are not created equal after all. Or is it just environmental cultural differences??????

I get you have a concern about the issue but that is not even what the point of this article is about. If you have an issue please take this to the site we have and only post your opinion about the actual topic

This is not at all what the article is talking about.

This literally has nothing to do with the article brought up. You should really take your opinions somewhere else before you speak about something that doesn’t make sense.

we have the same name

so they have the same name what of it?

lol you tell her

totally agree

What does that have to do with homework, that is not what the article talks about AT ALL.

Yes, I think homework plays an important role in the development of student life. Through homework, students have to face challenges on a daily basis and they try to solve them quickly.I am an intense online tutor at 24x7homeworkhelp and I give homework to my students at that level in which they handle it easily.

More than two-thirds of students said they used alcohol and drugs, primarily marijuana, to cope with stress.

You know what’s funny? I got this assignment to write an argument for homework about homework and this article was really helpful and understandable, and I also agree with this article’s point of view.

I also got the same task as you! I was looking for some good resources and I found this! I really found this article useful and easy to understand, just like you! ^^

i think that homework is the best thing that a child can have on the school because it help them with their thinking and memory.

I am a child myself and i think homework is a terrific pass time because i can’t play video games during the week. It also helps me set goals.

Homework is not harmful ,but it will if there is too much

I feel like, from a minors point of view that we shouldn’t get homework. Not only is the homework stressful, but it takes us away from relaxing and being social. For example, me and my friends was supposed to hang at the mall last week but we had to postpone it since we all had some sort of work to do. Our minds shouldn’t be focused on finishing an assignment that in realty, doesn’t matter. I completely understand that we should have homework. I have to write a paper on the unimportance of homework so thanks.

homework isn’t that bad

Are you a student? if not then i don’t really think you know how much and how severe todays homework really is

i am a student and i do not enjoy homework because i practice my sport 4 out of the five days we have school for 4 hours and that’s not even counting the commute time or the fact i still have to shower and eat dinner when i get home. its draining!

i totally agree with you. these people are such boomers

why just why

they do make a really good point, i think that there should be a limit though. hours and hours of homework can be really stressful, and the extra work isn’t making a difference to our learning, but i do believe homework should be optional and extra credit. that would make it for students to not have the leaning stress of a assignment and if you have a low grade you you can catch up.

Studies show that homework improves student achievement in terms of improved grades, test results, and the likelihood to attend college. Research published in the High School Journal indicates that students who spent between 31 and 90 minutes each day on homework “scored about 40 points higher on the SAT-Mathematics subtest than their peers, who reported spending no time on homework each day, on average.” On both standardized tests and grades, students in classes that were assigned homework outperformed 69% of students who didn’t have homework. A majority of studies on homework’s impact – 64% in one meta-study and 72% in another – showed that take home assignments were effective at improving academic achievement. Research by the Institute for the Study of Labor (IZA) concluded that increased homework led to better GPAs and higher probability of college attendance for high school boys. In fact, boys who attended college did more than three hours of additional homework per week in high school.

So how are your measuring student achievement? That’s the real question. The argument that doing homework is simply a tool for teaching responsibility isn’t enough for me. We can teach responsibility in a number of ways. Also the poor argument that parents don’t need to help with homework, and that students can do it on their own, is wishful thinking at best. It completely ignores neurodiverse students. Students in poverty aren’t magically going to find a space to do homework, a friend’s or siblings to help them do it, and snacks to eat. I feel like the author of this piece has never set foot in a classroom of students.

THIS. This article is pathetic coming from a university. So intellectually dishonest, refusing to address the havoc of capitalism and poverty plays on academic success in life. How can they in one sentence use poor kids in an argument and never once address that poor children have access to damn near 0 of the resources affluent kids have? Draw me a picture and let’s talk about feelings lmao what a joke is that gonna put food in their belly so they can have the calories to burn in order to use their brain to study? What about quiet their 7 other siblings that they share a single bedroom with for hours? Is it gonna force the single mom to magically be at home and at work at the same time to cook food while you study and be there to throw an encouraging word?

Also the “parents don’t need to be a parent and be able to guide their kid at all academically they just need to exist in the next room” is wild. Its one thing if a parent straight up is not equipped but to say kids can just figured it out is…. wow coming from an educator What’s next the teacher doesn’t need to teach cause the kid can just follow the packet and figure it out?

Well then get a tutor right? Oh wait you are poor only affluent kids can afford a tutor for their hours of homework a day were they on average have none of the worries a poor child does. Does this address that poor children are more likely to also suffer abuse and mental illness? Like mentioned what about kids that can’t learn or comprehend the forced standardized way? Just let em fail? These children regularly are not in “special education”(some of those are a joke in their own and full of neglect and abuse) programs cause most aren’t even acknowledged as having disabilities or disorders.

But yes all and all those pesky poor kids just aren’t being worked hard enough lol pretty sure poor children’s existence just in childhood is more work, stress, and responsibility alone than an affluent child’s entire life cycle. Love they never once talked about the quality of education in the classroom being so bad between the poor and affluent it can qualify as segregation, just basically blamed poor people for being lazy, good job capitalism for failing us once again!

why the hell?

you should feel bad for saying this, this article can be helpful for people who has to write a essay about it

This is more of a political rant than it is about homework

I know a teacher who has told his students their homework is to find something they are interested in, pursue it and then come share what they learn. The student responses are quite compelling. One girl taught herself German so she could talk to her grandfather. One boy did a research project on Nelson Mandela because the teacher had mentioned him in class. Another boy, a both on the autism spectrum, fixed his family’s computer. The list goes on. This is fourth grade. I think students are highly motivated to learn, when we step aside and encourage them.

The whole point of homework is to give the students a chance to use the material that they have been presented with in class. If they never have the opportunity to use that information, and discover that it is actually useful, it will be in one ear and out the other. As a science teacher, it is critical that the students are challenged to use the material they have been presented with, which gives them the opportunity to actually think about it rather than regurgitate “facts”. Well designed homework forces the student to think conceptually, as opposed to regurgitation, which is never a pretty sight

Wonderful discussion. and yes, homework helps in learning and building skills in students.

not true it just causes kids to stress

Homework can be both beneficial and unuseful, if you will. There are students who are gifted in all subjects in school and ones with disabilities. Why should the students who are gifted get the lucky break, whereas the people who have disabilities suffer? The people who were born with this “gift” go through school with ease whereas people with disabilities struggle with the work given to them. I speak from experience because I am one of those students: the ones with disabilities. Homework doesn’t benefit “us”, it only tears us down and put us in an abyss of confusion and stress and hopelessness because we can’t learn as fast as others. Or we can’t handle the amount of work given whereas the gifted students go through it with ease. It just brings us down and makes us feel lost; because no mater what, it feels like we are destined to fail. It feels like we weren’t “cut out” for success.

homework does help

here is the thing though, if a child is shoved in the face with a whole ton of homework that isn’t really even considered homework it is assignments, it’s not helpful. the teacher should make homework more of a fun learning experience rather than something that is dreaded

This article was wonderful, I am going to ask my teachers about extra, or at all giving homework.

I agree. Especially when you have homework before an exam. Which is distasteful as you’ll need that time to study. It doesn’t make any sense, nor does us doing homework really matters as It’s just facts thrown at us.

Homework is too severe and is just too much for students, schools need to decrease the amount of homework. When teachers assign homework they forget that the students have other classes that give them the same amount of homework each day. Students need to work on social skills and life skills.

I disagree.

Beyond achievement, proponents of homework argue that it can have many other beneficial effects. They claim it can help students develop good study habits so they are ready to grow as their cognitive capacities mature. It can help students recognize that learning can occur at home as well as at school. Homework can foster independent learning and responsible character traits. And it can give parents an opportunity to see what’s going on at school and let them express positive attitudes toward achievement.

Homework is helpful because homework helps us by teaching us how to learn a specific topic.

As a student myself, I can say that I have almost never gotten the full 9 hours of recommended sleep time, because of homework. (Now I’m writing an essay on it in the middle of the night D=)

I am a 10 year old kid doing a report about “Is homework good or bad” for homework before i was going to do homework is bad but the sources from this site changed my mind!

Homeowkr is god for stusenrs

I agree with hunter because homework can be so stressful especially with this whole covid thing no one has time for homework and every one just wants to get back to there normal lives it is especially stressful when you go on a 2 week vaca 3 weeks into the new school year and and then less then a week after you come back from the vaca you are out for over a month because of covid and you have no way to get the assignment done and turned in

As great as homework is said to be in the is article, I feel like the viewpoint of the students was left out. Every where I go on the internet researching about this topic it almost always has interviews from teachers, professors, and the like. However isn’t that a little biased? Of course teachers are going to be for homework, they’re not the ones that have to stay up past midnight completing the homework from not just one class, but all of them. I just feel like this site is one-sided and you should include what the students of today think of spending four hours every night completing 6-8 classes worth of work.

Are we talking about homework or practice? Those are two very different things and can result in different outcomes.

Homework is a graded assignment. I do not know of research showing the benefits of graded assignments going home.

Practice; however, can be extremely beneficial, especially if there is some sort of feedback (not a grade but feedback). That feedback can come from the teacher, another student or even an automated grading program.

As a former band director, I assigned daily practice. I never once thought it would be appropriate for me to require the students to turn in a recording of their practice for me to grade. Instead, I had in-class assignments/assessments that were graded and directly related to the practice assigned.

I would really like to read articles on “homework” that truly distinguish between the two.

oof i feel bad good luck!

thank you guys for the artical because I have to finish an assingment. yes i did cite it but just thanks

thx for the article guys.

Homework is good

I think homework is helpful AND harmful. Sometimes u can’t get sleep bc of homework but it helps u practice for school too so idk.

I agree with this Article. And does anyone know when this was published. I would like to know.

It was published FEb 19, 2019.

Studies have shown that homework improved student achievement in terms of improved grades, test results, and the likelihood to attend college.

i think homework can help kids but at the same time not help kids

This article is so out of touch with majority of homes it would be laughable if it wasn’t so incredibly sad.

There is no value to homework all it does is add stress to already stressed homes. Parents or adults magically having the time or energy to shepherd kids through homework is dome sort of 1950’s fantasy.

What lala land do these teachers live in?

Homework gives noting to the kid

Homework is Bad

homework is bad.

why do kids even have homework?

Comments are closed.

Latest from Bostonia

Opening doors: rhonda harrison (eng’98,’04, grs’04), campus reacts and responds to israel-hamas war, reading list: what the pandemic revealed, remembering com’s david anable, cas’ john stone, “intellectual brilliance and brilliant kindness”, one good deed: christine kannler (cas’96, sph’00, camed’00), william fairfield warren society inducts new members, spreading art appreciation, restoring the “black angels” to medical history, in the kitchen with jacques pépin, feedback: readers weigh in on bu’s new president, com’s new expert on misinformation, and what’s really dividing the nation, the gifts of great teaching, sth’s walter fluker honored by roosevelt institute, alum’s debut book is a ramadan story for children, my big idea: covering construction sites with art, former terriers power new professional women’s hockey league, five trailblazing alums to celebrate during women’s history month, alum beata coloyan is boston mayor michelle wu’s “eyes and ears” in boston neighborhoods, bu alum nina yoshida nelsen (cfa’01,’03) named artistic director of boston lyric opera, my big idea: blending wildlife conservation and human welfare.

• About the Hub
• Announcements
• Faculty Experts Guide
• Subscribe to the newsletter

Explore by Topic

• Arts+Culture
• Politics+Society
• Science+Technology
• Student Life
• University News
• Voices+Opinion
• About Hub at Work
• Gazette Archive
• Benefits+Perks
• Health+Well-Being
• Current Issue
• About the Magazine
• Past Issues
• Support Johns Hopkins Magazine
• Subscribe to the Magazine

You are using an outdated browser. Please upgrade your browser to improve your experience.

Credit: August de Richelieu

Does homework still have value? A Johns Hopkins education expert weighs in

Joyce epstein, co-director of the center on school, family, and community partnerships, discusses why homework is essential, how to maximize its benefit to learners, and what the 'no-homework' approach gets wrong.

By Vicky Hallett

The necessity of homework has been a subject of debate since at least as far back as the 1890s, according to Joyce L. Epstein , co-director of the Center on School, Family, and Community Partnerships at Johns Hopkins University. "It's always been the case that parents, kids—and sometimes teachers, too—wonder if this is just busy work," Epstein says.

But after decades of researching how to improve schools, the professor in the Johns Hopkins School of Education remains certain that homework is essential—as long as the teachers have done their homework, too. The National Network of Partnership Schools , which she founded in 1995 to advise schools and districts on ways to improve comprehensive programs of family engagement, has developed hundreds of improved homework ideas through its Teachers Involve Parents in Schoolwork program. For an English class, a student might interview a parent on popular hairstyles from their youth and write about the differences between then and now. Or for science class, a family could identify forms of matter over the dinner table, labeling foods as liquids or solids. These innovative and interactive assignments not only reinforce concepts from the classroom but also foster creativity, spark discussions, and boost student motivation.

"We're not trying to eliminate homework procedures, but expand and enrich them," says Epstein, who is packing this research into a forthcoming book on the purposes and designs of homework. In the meantime, the Hub couldn't wait to ask her some questions:

What kind of homework training do teachers typically get?

Future teachers and administrators really have little formal training on how to design homework before they assign it. This means that most just repeat what their teachers did, or they follow textbook suggestions at the end of units. For example, future teachers are well prepared to teach reading and literacy skills at each grade level, and they continue to learn to improve their teaching of reading in ongoing in-service education. By contrast, most receive little or no training on the purposes and designs of homework in reading or other subjects. It is really important for future teachers to receive systematic training to understand that they have the power, opportunity, and obligation to design homework with a purpose.

Why do students need more interactive homework?

If homework assignments are always the same—10 math problems, six sentences with spelling words—homework can get boring and some kids just stop doing their assignments, especially in the middle and high school years. When we've asked teachers what's the best homework you've ever had or designed, invariably we hear examples of talking with a parent or grandparent or peer to share ideas. To be clear, parents should never be asked to "teach" seventh grade science or any other subject. Rather, teachers set up the homework assignments so that the student is in charge. It's always the student's homework. But a good activity can engage parents in a fun, collaborative way. Our data show that with "good" assignments, more kids finish their work, more kids interact with a family partner, and more parents say, "I learned what's happening in the curriculum." It all works around what the youngsters are learning.

Is family engagement really that important?

At Hopkins, I am part of the Center for Social Organization of Schools , a research center that studies how to improve many aspects of education to help all students do their best in school. One thing my colleagues and I realized was that we needed to look deeply into family and community engagement. There were so few references to this topic when we started that we had to build the field of study. When children go to school, their families "attend" with them whether a teacher can "see" the parents or not. So, family engagement is ever-present in the life of a school.

My daughter's elementary school doesn't assign homework until third grade. What's your take on "no homework" policies?

There are some parents, writers, and commentators who have argued against homework, especially for very young children. They suggest that children should have time to play after school. This, of course is true, but many kindergarten kids are excited to have homework like their older siblings. If they give homework, most teachers of young children make assignments very short—often following an informal rule of 10 minutes per grade level. "No homework" does not guarantee that all students will spend their free time in productive and imaginative play.

Some researchers and critics have consistently misinterpreted research findings. They have argued that homework should be assigned only at the high school level where data point to a strong connection of doing assignments with higher student achievement . However, as we discussed, some students stop doing homework. This leads, statistically, to results showing that doing homework or spending more minutes on homework is linked to higher student achievement. If slow or struggling students are not doing their assignments, they contribute to—or cause—this "result."

Teachers need to design homework that even struggling students want to do because it is interesting. Just about all students at any age level react positively to good assignments and will tell you so.

Did COVID change how schools and parents view homework?

Within 24 hours of the day school doors closed in March 2020, just about every school and district in the country figured out that teachers had to talk to and work with students' parents. This was not the same as homeschooling—teachers were still working hard to provide daily lessons. But if a child was learning at home in the living room, parents were more aware of what they were doing in school. One of the silver linings of COVID was that teachers reported that they gained a better understanding of their students' families. We collected wonderfully creative examples of activities from members of the National Network of Partnership Schools. I'm thinking of one art activity where every child talked with a parent about something that made their family unique. Then they drew their finding on a snowflake and returned it to share in class. In math, students talked with a parent about something the family liked so much that they could represent it 100 times. Conversations about schoolwork at home was the point.

How did you create so many homework activities via the Teachers Involve Parents in Schoolwork program?

We had several projects with educators to help them design interactive assignments, not just "do the next three examples on page 38." Teachers worked in teams to create TIPS activities, and then we turned their work into a standard TIPS format in math, reading/language arts, and science for grades K-8. Any teacher can use or adapt our prototypes to match their curricula.

Overall, we know that if future teachers and practicing educators were prepared to design homework assignments to meet specific purposes—including but not limited to interactive activities—more students would benefit from the important experience of doing their homework. And more parents would, indeed, be partners in education.

Posted in Voices+Opinion

You might also like

News network.

• Johns Hopkins Magazine
• Get Email Updates
• Submit an Announcement
• Submit an Event
• Privacy Statement
• Accessibility

Discover JHU

• About the University
• Schools & Divisions
• Academic Programs
• Plan a Visit
• my.JohnsHopkins.edu
• © 2024 Johns Hopkins University . All rights reserved.
• University Communications
• 3910 Keswick Rd., Suite N2600, Baltimore, MD
• X Facebook LinkedIn YouTube Instagram

Sending Homework to Clients in Therapy: The Easy Way

Successful therapy relies on using assignments outside of sessions to reinforce learning and practice newly acquired skills in real-world settings (Mausbach et al., 2010).

Up to 50% of clients don’t adhere to homework compliance, often leading to failure in CBT and other therapies (Tang & Kreindler, 2017).

In this article, we explore how to use technology to create homework, send it out, and track its completion to ensure compliance.

Before you continue, we thought you might like to download our three Positive Psychology Exercises for free . These science-based exercises will explore fundamental aspects of positive psychology including strengths, values, and self-compassion, and will give you the tools to enhance the wellbeing of your clients, students, or employees.

This Article Contains:

Is homework in therapy important, how to send homework to clients easily, homework in quenza: 5 examples of assignments, 5 counseling homework ideas and worksheets, using care pathways & quenza’s pathway builder, a take-home message.

Cognitive-Behavioral Therapy has “been shown to be as effective as medications in the treatment of a number of psychiatric illnesses” (Tang & Kreindler, 2017, p. 1).

Homework is a vital component of CBT, typically involving completing a structured and focused activity between sessions.

Practicing what was learned in therapy helps clients deal with specific symptoms and learn how to generalize them in real-life settings (Mausbach et al., 2010).

CBT practitioners use homework to help their clients, and it might include symptom logs, self-reflective journals , and specific tools for working on obsessions and compulsions. Such tasks, performed outside therapy sessions, can be divided into three types (Tang & Kreindler, 2017):

• Psychoeducation Reading materials are incredibly important early on in therapy to educate clients regarding their symptoms, possible causes, and potential treatments.
• Self-assessment Monitoring their moods and completing thought records can help clients recognize associations between their feelings, thoughts, and behaviors.
• Modality specific Therapists may assign homework that is specific and appropriate to the problem the client is presenting. For example, a practitioner may use images of spiders for someone with arachnophobia.

Therapists strategically create homework to lessen patients’ psychopathology and encourage clients to practice skills learned during therapy sessions, but non-adherence (between 20% and 50%) remains one of the most cited reasons for CBT failure (Tang & Kreindler, 2017).

Reasons why clients might fail to complete homework include (Tang & Kreindler, 2017):

Internal factors

• Lack of motivation to change what is happening when experiencing negative feelings
• Being unable to identify automatic thoughts
• Failing to see the importance or relevance of homework
• Impatience and the wish to see immediate results

External factors

• Effort required to complete pen-and-paper exercises
• Inconvenience and amount of time to complete
• Failing to understand the purpose of the homework, possibly due to lack of or weak instruction
• Difficulties encountered during completion

Homework compliance is associated with short-term and long-term improvement of many disorders and unhealthy behaviors, including anxiety, depression, pathological behaviors, smoking, and drug dependence (Tang & Kreindler, 2017).

Greater homework adherence increases the likelihood of beneficial therapy outcomes (Mausbach et al., 2010).

With that in mind, therapy must find ways to encourage the completion of tasks set for the client. Technology may provide the answer.

The increased availability of internet-connected devices, improved software, and widespread internet access enable portable, practical tools to enhance homework compliance (Tang & Kreindler, 2017).

Clients who complete their homework assignments progress better than those who don’t (Beck, 2011).

Having an ideal platform for therapy makes it easy to send and track clients’ progress through assignments. It must be “user-friendly, accessible, reliable and secure from the perspective of both coach and client” (Ribbers & Waringa, 2015, p. 103).

In dedicated online therapy and coaching software, homework management is straightforward. The therapist creates the homework then forwards it to the client. They receive a notification and complete the work when it suits them. All this is achieved in one system, asynchronously; neither party needs to be online at the same time.

For example, in Quenza , the therapist can create a worksheet or tailor an existing one from the library as an activity that asks the client to reflect on the progress they have made or work they have completed.

The activity can either be given directly to the client or group, or included in a pathway containing other activities.

Here is an example of the activity parameters that Quenza makes possible.

A message can be attached to the activity, using either a template or a personally tailored message for the client. Here’s an example.

Once the activity is published and sent, the client receives a notification about a received assignment via their coaching app (mobile or desktop) or email.

The client can then open the Quenza software and find the new homework under their ‘To Do’ list.

Download 3 Free Positive Psychology Exercises (PDF)

Enhance wellbeing with these free, science-based exercises that draw on the latest insights from positive psychology.

Download 3 Free Positive Psychology Tools Pack (PDF)

By filling out your name and email address below.

Quenza provides the ability to create your own assignments as well as a wide selection of existing ones that can be assigned to clients for completion as homework.

The following activities can be tailored to meet specific needs or used as-is. Therapists can share them with the client individually or packaged into dedicated pathways.

Such flexibility allows therapists to meet the specific needs of the client using a series of dedicated and trackable homework.

Examples of Quenza’s ready-to-use science-based activities include the following:

Wheel of Life

The Wheel of Life is a valuable tool for identifying and reflecting on a client’s satisfaction with life.

You can find the worksheet in the Positive Psychology Toolkit© , and it is also included in the Quenza library. The client scores themselves between 1 and 10 on specific life domains (the therapist can tailor the domains), including relationships, career development, and leisure time.

This is an active exercise to engage the client early on in therapy to reflect on their current and potential life. What is it like now? How could it look?

The wheel identifies where there are differences between perceived balance and reality .

The deep insights it provides can provide valuable input and prioritization for goal setting.

The Private Garden: A Visualization for Stress Reduction

While stress is a normal part of life, it can become debilitating and interfere with our everyday lives, stopping us from reaching our life goals.

We may notice stress as worry, anxiety, and tension and resort to avoidant or harmful behaviors (e.g., abusing alcohol, smoking, comfort eating) to manage these feelings.

Visualization is simple but a powerful method for reducing physical and mental stress, especially when accompanied by breathing exercises.

The audio included within this assignment helps the listener visualize a place of safety and peace and provides a temporary respite from stressful situations.

20 Guidelines for Developing a Growth Mindset

Research into neuroplasticity has confirmed the ability of the adult brain to continue to change in adulthood and the corresponding capacity for people to develop and transform their mindsets (Dweck, 2017).

The 20 guidelines (included in our Toolkit and part of the Quenza library) and accompanying video explain our ability to change mentally and develop a growth mindset that includes accepting imperfection, leaning into challenges, continuing to learn, and seeing ‘failure’ as an opportunity for growth.

Adopting a growth mindset can help clients understand that our abilities and understanding are not fixed; we can develop them in ways we want with time and effort.

Self-Contract

Committing to change is accepted as an effective way to promote behavioral change – in health and beyond. When a client makes a contract with themselves, they explicitly state their intention to deliver on plans and short- and long-term goals.

Completing and signing such a self-contract (included in our Toolkit and part of the Quenza library) online can help people act on their commitment through recognizing and living by their values.

Not only that, the contract between the client and themselves can be motivational, building momentum and self-efficacy.

The contract can be automatically personalized to include the client’s name but also manually reworded as appropriate.

The client completes the form by restating their name and committing to a defined goal by a particular date, along with their reasons for doing so.

Realizing Long-Lasting Change by Setting Process Goals

We can help clients realize their goals by building supportive habits. Process goals – for example, eating healthily and exercising – require ongoing actions to be performed regularly.

Process goals (unlike end-state goals, such as saving up for a vacation) require long-lasting and continuous change that involves monitoring standards.

This tool (included in our Toolkit and part of the Quenza library) can help clients identify positive actions (rather than things to avoid) that they must carry out repeatedly to realize change.

We have many activities that can be used to help clients attending therapy for a wide variety of issues.

In this section, we consider homework ideas that can be used in couples therapy, family therapy, and supporting clients with depression and anxiety.

Couples therapy homework

Conflict is inevitable in most long-term relationships. Everyone has their idiosyncrasies and individual set of needs. The Marital Conflicts worksheet captures a list of situations in which conflicts arise, when they happen, and how clients feel when they are (un)resolved.

Family therapy homework

Families, like individuals, are susceptible to times of stress and disruptions because of life changes such as illness, caring for others, and job and financial insecurity.

Mind the Gap is a family therapy worksheet where a family makes decisions together to align with goals they aspire to. Mind the gap is a short exercise to align with values and improve engagement.

How holistic therapist Jelisa Glanton uses Quenza

Homework ideas for depression and anxiety: 3 Exercises

The following exercises are all valuable for helping clients with the effects of anxiety and depression.

Activity Schedule is a template assisting a client with scheduling and managing normal daily activities, especially important for those battling with depression.

Activity Menu is a related worksheet, allowing someone with depression to select from a range of normal activities and ideas, and add these to a schedule as goals for improvement.

The Pleasurable Activity Journal focus on activities the client used to find enjoyable. Feelings regarding these activities are journaled, to track recovery progress.

Practicing mindfulness is helpful for those experiencing depression (Shapiro, 2020). A regular gratitude practice can develop new neural pathways and create a more grateful, mindful disposition (Shapiro, 2020).

Each activity can be tailored to the client’s needs; shared as standalone exercises, worksheets, or questionnaires; or included within a care pathway.

A pathway is an automated and scheduled series of activities that can take the client through several stages of growth, including psychoeducation , assessment, and action to produce a behavioral change in a single journey.

How to build pathways

The creator can add two pathway titles. The second title is not necessary, but if entered, it is seen by the client in place of the first.

Once named, a series of steps can be created and reordered at any time, each containing an activity. Activities can be built from scratch, modified from existing ones in the library, or inserted as-is.

New activities can be created and used solely in this pathway or made available for others. They can contain various features, including long- and short-answer boxes, text boxes, multiple choice boxes, pictures, diagrams, and audio and video files.

Quenza can automatically deliver each step or activity in the pathway to the client following the previous one or after a certain number of days. Such timing is beneficial when the client needs to reflect on something before completing the next step.

Practitioners can also designate steps as required or optional before the client continues to the next one.

Practitioners can also add helpful notes not visible to the client. These comments can contain practical reminders of future changes or references to associated literature that the client does not need to see.

It is also possible to choose who can see client responses: the client and you, the client only, or the client decides.

Tags help categorize the pathway (e.g., by function, intended audience, or suggested timing within therapy) and can be used to filter what is displayed on the therapist’s pathway screen.

Once designed, the pathway can be saved as a draft or published and sent to the client. The client receives the notification of the new assignment either via email or the coaching app on their phone, tablet, or desktop.

17 Top-Rated Positive Psychology Exercises for Practitioners

Expand your arsenal and impact with these 17 Positive Psychology Exercises [PDF] , scientifically designed to promote human flourishing, meaning, and wellbeing.

Created by Experts. 100% Science-based.

Success in therapy is heavily reliant on homework completion. The greater the compliance, the more likely the client is to have a better treatment outcome (Mausbach et al., 2010).

To improve the likelihood that clients engage with and complete the assignments provided, homework must be appropriate to their needs, have a sound rationale, and do the job intended (Beck, 2011).

Technology such as Quenza can make homework readily available on any device, anytime, from any location, and ensure it contains clear and concise psychoeducation and instructions for completion.

The therapist can easily create, copy, and tailor homework and, if necessary, combine multiple activities into single pathways. These are then shared with the click of a button. The client is immediately notified but can complete it at a time appropriate to them.

Quenza can also send automatic reminders about incomplete assignments to the client and highlight their status to the therapist. Not only that, but any resulting questions can be delivered securely to the therapist with no risk of getting lost in a busy email inbox.

Why not try the Quenza application? Try using some of the existing science-based activities or create your own. It offers an impressive array of functionality that will not only help you scale your business, but also ensure proactive, regular communication with your existing clients.

We hope you enjoyed reading this article. Don’t forget to download our three Positive Psychology Exercises for free .

• Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond . Guilford Press.
• Dweck, C. S. (2017).  Mindset: The new psychology of success.  Robinson.
• Mausbach, B. T., Moore, R., Roesch, S., Cardenas, V., & Patterson, T. L. (2010). The relationship between homework compliance and therapy outcomes: An updated meta-analysis. Cognitive Therapy and Research , 34 (5), 429–438.
• Ribbers, A., & Waringa, A. (2015). E-coaching: Theory and practice for a new online approach to coaching . Routledge.
• Shapiro, S. L. (2020).  Rewire your mind: Discover the science and practice of mindfulness. Aster.
• Tang, W., & Kreindler, D. (2017). Supporting homework compliance in cognitive behavioural therapy: Essential features of mobile apps. JMIR Mental Health , 4 (2).

Share this article:

Article feedback

Let us know your thoughts cancel reply.

Your email address will not be published.

Save my name, email, and website in this browser for the next time I comment.

Related articles

The Empty Chair Technique: How It Can Help Your Clients

Resolving ‘unfinished business’ is often an essential part of counseling. If left unresolved, it can contribute to depression, anxiety, and mental ill-health while damaging existing [...]

29 Best Group Therapy Activities for Supporting Adults

As humans, we are social creatures with personal histories based on the various groups that make up our lives. Childhood begins with a family of [...]

47 Free Therapy Resources to Help Kick-Start Your New Practice

Setting up a private practice in psychotherapy brings several challenges, including a considerable investment of time and money. You can reduce risks early on by [...]

Read other articles by their category

• Body & Brain (48)
• Coaching & Application (57)
• Compassion (26)
• Counseling (51)
• Emotional Intelligence (24)
• Gratitude (18)
• Grief & Bereavement (21)
• Happiness & SWB (40)
• Meaning & Values (26)
• Meditation (20)
• Mindfulness (45)
• Motivation & Goals (45)
• Optimism & Mindset (34)
• Positive CBT (28)
• Positive Communication (20)
• Positive Education (47)
• Positive Emotions (32)
• Positive Leadership (17)
• Positive Parenting (2)
• Positive Psychology (33)
• Positive Workplace (37)
• Productivity (16)
• Relationships (47)
• Resilience & Coping (35)
• Self Awareness (21)
• Self Esteem (37)
• Strengths & Virtues (30)
• Stress & Burnout Prevention (34)
• Theory & Books (46)
• Therapy Exercises (37)
• Types of Therapy (64)

Homework as a Mental Health Concern It's time for an in depth discussion about homework as a major concern for those pursuing mental health in schools. So many problems between kids and their families, the home and school, and students and teachers arise from conflicts over homework. The topic is a long standing concern for mental health practitioners, especially those who work in schools. Over the years, we have tried to emphasize the idea that schools need to ensure that homework is designed as "motivated practice," and parents need to avoid turning homework into a battleground. These views are embedded in many of the Center documents. At this time, we hope you will join in a discussion of what problems you see arising related to homework and what you recommend as ways to deal with such problems, what positive homework practices you know about, and so forth. Read the material that follows, and then, let us hear from you on this topic. Contact: [email protected] ######################### As one stimulus, here's a piece by Sharon Cromwell from Education World prepared for teachers " The Homework Dilemma: How Much Should Parents Get Involved? " http://www.education-world.com/a_curr/curr053.shtml . What can teachers do to help parents help their children with homework? Just what kind of parental involvement -- and how much involvement -- truly helps children with their homework? The most useful stance parents can take, many experts agree, is to be somewhat but not overly involved in homework. The emphasis needs to be on parents' helping children do their homework themselves -- not on doing it for them. In an Instructor magazine article, How to Make Parents Your Homework Partner s, study-skills consultant Judy Dodge maintains that involving students in homework is largely the teacher's job, yet parents can help by "creating a home environment that's conducive to kids getting their homework done." Children who spend more time on homework, on average, do better academically than children who don't, and the academic benefits of homework increase in the upper grades, according to Helping Your Child With Homework , a handbook by the Office of Education Research and Improvement in the U.S. Department of Education. The handbook offers ideas for helping children finish homework assignments successfully and answers questions that parents and people who care for elementary and junior high school students often ask about homework. One of the Goals 2000 goals involves the parent/school relationship. The goal reads, "Every school will promote partnerships that will increase parental involvement and participation in promoting the social, emotional, and academic growth of children." Teachers can pursue the goal, in part, by communicating to parents their reasons for assigning homework. For example, the handbook states, homework can help children to review and practice what they have learned; prepare for the next day's class; use resources, such as libraries and reference materials; investigate topics more fully than time allows in the classroom. Parents can help children excel at homework by setting a regular time; choosing a place; removing distractions; having supplies and resources on hand; monitoring assignments; and providing guidance. The handbook cautions against actually doing the homework for a child, but talking about the assignment so the child can figure out what needs to be done is OK. And reviewing a completed assignment with a child can also be helpful. The kind of help that works best depends, of course, partly on the child's age. Elementary school students who are doing homework for the first time may need more direct involvement than older students. HOMEWORK "TIPS" Specific methods have been developed for encouraging the optimal parental involvement in homework. TIPS (Teachers Involve Parents in Schoolwork) Interactive Homework process was designed by researchers at Johns Hopkins University and teachers in Maryland, Virginia, and the District of Columbia to meet parents' and teachers' needs, says the Phi Delta Kappa Research Bulletin . The September 1997 bulletin reported the effects of TIPS-Language Arts on middle-grade students' writing skills, language arts report card grades, and attitudes toward TIPS as well as parents' reactions to interactive homework. TIPS interactive homework assignments involve students in demonstrating or discussing homework with a family member. Parents are asked to monitor, interact, and support their children. They are not required to read or direct the students' assignments because that is the students' responsibility. All TIPS homework has a section for home-to-school communication where parents indicate their interaction with the student about the homework. The goals of the TIPS process are for parents to gain knowledge about their children's school work, students to gain mastery in academic subjects by enhancing school lessons at home, and teachers to have an understanding of the parental contribution to student learning. "TIPS" RESULTS Nearly all parents involved in the TIPS program said TIPS provided them with information about what their children were studying in school. About 90 percent of the parents wanted the school to continue TIPS the following year. More than 80 percent of the families liked the TIPS process (44 percent a lot; 36% a little). TIPS activities were better than regular homework, according to 60 percent of the students who participated. About 70 percent wanted the school to use TIPS the next year. According to Phi Delta Kappa Research Bulletin , more family involvement helped students' writing skills increase, even when prior writing skills were taken into account. And completing more TIPS assignments improved students' language arts grades on report cards, even after prior report card grades and attendance were taken into account. Of the eight teachers involved, six liked the TIPS process and intended to go on using it without help or supplies from the researchers. Furthermore, seven of the eight teachers said TIPS "helps families see what their children are learning in class." OTHER TIPS In "How to Make Parents Your Homework Partners," Judy Dodge suggests that teachers begin giving parent workshops to provide practical tips for "winning the homework battle." At the workshop, teachers should focus on three key study skills: Organizational skills -- Help put students in control of work and to feel sure that they can master what they need to learn and do. Parents can, for example, help students find a "steady study spot" with the materials they need at hand. Time-management skills -- Enable students to complete work without feeling too much pressure and to have free time. By working with students to set a definite study time, for example, parents can help with time management. Active study strategies -- Help students to achieve better outcomes from studying. Parents suggest, for instance, that students write questions they think will be on a test and then recite their answers out loud. Related Resources Homework Without Tears by Lee Canter and Lee Hauser (Perennial Library, 1987). A down-to-earth book by well-known experts suggests how to deal with specific homework problems. Megaskills: How Families Can Help Children Succeed in School and Beyond by Dorothy Rich (Houghton Mifflin Company, 1992). Families can help children develop skills that nurture success in and out of school. "Helping Your Student Get the Most Out of Homework" by the National PTA and the National Education Association (1995). This booklet for teachers to use with students is sold in packages of 25 through the National PTA. The Catalog item is #B307. Call 312-549-3253 or write National PTA Orders, 135 South LaSalle Street, Dept. 1860, Chicago, IL 60674-1860. Related Sites A cornucopia of homework help is available for children who use a computer or whose parents are willing to help them get started online. The following LINKS include Internet sites that can be used for reference, research, and overall resources for both homework and schoolwork. Dr. Internet. The Dr. Internet Web site, part of the Internet Public Library, helps students with science and math homework or projects. It includes a science project resource guide Help With Homework. His extensive listing of Internet links is divided into Language Art Links, Science Links, Social Studies Links, Homework Help, Kids Education, and Universities. If students know what they are looking for, the site could be invaluable. Kidz-Net... Links to places where you can get help with homework. An array of homework help links is offered here, from Ask Dr. Math (which provides answers to math questions) to Roget's Thesaurus and the White House. Surfing the Net With Kids: Got Questions? Links to people -- such as teachers, librarians, experts, authors, and other students -- who will help students with questions about homework. Barbara J. Feldman put together the links. Kidsurfer: For Kids and Teens The site, from the National Children's Coalition, includes a Homework/Reference section for many subjects, including science, geography, music, history, and language arts. Homework: Parents' Work, Kid's Work, or School Work? A quick search of this title in the Education Week Archives and you'll find an article presenting a parent's viewpoint on helping children with homework. @#@#@#@@# As another stimulus for the discussion, here is an excerpt from our online continuing education module Enhancing Classroom Approaches for Addressing Barriers to Learning ( https://smhp.psych.ucla.edu ) Turning Homework into Motivated Practice Most of us have had the experience of wanting to be good at something such as playing a musical instrument or participating in a sport. What we found out was that becoming good at it meant a great deal of practice, and the practicing often was not very much fun. In the face of this fact, many of us turned to other pursuits. In some cases, individuals were compelled by their parents to labor on, and many of these sufferers grew to dislike the activity. (A few, of course, commend their parents for pushing them, but be assured these are a small minority. Ask your friends who were compelled to practice the piano.) Becoming good at reading, mathematics, writing, and other academic pursuits requires practice outside the classroom. This, of course, is called homework. Properly designed, homework can benefit students. Inappropriately designed homework, however, can lead to avoidance, parent-child conflicts, teacher reproval, and student dislike of various arenas of learning. Well-designed homework involves assignments that emphasize motivated practice. As with all learning processes that engage students, motivated practice requires designing activities that the student perceives as worthwhile and doable with an appropriate amount of effort. In effect, the intent is to personalize in-class practice and homework. This does not mean every student has a different practice activity. Teachers quickly learn what their students find engaging and can provide three or four practice options that will be effective for most students in a class. The idea of motivated practice is not without its critics. I don't doubt that students would prefer an approach to homework that emphasized motivated practice. But �� that's not preparing them properly for the real world. People need to work even when it isn't fun, and most of the time work isn't fun. Also, if a person wants to be good at something, they need to practice it day in and day out, and that's not fun! In the end, won't all this emphasis on motivation spoil people so that they won't want to work unless it's personally relevant and interesting? We believe that a great deal of learning and practice activities can be enjoyable. But even if they are not, they can be motivating if they are viewed as worthwhile and experienced as satisfying. At the same time, we do recognize that there are many things people have to do in their lives that will not be viewed and experienced in a positive way. How we all learn to put up with such circumstances is an interesting question, but one for which psychologists have yet to find a satisfactory answer. It is doubtful, however, that people have to experience the learning and practice of basic knowledge and skills as drudgery in order to learn to tolerate boring situations. Also in response to critics of motivated practice, there is the reality that many students do not master what they have been learning because they do not pursue the necessary practice activities. Thus, at least for such individuals, it seems essential to facilitate motivated practice. Minimally, facilitating motivated practice requires establishing a variety of task options that are potentially challenging -- neither too easy nor too hard. However, as we have stressed, the processes by which tasks are chosen must lead to perceptions on the part of the learner that practice activities, task outcomes, or both are worthwhile -- especially as potential sources of personal satisfaction. The examples in the following exhibit illustrate ways in which activities can be varied to provide for motivated learning and practice. Because most people have experienced a variety of reading and writing activities, the focus here is on other types of activity. Students can be encouraged to pursue such activity with classsmates and/or family members. Friends with common interests can provide positive models and support that can enhance productivity and even creativity. Research on motivation indicates that one of the most powerful factors keeping a person on a task is the expectation of feeling some sense of satisfaction when the task is completed. For example, task persistence results from the expectation that one will feel smart or competent while performing the task or at least will feel that way after the skill is mastered. Within some limits, the stronger the sense of potential outcome satisfaction, the more likely practice will be pursued even when the practice activities are rather dull. The weaker the sense of potential outcome satisfaction, the more the practice activities themselves need to be positively motivating. Exhibit � Homework and Motivated Practice Learning and practicing by (1) doing using movement and manipulation of objects to explore a topic (e.g., using coins to learn to add and subtract) dramatization of events (e.g., historical, current) role playing and simulations (e.g., learning about democratic vs. autocratic government by trying different models in class; learning about contemporary life and finances by living on a budget) actual interactions (e.g., learning about human psychology through analysis of daily behavior) applied activities (e.g., school newspapers, film and video productions, band, sports) actual work experience (e.g., on-the-job learning) (2) listening reading to students (e.g., to enhance their valuing of literature) audio media (e.g., tapes, records, and radio presentations of music, stories, events) listening games and activities (e.g., Simon Says; imitating rhymes, rhythms, and animal sounds) analyzing actual oral material (e.g., learning to detect details and ideas in advertisements or propaganda presented on radio or television, learning to identify feelings and motives underlying statements of others) (3) looking directly observing experts, role models, and demonstrations visual media visual games and activities (e.g., puzzles, reproducing designs, map activities) analyzing actual visual material (e.g., learning to find and identify ideas observed in daily events) (4) asking information gathering (e.g., investigative reporting, interviewing, and opinion sampling at school and in the community) brainstorming answers to current problems and puzzling questions inquiry learning (e.g., learning social studies and science by identifying puzzling questions, formulating hypotheses, gathering and interpreting information, generalizing answers, and raising new questions) question-and-answer games and activities (e.g., twenty questions, provocative and confrontational questions) questioning everyday events (e.g., learning about a topic by asking people about how it effects their lives) O.K. That's should be enough to get you going. What's your take on all this? What do you think we all should be telling teachers and parents about homework? Let us hear from you ( [email protected] ). Back to Hot Topic Home Page Hot Topic Home Page --> Table of Contents Home Page Search Send Us Email School Mental Health Project-UCLA Center for Mental Health in Schools WebMaster: Perry Nelson ([email protected])

• Second Opinion
• Research & Innovation
• Patients & Families
• Health Professionals
• Recently Visited
• Segunda opinión
• Refer a patient
• MyChart Login

Healthier, Happy Lives Blog

Sort articles by..., sort by category.

• Celebrating Volunteers
• Community Outreach
• Construction Updates
• Family-Centered Care
• Healthy Eating
• Heart Center
• Interesting Things
• Mental Health
• Patient Stories
• Research and Innovation
• Safety Tips
• Sustainability
• World-Class Care

About Our Blog

• Back-to-School
• Pediatric Technology

Latest Posts

• New Liver Gives a Toddler a Renewed Chance at Life
• Family Turns Newborn’s Rare Diagnosis Into Something Beautiful
• Navigating Pediatric Diabetes: A Q&A With Leading Expert David Maahs, MD
• A Heart Ready for Everything
• Oncology Electronic Roadmaps Digital Platform Receives CIO 100 Award

Health Hazards of Homework

March 18, 2014 | Julie Greicius Pediatrics .

A new study by the Stanford Graduate School of Education and colleagues found that students in high-performing schools who did excessive hours of homework “experienced greater behavioral engagement in school but also more academic stress, physical health problems, and lack of balance in their lives.”

Those health problems ranged from stress, headaches, exhaustion, sleep deprivation, weight loss and stomach problems, to psycho-social effects like dropping activities, not seeing friends or family, and not pursuing hobbies they enjoy.

In the Stanford Report story about the research, Denise Pope , a senior lecturer at the Stanford Graduate School of Education and a co-author of the  study published in the  Journal of Experimental Education , says, “Our findings on the effects of homework challenge the traditional assumption that homework is inherently good.”

The study was based on survey data from a sample of 4,317 students from 10 high-performing high schools in California communities in which median household income exceeded $90,000. Of the students surveyed, homework volume averaged about 3.1 hours each night.

“It is time to re-evaluate how the school environment is preparing our high school student for today’s workplace,” says Neville Golden, MD , chief of adolescent medicine at Stanford Medicine Children’s Health and a professor at the School of Medicine. “This landmark study shows that excessive homework is counterproductive, leading to sleep deprivation, school stress and other health problems. Parents can best support their children in these demanding academic environments by advocating for them through direct communication with teachers and school administrators about homework load.”

Related Posts

Top-ranked group group in Los Gatos, Calif., is now a part of one of the…

The Stanford Medicine Children’s Health network continues to grow with our newest addition, Town and…

• Julie Greicius
• more by this author...

Connect with us:

Download our App:

ABOUT STANFORD MEDICINE CHILDREN'S HEALTH

• Leadership Team
• Vision, Mission & Values
• The Stanford Advantage
• Government and Community Relations

LUCILE PACKARD FOUNDATION FOR CHILDREN'S HEALTH

• Get Involved
• Volunteering Services
• Auxiliaries & Affiliates
• Our Hospital
• Send a Greeting Card
• New Hospital
• Refer a Patient
• Pay Your Bill

Also Find Us on:

• Notice of Nondiscrimination
• Terms of Use
• Privacy Policy
• Code of Conduct
• Price Transparency
• Stanford Medicine
• Stanford University
• Stanford Health Care

An official website of the United States government

The .gov means it’s official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

The site is secure. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

• Publications
• Account settings

Preview improvements coming to the PMC website in October 2024. Learn More or Try it out now .

• Advanced Search
• Journal List
• HHS Author Manuscripts

Barriers Associated with the Implementation of Homework in Youth Mental Health Treatment and Potential Mobile Health Solutions

Brian e. bunnell.

1 Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa, FL, USA

2 Biomedical Informatics Center, College of Medicine, Medical University of South Carolina, Charleston, SC, USA

Lynne S. Nemeth

3 Department of Nursing, College of Nursing, Medical University of South Carolina, Charleston, SC, USA

Leslie A. Lenert

Nikolaos kazantzis.

4 Cognitive Behavior Therapy Research Unit and School of Psychological Sciences, Monash University, Clayton, VIC, Australia

Esther Deblinger

5 Child Abuse Research Education & Service (CARES) Institute, Rowan University School of Osteopathic Medicine, Stratford, New Jersey, USA

Kristen A. Higgins

Kenneth j. ruggiero.

6 Technology Applications Center for Healthful Lifestyles, College of Nursing, Medical University of South Carolina, Charleston, SC, USA

Author Contributions

Associated Data

Background:.

Homework, or between-session practice of skills learned during therapy, is integral to effective youth mental health TREATMENTS. However, homework is often under-utilized by providers and patients due to many barriers, which might be mitigated via m Health solutions.

Semi-structured qualitative interviews were conducted with nationally certified trainers in Trauma Focused Cognitive Behavioral Therapy (TF-CBT; n =21) and youth TF-CBT patients ages 8–17 ( n =15) and their caregivers ( n =12) to examine barriers to the successful implementation of homework in youth mental health treatment and potential m Health solutions to those barriers.

The results indicated that many providers struggle to consistently develop, assign, and assess homework exercises with their patients. Patients are often difficult to engage and either avoid or have difficulty remembering to practice exercises, especially given their busy/chaotic home lives. Trainers and families had positive views and useful suggestions for m Health solutions to these barriers in terms of functionality (e.g., reminders, tracking, pre-made homework exercises, rewards) and user interface (e.g., easy navigation, clear instructions, engaging activities).

Conclusions:

This study adds to the literature on homework barriers and potential m Health solutions to those barriers, which is largely based on recommendations from experts in the field. The results aligned well with this literature, providing additional support for existing recommendations, particularly as they relate to treatment with youth and caregivers.

Introduction

Homework, or between-session practice of skills learned during therapy, is one of the most integral, yet underutilized components of high-quality, evidence-based mental health care ( Kazantzis & Deane, 1999 ). Homework activities (e.g., self-monitoring, relaxation, exposure, parent behavior management) are assigned by providers in-session and completed by patients between sessions with the goal of “practicing” therapeutic skills in the environment where they will be most needed ( Kazantzis, Deane, Ronan, & L’Abate, 2005 ). There are numerous benefits to the implementation of homework during mental health treatment ( Kazantzis et al., 2016 ; Kazantzis, Deane, & Ronan, 2004 ). Homework enables the generalization of skills and behaviors learned during therapy, facilitates treatment processes, provides continuity between sessions, allows providers to better grasp patients’ learning, and strengthens that learning, leading to improved maintenance of treatment gains ( Hudson & Kendall, 2002 ; Scheel, Hanson, & Razzhavaikina, 2004 ). Meta-analytic and systematic reviews have shown that homework use by providers and adherence by patients predict increased treatment engagement, decreased treatment dropout, and medium-to-large effects on improvements in clinical outcomes for use (Cohen’s d =.48–.77) and adherence ( d =.45–.54) ( Hudson & Kendall, 2002 ; Kazantzis, Deane, & Ronan, 2000 ; Kazantzis & Lampropoulos, 2002 ; Kazantzis, Whittington, & Dattilio, 2010 ; Mausbach, Moore, Roesch, Cardenas, & Patterson, 2010 ; Scheel et al., 2004 ; Sukhodolsky, Kassinove, & Gorman, 2004 ). Simply put, 68% vs . 32% of patients can be expected to improve when therapy involves homework ( Kazantzis et al., 2010 ).

Despite its many benefits, homework is implemented with variable effectiveness in mental health treatment. Only 68% of general mental health providers and ~55% of family providers report using homework “often” to “almost always” ( Dattilio, Kazantzis, Shinkfield, & Carr, 2011 ; Kazantzis, Lampropoulos, & Deane, 2005 ). Further, providers report using homework in an average of 57% of sessions, although this rate is higher for CBT practitioners (66%) vs . non-CBT practitioners (48%). Moreover, only 25% of providers report using expert recommended systematic procedures for recommending homework (i.e., specifying frequency, duration, and location; writing down homework assignments for patients) ( Kazantzis & Deane, 1999 ). A national survey revealed that 93% or general mental health providers estimate rates of patient adherence to homework to be low to moderate ( Kazantzis, Lampropoulos, et al., 2005 ), and research studies report low to moderate rates of youth/caregiver adherence during treatment (i.e., ~39–63%; ( Berkovits, O’Brien, Carter, & Eyberg, 2010 ; Clarke et al., 1992 ; Danko, Brown, Van Schoick, & Budd, 2016 ; Dattilio et al., 2011 ; Gaynor, Lawrence, & Nelson-Gray, 2006 ; Helbig & Fehm, 2004 ; Lyon & Budd, 2010 ; Simons et al., 2012 ).

Numerous barriers to the successful implementation of homework during mental health treatment have largely been suggested by experts in the field, rather than specifically measured ( Dattilio et al., 2011 ), and have generally been classified as occurring on the provider-, patient-, task-, and environmental-level ( Kazantzis & Shinkfield, 2007 ). Provider-level barriers can relate to the therapeutic relationship and the degree to which a collaborative approach is used, provider beliefs about homework and the patient’s adherence, and providers’ ability to effectively design homework tasks ( Callan et al., 2012 ; Coon, Rabinowitz, Thompson, & Gallagher-Thompson, 2005 ; Friedberg & Mcclure, 2005 ; Garland & Scott, 2002 ; Kazantzis & Shinkfield, 2007 ). Patient-level barriers can include patient avoidance and symptomatology, negative beliefs toward the task, not understanding the rationale or how to do the task, forgetting, and beliefs about their ability to complete homework tasks. ( Bru, Solholm, & Idsoe, 2013 ; Callan et al., 2012 ; Dattilio et al., 2011 ; Friedberg & Mcclure, 2005 ; Garland & Scott, 2002 ; Hudson & Kendall, 2005 ; Kazantzis & Shinkfield, 2007 ; Leahy, 2002 ). Relatedly, core beliefs central to the patients’ psychopathology can be activated during homework–thereby triggering withdrawal and avoidance patterns ( Kazantzis & Shinkfield, 2007 ). Task-level barriers include poor match between tasks and therapy goals, tasks that are perceived as vague or unclear, tasks that are perceived as too difficult or demanding in terms of time or effort, tasks being viewed as boring, and general aversiveness of the idea of completing homework ( Bru et al., 2013 ; Callan et al., 2012 ; Dattilio et al., 2011 ; Friedberg & Mcclure, 2005 ; Garland & Scott, 2002 ; Hudson & Kendall, 2005 ). Environmental factors have been noted to include practical obstacles, lack of family/caregiver support, dysfunctional home environments, lack of time due to busy schedules, and lack of reward or reinforcement ( Callan et al., 2012 ; Dattilio et al., 2011 ; Hudson & Kendall, 2005 ).

The advancement and ubiquitousness of technologies such as m Health resources (e.g., mobile- and web-based apps) provide a tremendous opportunity to overcome barriers to homework use and adherence and resultantly, improve the quality of mental health treatment. m Health solutions to improve access and quality of care, have been widely investigated, are effective in facilitating behavior change, practical, desired by patients and providers, and available at low cost ( Amstadter, Broman-Fulks, Zinzow, Ruggiero, & Cercone, 2009 ; Boschen & Casey, 2008 ; Donker et al., 2013 ; Ehrenreich, Righter, Rocke, Dixon, & Himelhoch, 2011 ; Hanson et al., 2014 ; Heron & Smyth, 2010 ; Krebs & Duncan, 2015 ; Luxton, McCann, Bush, Mishkind, & Reger, 2011 ; Ruggiero, Saunders, Davidson, Cook, & Hanson, 2017 ). Existing m Health resources include features that can support homework implementation (e.g., voice and SMS reminders and feedback, self-monitoring and assessment, and modules and activities that can be used to facilitate between-session practice; Bakker, Kazantzis, Rickwood, & Rickard, 2016 ; Tang & Kreindler, 2017 ), but these resources were not designed with the express intention of addressing barriers to homework implementation, particularly for youth and family patient populations.

The extant literature on barriers to homework implementation is limited in that it is largely based on expert recommendations. Therefore, the first aim of this study was to explore provider, youth, and caregiver patient perspectives on barriers to the successful implementation of homework during youth mental health treatment. Further, m Health solutions to those barriers have not been explored, especially for youth and family patients. Thus, the second and third aims of this study were to obtain suggestions for m Health solutions to homework barriers and explore perceptions on the benefits and challenges associated with those m Health solutions.

Institutional Review Board approval was obtained prior to enrolling any participants in the study. The approach for this study was based on the constructivist grounded theory, which acknowledges the researcher’s prior knowledge and influence in the process and supports and guides conceptual framework development to understand interrelations between constructs ( Charmaz, 2006 ). This qualitative study used a thematic analysis of semi-structured interviews in a sample of nationally certified trainers in Trauma-Focused Cognitive Behavioral Therapy (TFCBT; Cohen, Mannarino, & Deblinger, 2017 ), youth who had engaged in TF-CBT, and their caregivers. The initial goal was to conduct interviews with 15–20 interviewees in each group to achieve theoretical saturation (i.e., no new information was derived), consistent with a prior study by members of the research team which used similar semi-structured interviews with national TF-CBT trainers ( Hanson et al., 2014 ), and recommendations by Morse (2000) given the relatively narrow scope and clear nature of the study. Interviews were conducted until interviewers and the study lead determined that no new pertinent information was being obtained.

Participants

National trainers..

Twenty-one national trainers in TF-CBT were interviewed. National trainers are mental health providers who completed a 15-month TF-CBT Train-the-Trainer program led by the TF-CBT developers. Trainers work extensively with numerous community mental health providers to problem-solve common barriers to clinical practice and thus, provide a unique perspective on the barriers to successful homework implementation and possible m Health solutions to those barriers. An e-mail invitation was sent to a list of approved TF-CBT trainers. Twenty-four trainers responded to this e-mail, 22 of whom agreed to participate in an interview, one of whom was unreachable after initial scheduling. Interviews were completed with a total of 21 trainers, who received a $25 gift card in compensation for their time.

Trainers had been treating children for an average of 23.29 years ( SD =8.80) and had been training providers for an average of 14.95 years ( SD =8.98). In the year prior to the interview, they led an average of 17 provider trainings ( SD =21.67) and trained roughly 345 providers ( SD =339.90). All trainers were licensed, and the majority were Clinical Psychologists (47.6%) and Social Workers (33.3%). The average age of trainers was 47.48 years ( SD =13.63) and the majority were female (71.4%), white (95.2%), and non-Hispanic/Latino (85.7%; see Table 1 ).

Trainer Demographics

Twelve families were interviewed for this study. Families were included if they had one or more youth between the ages of 8 and 17 years-of-age and a caregiver who had engaged in at least four sessions for TF-CBT. These criteria were chosen because TF-CBT is typically recommended for youth between the ages of 8 and 17 years-of-age and it was estimated that four sessions would have likely allowed for adequate time for patients to have received homework assignments, consistent with the authors’ experience and prior TF-CBT literature ( Deblinger, Pollio, & Dorsey, 2016 ; Scheeringa, Weems, Cohen, Amaya-Jackson, & Guthrie, 2011 ). Families were recruited via advertisements online and at local community mental health clinics, and from a participant pool from a prior study ( Davidson et al., 2019 ). Twenty-nine families initially expressed interest in participating in the study. Six families were ineligible because they had not received TF-CBT and contact was lost with six families after their initial contact. Seventeen families were scheduled for an interview, five of which were unreachable after initially being scheduled, and interviews were completed with 12 families. Written informed consent from caregivers and assent from youth above the age of 15 were obtained in-person for four families and via a telemedicine-based teleconsent platform (i.e., https://musc.doxy.me ) for eight families. Families received a $30 gift card in compensation for their time.

A total of 15 youth who had engaged in TF-CBT, and their caregivers ( n =12; three families had two youth who had received treatment) were interviewed. Six youth were still in treatment at the time of their interview and nine had finished treatment an average of 49 weeks ( SD =42.32) prior to the interview. The average age of youth was 13.20 years ( SD =3.19), roughly half were female (53.3%), the majority were white (80%), and all were non-Hispanic/Latino. The average age of caregivers was 44.83 years ( SD =7.90), 66.7% were female, and all were White and non-Hispanic/Latino. Youth and caregivers rated their comfort with technology, in general, on a 10-point Likert scale (i.e., 1–10) with higher scores representing higher levels of comfort. Youth reported being very comfortable with technology (M=9.62, SD =1.12), as did their caregivers (M=7.83, SD =2.63; see Table 2 ).

Family Demographics

Trauma-Focused Cognitive Behavioral Therapy

TF-CBT is a well-established and widely disseminated mental health treatment ( Cohen et al., 2017 ; Deblinger, Mannarino, Cohen, Runyon, & Steer, 2011 ; Silverman et al., 2008 ; Wethington et al., 2008 ). It is a conjoint youth-caregiver mental health treatment typically conducted over ~12, 90-minute sessions that address nine major treatment components (i.e., P sychoeducation; P arenting Skills; R elaxation Skills; A ffective Expression and Modulation Skills; C ognitive Coping and Processing Skills; T rauma Narration and Processing; I n Vivo Exposure; C onjoint Child Parent Activities; and E nhancing Future Safety and Development). TF-CBT also addresses a broad range of symptom domains including trauma- and stress-related disorders, disruptive behavior disorders/behaviors, depression/depressive symptoms, and anxiety disorders ( Cohen et al., 2017 ). TF-CBT was chosen as a model treatment for this study because of its broad symptom focus, inclusion of treatment components used in a variety of youth mental health treatments, and involvement of youth and their caregivers, offering potential to improve the applicability of the study’s results to a range of youth mental health treatment approaches.

Procedures for Data Collection

Interviews were conducted via telephone for trainers, and either in-person or via telephone for families based on their preference. A postdoctoral fellow and masters-level research assistant conducted the interviews, which were audio-recorded and transcribed using a professional transcription service. Interviews included three major components. The first component included demographic questions. The second included a brief orientation to the goal of the study, which was to develop a new technology-based resource to help providers and patients during the implementation of homework during mental health treatment. The third component included questions that aimed to assess perspectives on barriers to homework implementation, elicit suggestions for m Health solutions to those barriers, and examine perceptions on the benefits and challenges associated with m Health solutions to homework barriers. The average duration of interviews was 41 minutes for trainers and 37 minutes for families. See Supplementary Materials for complete interviews.

Data Analysis

Transcribed interviews were coded using NVivo qualitative analysis software. NVivo was used to identify common themes (nodes) as they related to (1) patient-, provider-, task-, and environmental-barriers to homework implementation, (2) suggestions for m Health solutions to homework barriers, and (3) benefits and challenges associated with m Health homework solutions. Initial and secondary coding passes were conducted to identify and refine theme classifications as they emerged and impose a data-derived hierarchy to the nodes identified. Focused coding was used to refine the coding and ensure that data were coded completely with minimal redundancy ( Miles & Huberman, 1994 ). Themes were initially proposed by the first author and reviewed by an expert in qualitative and mixed methods research (the second author) and an internationally recognized expert in the implementation of homework and related barriers during CBT (the fourth author). Divergent perspectives on theme descriptions ( n =2) and classifications ( n =1) were compared until agreement was reached.

Results are organized by the main topics explored in this study, including: 1) barriers to the successful implementation of homework, coded on provider, patient, task, and environmental levels; 2) potential m Health solutions to those homework barriers; and 3) perceived benefits and challenges of those potential m Health solutions. Results within each of these topics are presented first from the perspectives of trainers and second from the perspectives of families.

Barriers to the Successful Implementation of Homework

Trainer perspectives..

As displayed in Table 3 , trainers identified several barriers to homework implementation on the provider-, patient-, task-, and environmental-level.

Trainer Perspectives on Homework Barriers

Provider-Level Barriers.

Many trainers felt that providers tend to have difficulty engaging patients in assigned tasks, leading some providers to become discouraged by low levels of engagement. As stated by one trainer,

“I think they recognize that [homework assignments] do have value, but in terms of what I feel, a lot of clinicians are not having success with families completing homework, so it’s diminishing the sense of value…something they’ve tried to put into place and they are not feeling there’s any success in it.”

Trainers also noted that many providers do not see homework as an integral part of therapy. One trainer commented,

“I think there are a lot of concrete barriers, but to me probably the biggest barrier will be the–I think that still to this day [providers] like to think that therapy happens in that one hour.”

Other interrelated difficulties faced by providers related to their capacity to effectively and consistently develop, assess, and assign meaningful and patient-centered homework exercises.

As stated by one trainer,

“I see a lot of that just shooting from the hip, kind of off the cuff, ‘let’s do this,’ but yet, it’s not backed by anything concrete or tangible…I think probably one of the biggest pieces again is the failure on the clinician’s part to follow that up and too often review it at the end of the session.”

Another said,

“I think clinicians don’t always appreciate how hard it is to actually do homework that requires you to make some behavioral change.”

Barriers also related to providers’ time and resources for implementing homework, as conveyed by one trainer’s comment,

“I mean, these people…every minute of every day is filled up with doing, billing, writing, charting, going to meetings, getting supervision, and seeing patients, and then they go home exhausted.”

Patient-Level Barriers.

Many trainers stated that, similar to some providers, patients often do not see homework as an important part of therapy. Put by one trainer,

“I think that some [patients] just feel that coming to the session is enough and that should resolve everything, and that you know, doing homework is just kind of an extra thing…I don’t really need to do it to benefit from the therapy.”

Perhaps relatedly, trainers also noted that patients generally forget to do homework assignments, and often forget why, how, when, and where assignments should be done.

Task-Level Barriers.

Task-level barriers noted by trainers included assignments not always aligning with patient values or treatment goals and that the term ‘homework’ being aversive to patients of all ages. One trainer commented,

“I think it has to be something that [patients] see the value in. And again, we go back to that engagement and them trusting you as well as you explaining to them why this could be helpful…If it didn’t help, we need to change it.”

Another trainer laughed while stating,

“when we use the word homework, we might as well just throw a stink bomb in the room.”

Environmental-Level Barriers.

Finally, on the environmental-level, many trainers suggested that patients’ home lives are busy and chaotic, leaving little-to-no time for homework.

Explained by one trainer,

“I think that for parents…they have many other things in their life; work, parenting, partnerships that they are working on, just day to day chores or things that they have to do in terms of their family or other responsibilities. So, [homework] often feels like, I think for families, to add another thing…it just feels like a lot.”

Associated barriers included limited caregiver involvement and reinforcement for completing homework assignments. One trainer commented,

“So, let’s not forget that the parents need to be encouraged and checked on to make sure the kid is doing it. They have to work at it – It’s not going to just happen. So, helping the parents to see that they’re going to need to work to make sure the kids do it, because again, the kids would rather eat ice-cream than do the work. I mean change is hard.”

Another stated,

“I would say, lack of reinforcement for homework, so maybe for getting what you assign for homework and not reviewing it or the kiddo or the family learning pretty quickly, you know, why do it, because there’s not a lot of support around it. You know, if [patients] don’t get reinforced, whether tangibly or verbally, they may not continue that.”

Family Perspectives.

Families identified several barriers to homework implementation on the patient-, task-, and environmental-level which were similar to many of those noted by national trainers (see Table 4 ).

Family Perspectives on Homework Barriers

Families believed that patients often avoid homework as a result of their symptoms. In other words, the patient’s unhelpful coping strategies are being triggered.

One caregiver commented,

“Sometimes people don’t even want to dig into their feelings even to do the assignment either, you know. It stirs up things. You know, when you’re dealing with feelings, sometimes you don’t want to experience that feeling…you shut down. You don’t want to feel that at that time.”

“When you already have a child that has ADHD or behavior problems, it’s hard to get them motivated and to get them to do these exercises at home.”

Families also felt that patients simply forget to complete homework or bring it to their next session. One child stated,

“That’s my problem, she’ll give me homework, we met once a week, basically, and I would forget it because I’ve got a lot going on, and when I come in and she’s like, ‘Did you do your homework,’ I’m like, ‘Oh man’.”

Similar to trainers, families felt that patients often forget why, how, when and where assignments should be done. As stated by one caregiver,

“I think sometimes it can also be just, like maybe not fully understanding what is being asked of them to do. I know the therapist will ask them in the office, ‘do you understand?’ and of course the kids always go, ‘yes I do, can I go home now’?”

With respect to task-level barriers, most families viewed homework assignments as boring. General consensus from families was that patients–particularly youth– would more often than not just rather be doing something more interesting.

On the environmental level, all families noted that the home-life of patients is busy and chaotic, leaving little perceived time for homework. Everyday responsibilities such as schoolwork, employment, household chores, and familial responsibilities often take precedence. One caregiver stated,

“Well I think it sounds good in the office and then you get home and you just get quite busy and it gets pushed aside.”

Another commented,

“But I know what he’s saying…sometimes seven-and-a-half hours at school and then sometimes his therapy would be an hour-and-a-half. And thank goodness, his teacher was so flexible that on days he has therapy he did not have homework [for school], but he was just so emotionally and physically drained. When he got home, all he wanted to do was just rest or play. Because that’s the therapy, it can be just exhausting.”

Families also believed that that there is often a lack of reinforcement for completing homework assignments.

m Health Solutions to Homework Barriers

Trainer suggestions..

Trainers provided several suggestions for m Health solutions to homework barriers ( Table 5 ). Most trainers felt that reminders and schedules to help patients remember to complete homework assignments would be a crucial feature. One trainer suggested, “Maybe some kind of reminder feature, something that would kind of record into their daily calendars that they use, or an alarm, or something like a daily reminder…set to the times they are most likely to do the homework.”

Trainer Suggestions for m Health Solutions to Homework Barriers

Trainers also suggested including reports or activity summaries of homework completion along with behavior and symptom tracking tools. One trainer thoughtfully commented, “If the homework app can somehow help to provide some data on the actual implementation of certain skills during the week that would be very valuable because I think the constructive feedback and the positive feedback that’s offered by therapists about performance of those skills between sessions can be really valuable.”

Trainers suggested including a variety of interactive, fun, and rewarding activities that engage children and caregivers. For example, one trainer stated,

“I think the more interactive you can make it between parent and child and the more of a game you can make it…kids are more likely to do that and to kind of use those skills.” All trainers ( n =21) felt that a text message-based system for reminding patients to complete homework assignments would be beneficial.

Family Suggestions.

Families suggested that the main function of the resource should serve to provide reminders (e.g., text messages or push notifications) for patients to complete homework assignments as well as instructions for how and when they should be completed. Another common suggestion was to include a reward system within the resource to reinforce engagement with homework assignments. Some suggestions for this reward system included coins, experience points, levels, and customizable avatar characters. One child thoughtfully related,

“there could be a digital reward system like stars or gems or something. Then it could be redeemed or something in the therapist’s office. Like I remember it was a while ago, I remember my therapist said if I was able to do something that I was having trouble with, we would have like brownies or something the next visit.”

Families also recommended that the resource include interactive and fun activities. The most common suggestion was to “gamify” homework assignments to make them more fun and interesting to patients. For example, a caregiver noted,

“I think that if you are able to play a game or level up after you did your activity…I don’t think you would have a problem with them doing the activity. They would be so excited to be able to play the game.”

Families providers also recommended reports and activity summaries so that progress could be tracked and reported to providers to be reviewed during the next treatment session ( Table 6 ). All families ( n =12) felt that a text message-based system for reminding patients to complete homework assignments would be beneficial.

Family Suggestions for m Health Solutions to Homework Barriers

Benefits and Challenges of m Health Solutions to Homework Barriers

The majority of trainers responded that an m Health solution to homework barriers would increase provider use of ( n =20; 95.2%) and family adherence to ( n =21; 100%) homework during mental health treatment. The majority of trainers also responded that such a resource would positively affect the therapeutic relationship ( n =15; 71.4%), increase treatment efficiency ( n =18; 85.7%), and improve treatment effectiveness ( n =18; 85.7%). Neutral responses were provided by all trainers who did not respond affirmatively to these questions (i.e., no negative responses were provided). Trainers also commented on the potential clinical utility of an m Health homework resource in that it would help providers with tracking and assigning homework and patients with skill development while promoting high levels of engagement in youth patients. Access, comfort with technology, and convenience were also noted benefits (See Table 7 ). One trainer commented,

Trainer Perspectives on Benefits and Challenges relating to m Health Solutions to Homework Barriers No. of Trainers

“I feel like so many people now enjoy so much more doing things on electronics and so definitely in sessions with kids I’m often recommending having a clinician use apps…sometimes technology is the way to really hook families in and engage them.”

“You know everybody has a phone and if we can have some apps where…I mean it’s so exciting to me what you are talking about. I can’t think of a better idea, I really can’t. I mean people always have their phones on them even if you are really, really poor, people tend to have a phone.”

Challenges identified by trainers centered around confidentiality, access and comfort with technology, and potential negative impacts on the therapeutic process. For example, one trainer stated,

“I do not know if people worry about if somebody else saw the app and wondered, ‘oh you are in therapy, oh what happened to you?’ So, some things around privacy issues and confidentiality, but those will be pretty easy to fix.”

The majority of families believed that the an m Health homework resource would make practicing therapy skills at home more fun or interesting ( n =11; 91.7%), would help families practice skills more often ( n =12; 100%), would positively affect the therapeutic relationship ( n =12; 100%), and would improve treatment effectiveness ( n =11; 91.7%). Neutral responses were provided by all families who did not respond affirmatively to these questions (i.e., no negative responses were provided). Families also suggested that an m Health homework resource would have excellent clinical utility, helping to improve communication between providers and families, make treatment and homework more rewarding, encourage more engagement from youth One caregiver commented,

“I think it would encourage the kids to get [homework] done even before the parents. The kids would want to do it on the phone, they love messing with phones.”

“I think by having the reminders, as well as having something there that’s interactive for the kids and the caregivers both. I think it would be a huge help.”

Similar to trainers, challenges noted by families related to confidentiality and some families not having access to the technology or the internet. Additional family perspectives on benefits and challenges are provided in Table 8 .

Family Perspectives on Benefits and Challenges relating to m Health Solutions to Homework Barriers

The aims of this study were to assess barriers to the successful implementation of homework during youth mental health treatment, obtain suggestions for m Health solutions to those barriers, and explore perceptions on the benefits and challenges associated with m Health solutions to homework barriers through semi-structured qualitative interviews with relevant stakeholders. National trainers in TF-CBT provided a unique perspective on the common challenges met by mental health providers and their patients as well as potential solutions to those challenges, particularly given their extensive experience problem-solving common clinical challenges with community mental health providers. Interviews with youth TF-CBT patients and their caregivers provided important perspectives from those most affected by homework barriers in mental health treatment.

Perspectives on Barriers to the Successful Implementation of Homework

Trainer and family perspectives on the various barriers to the successful implementation of homework during mental health treatment aligned well with the heuristic proposed by Kazantzis and Shinkfield (2007) , which classifies barriers as occurring on the provider-, patient-, task-, and environmental-levels. Most of the provider-level barriers noted by trainers were consistent with expert recommendations from the research literature, such as providers’ beliefs relating to homework and patient engagement in homework ( Coon et al., 2005 ; Friedberg & Mcclure, 2005 ; Garland & Scott, 2002 ), difficulty designing homework activities and individualizing them to specific patients ( Kazantzis & Shinkfield, 2007 ), forgetting about homework and running out of time during the session ( Friedberg & Mcclure, 2005 ), difficulty with consistency and not wanting to put too many demands on patients ( Coon et al., 2005 ), and difficulty effectively assessing patient barriers ( Kazantzis & Shinkfield, 2007 ). Experts have proposed a model for practice that directly addresses many of these provider-level barriers by proposing an ideal process for facilitating engagement in homework ( Kazantzis, MacEwan, & Dattilio, 2005 ).

Trainer and family perspectives on the most common patient-level homework barriers were similar and were also consistent with the extant literature. These included patients’ avoidance or symptoms ( Coon et al., 2005 ; Dattilio et al., 2011 ; Friedberg & Mcclure, 2005 ; Garland & Scott, 2002 ; Hudson & Kendall, 2005 ; Leahy, 2002 ), forgetting to complete assignments ( Coon et al., 2005 ; Hudson & Kendall, 2005 ), not understanding when, where, or how to do assignments or the rationale ( Dattilio et al., 2011 ; Friedberg & Mcclure, 2005 ; Garland & Scott, 2002 ), and beliefs about homework tasks and their ability to complete them ( Dattilio et al., 2011 ; Kazantzis & Shinkfield, 2007 ). Interestingly, whereas the most commonly endorsed patient-level barrier by trainers was patients not seeing homework as an integral part of therapy or important, the most commonly endorsed barriers by families included avoidance or symptoms, forgetfulness, and lack of understanding about assignments, reflecting differing views on the more significant barriers faced by patients. This discrepancy in the trainers/providers vs . families’ perspectives regarding between session assignments suggests the importance of therapists’ focusing more time on explaining assignments, discussing potential challenges, emphasizing the benefits of completing assignments in overcoming symptoms/difficulties and ultimately inspiring follow through.

Task-level barriers reported by both trainers and families included assignments not aligning with patient values or treatment goals ( Coon et al., 2005 ; Dattilio et al., 2011 ; Hudson & Kendall, 2005 ). Many trainers reported that the word “homework” is an aversive term to patients, particularly to youth patients. Perhaps relatedly, many families reported that children view homework assignments are boring. Negative associations with homework may be addressed by referring to “homework” as practice assignments, experiments, exercises, or action plans, as recommended by a recent Beck Institute blog post by Drs. Judith Beck and Francine Broder ( Beck & Broder, 2016 ).

Finally, environment-level barriers noted by trainers and families included the home lives of patients being busy and chaotic – leaving little time to complete homework assignments; a lack of caregiver involvement in the case of youth; and a lack of reward or reinforcement for completing homework assignments, all of which have been previously noted ( Bru et al., 2013 ; Coon et al., 2005 ; Dattilio et al., 2011 ; Kazantzis & Shinkfield, 2007 ). In sum, trainer and family perspectives on barriers to the successful implementation of homework were largely consistent with those suggested by experts. Further, there was a general agreement between trainers and families with respect to those barriers. It is important to note the interrelatedness of several barriers within various levels. For example, patients not understanding the importance of homework or seeing it as an integral part of therapy could very much reflect a mismatch in alliance, tasks needed to achieve therapy goals, or a poor therapist rationale and opportunity for client feedback and discussion. Further, a patient’s understanding of the rationale for homework might be dependent on the provider’s skill in its explanation.

Trainers and families provided numerous suggestions for m Health solutions to homework barriers. These functionality and content suggestions included: reminders and schedules to overcome barriers to forgetting; behavior and symptom tracking and reports or activity summaries to assist providers in assessing homework completion; a variety of homework activities to choose from to help providers struggling with developing activities; resources for caregivers to improve caregiver support; and an integrated reward system to make completing homework rewarding and reinforcing for patients. Other suggested features related more to user interface and user experience. For example, interviewees felt that the m Health resource should allow easy navigation to relevant resources; include clear instructions via video, text, and audio to help patients understand and remember how to do assignments; include interactive and fun activities to help make the assignments less boring and less like “homework;” and be patient-centered and developmentally appropriate. Trainers and families also felt that a text message-based system for reminding patients to complete homework assignments would be beneficial, indicating that this approach would provide a good alternative to a purely app-based resource.

As outlined in recent reviews, there are several studies on m Health resources that include the functionality and content features suggested in this study and can also be used to facilitate homework implementation ( Bakker et al., 2016 ; Tang & Kreindler, 2017 ). For example, a number of m Health resources can be used for self-monitoring and symptom tracking, and many have engaging activities that can be used to support between-session learning and skill development in the areas of relaxation, cognitive therapy, imaginal exposure, and parent behavioral management ( Bunnell et al., 2019 ; Jungbluth & Shirk, 2013 ; Kristjánsdóttir et al., 2013 ; Newman, Przeworski, Consoli, & Barr Taylor, 2014 ; Reger et al., 2013 ; Shapiro et al., 2010 ; Whiteside, Ale, Vickers Douglas, Tiede, & Dammann, 2014 ). SMS- and app-based reminders and feedback on progress can also be used to encourage continued engagement in skills practice ( Aguilera & Muñoz, 2011 ; Harrison et al., 2011 ; Reger et al., 2013 ; Wiederhold, Boyd, Sulea, Gaggioli, & Riva, 2014 ). However, as stated previously, most of these resources were not designed with the express intention of addressing barriers to homework implementation, particularly for youth and family patient populations, leaving room for future work in this area.

Trainers and families expressed very positive views on m Health solutions to homework barriers. Trainers felt that m Health would increase provider use and family adherence to homework, positively affect the therapeutic relationship, and increase treatment efficiency and effectiveness. Families felt that it would make practicing therapy skills at home more fun or interesting, help families practice skills more often, positively affect the therapeutic relationship, and improve treatment effectiveness. A potential benefit commonly noted by trainers and families was a high likelihood that youth would engage with the resource given their generally strong interest in technology, and that this would help to reinforce the practice of skills learned during therapy. A particular benefit noted was increased access to helpful resources between-sessions. Trainers and families expressed concerns about issues relating to confidentiality. While they did not view this as a fatal flaw of the resource, they suggested implementing appropriate safeguards to protect patient privacy and clearly explaining data protection to encourage use.

Limitations

There are several limitations to this study. Regarding generalizability of results, the selection of trainers and families interviewed was based on experience with TF-CBT, a specific treatment protocol for childhood trauma. Although interview questions were kept general during interviews, referring to mental health treatment rather than solely to TF-CBT, the views expressed by interviewees may relate more to TF-CBT than other child mental health treatments. However, a strength of this research is that TF-CBT has a broad symptom focus (e.g., PTSD, anxiety, depression, anger, disruptive behavior) and includes treatment components used in numerous youth mental health treatments (e.g., psychoeducation, relaxation, cognitive coping, affective modulation, exposure), which suggests that results would be applicable to a range of child mental health treatments. Additionally, national trainers in TF-CBT have consistent exposure to working closely with community mental health providers and regularly help them to problem-solve common barriers in clinical practice. This added insight into difficulties experienced by numerous mental health providers rather than asking individual providers about their experience. This is a strength of this study but also a potential limitation as not directly measured, thus an assumption. The views of trainers may not be completely representative of the every-day challenges to homework implementation experienced by community mental health providers. Given the small samples size and lack of diversity, the results should be interpreted with caution as they may not reflect the experiences or views of therapists and patients who utilize homework across different treatment approaches, therapy settings, and populations.

With respect to interview questions and results, they tended to focus on barriers and challenges and provided less of an opportunity for trainers and family members to share factors that may have led to successes with homework assignments. Such information could also importantly support the development and presentation of m health solutions by therapists. Relatedly, families were asked about barriers faced by youth and caregivers, and not by providers, which would have provided interesting data on family perspectives on providers’ limitations. Although comfort with technology in general was assessed in youth and caregivers, it was not specified as comfort with m Health, and ratings were not collected from trainers. As such, a potential limitation of this study is that participants’ comfort specifically with mHealth was unknown. Furthermore, this study focused specifically on m Health without a comparison to other low-tech solutions, which might have resulted in inflated levels of interest in m health solutions to homework barriers. A final limitation is that interviews were coded by the first author, and there is potential for variability in coding that was not accounted for (i.e., the same themes might have been classified in different ways). Despite this limitation, themes were reviewed and by an internationally recognized expert in the implementation of homework and related barriers during CBT (the fourth author) and compared until agreement was reached, supporting the derived themes.

Conclusions

This study provides important new information on barriers to the successful implementation of homework during youth mental health treatment, based on perspectives of providers, youth, and caregivers with that treatment experience. This study adds to the literature on these barriers, which has been based largely on recommendations from experts in the field. The results of this study aligned well with this literature, providing additional support for these recommendations. Valuable insights on potential m Health solutions to these homework barriers were also provided. These data are being used to inform the development of an m Health resource that aims to address homework barriers in hopes of improving provider use and patient adherence to homework during youth mental health treatment, with the ultimate goal of improving the quality of care received by patients in community mental health settings.

Supplementary Material

10608_2020_10090_moesm1_esm, acknowledgments.

Compliance with Ethical Standards

Funding. Dr. Bunnell was supported by the National Institute of Mental Health (grant numbers F32 MH108250 and K23 MH118482).

Disclosure of Potential Conflicts of Interest

Conflict of Interest. The authors declare that they have no conflict of interest.

Research Involving Human Participants and/or Animals

Statement of Human Rights.

Ethics approval. All procedures performed in studies involving human participants were in accordance with the ethical standards of the Institutional Review Board at the Medical University of South Carolina (Pro00047774) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Statement on the Welfare of Animals

Ethical approval. This article does not contain any studies with animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

• Aguilera A, & Muñoz RF. (2011). Text messaging as an adjunct to CBT in low-income populations: A usability and feasibility pilot study . Professional Psychology: Research and Practice , 42 ( 6 ), 472–478. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Amstadter AB, Broman-Fulks J, Zinzow H, Ruggiero KJ, & Cercone J. (2009). Internet-based interventions for traumatic stress-related mental health problems: A review and suggestion for future research . Clinical Psychology Review , 29 ( 5 ), 410–420. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Bakker D, Kazantzis N, Rickwood D, & Rickard N. (2016). Mental health smartphone apps: Review and evidence-based recommendations for future developments . JMIR Mental Health , 3 ( 1 ), e7. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Beck JS, & Broder FR. (2016). The new “Homework” in cognitive behavior therapy . Beck Institute for Cognitive Behavior Therapy . Retrieved November 24, 2019, from https://beckinstitute.org/the-new-homework-in-cognitive-behavior-therapy/ [ Google Scholar ]
• Berkovits MD, O’Brien KA, Carter CG, & Eyberg SM. (2010). Early identification and intervention for behavior problems in primary care: A comparison of two abbreviated versions of parent-child interaction therapy . Behavior Therapy , 41 ( 3 ), 375–387. [ PubMed ] [ Google Scholar ]
• Boschen MJ, & Casey LM. (2008). The use of mobile telephones as adjuncts to cognitive behavioral psychotherapy . Professional Psychology: Research and Practice , 39 ( 5 ), 546–552. [ Google Scholar ]
• Bru L, Solholm R, & Idsoe T. (2013). Participants’ experiences of an early cognitive behavioral intervention for adolescents with symptoms of depression . Emotional and Behavioural Difficulties , 18 ( 1 ), 24–43. [ Google Scholar ]
• Bunnell BE, Davidson TM, Winkelmann JR, Maples-Keller JL, Ridings LE, Dahne J, … Ruggiero KJ. (2019). Implementation and utility of an automated text messaging system to facilitate symptom self-monitoring and identify risk for post-traumatic stress disorder and depression in trauma center patients . Telemedicine and E-Health . [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Callan JA, Dunbar-Jacob J, Sereika SM, Stone C, Fasiczka A, Jarrett RB, & Thase ME. (2012). Barriers to cognitive behavioral therapy homework completion scaledepression version: Development and psychometric evaluation . International Journal of Cognitive Therapy , 5 ( 2 ), 219–235. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Charmaz K. (2006). Constructing grounded theory: A practical guide through qualitative analysis . New York, NY: SAGE Publications. [ PubMed ] [ Google Scholar ]
• Clarke G, Hops H, Lewinsohn PM, Andrews J, Seeley JR, & Williams J. (1992). Cognitive-behavioral group treatment of adolescent depression: Prediction of outcome . Behavior Therapy , 23 ( 3 ), 341–354. [ Google Scholar ]
• Cohen JA, Mannarino AP, & Deblinger E. (2017). Treating trauma and traumatic grief in children and adolescents , 2nd ed. New York, NY, US: Guilford Press. [ Google Scholar ]
• Coon DW, Rabinowitz YG, Thompson LW, & Gallagher-Thompson D. (2005). Older adults. In Kazantzis N, Deane F, Ronan K, & L’Abate L. (Eds.), Using Homework Assignments in Cognitive Behavior Therapy (pp. 117–152). New York, NY: Routledge. [ Google Scholar ]
• Danko CM, Brown T, Van Schoick L, & Budd KS. (2016). Predictors and correlates of homework completion and treatment outcomes in parent–child interaction therapy . Child and Youth Care Forum , 45 ( 3 ), 467–485. [ Google Scholar ]
• Dattilio FM, Kazantzis N, Shinkfield G, & Carr AG. (2011). A survey of homework use, experience of barriers to homework, and attitudes about the barriers to homework among couples and family therapists . Journal of Marital and Family Therapy , 37 ( 2 ), 121–136. [ PubMed ] [ Google Scholar ]
• Davidson TM, Bunnell BE, Saunders BE, Hanson RF, Danielson CK, Cook D, … Ruggiero KJ. (2019). Pilot evaluation of a tablet-based application to improve quality of care in child mental health treatment . Behavior Therapy , 50 ( 2 ), 367–379. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Deblinger E, Mannarino AP, Cohen JA, Runyon MK, & Steer RA. (2011). Trauma-Focused Cognitive Behavioral Therapy for children: Impact of the trauma narrative and treatment length . Depression and Anxiety , 28 ( 1 ), 67–75. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Deblinger E, Pollio E, & Dorsey S. (2016). Applying Trauma-Focused Cognitive–Behavioral Therapy in group format . Child Maltreatment , 21 ( 1 ), 59–73. [ PubMed ] [ Google Scholar ]
• Donker T, Petrie K, Proudfoot J, Clarke J, Birch M-R, & Christensen H. (2013). Smartphones for smarter delivery of mental health programs: a systematic review . Journal of Medical Internet Research , 15 ( 11 ), e247. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Ehrenreich B, Righter B, Rocke DA, Dixon L, & Himelhoch S. (2011). Are mobile phones and handheld computers being used to enhance delivery of psychiatric treatment ? The Journal of Nervous and Mental Disease , 199 ( 11 ), 886–891. [ PubMed ] [ Google Scholar ]
• Friedberg RD, & Mcclure JM. (2005). Adolescents. In Kazantzis N, Deane F, Ronan K, & L’Abate L. (Eds.), Using Homework Assignments in Cognitive Behavior Therapy (pp. 95–116). New York, NY: Routledge. [ Google Scholar ]
• Garland A, & Scott J. (2002). Using homework in therapy for depression . Journal of Clinical Psychology , 58 ( 5 ), 489–498. [ PubMed ] [ Google Scholar ]
• Gaynor ST, Lawrence PS, & Nelson-Gray RO. (2006). Measuring homework compliance in cognitive-behavioral therapy for adolescent depression: Review, preliminary findings, and implications for theory and practice . Behavior Modification , 30 ( 5 ), 647–672. [ PubMed ] [ Google Scholar ]
• Hanson RF, Gros KS, Davidson TM, Barr S, Cohen J, Deblinger E, … Ruggiero KJ. (2014). National trainers’ perspectives on challenges to implementation of an empirically-supported mental health treatment . Administration and Policy in Mental Health and Mental Health Services Research , 41 ( 4 ), 522–534. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Harrison V, Proudfoot J, Wee PP, Parker G, Pavlovic DH, & Manicavasagar V. (2011, December). Mobile mental health: Review of the emerging field and proof of concept study . Journal of Mental Health . [ PubMed ] [ Google Scholar ]
• Helbig S, & Fehm L. (2004). Problems with homework in CBT: Rare exception or rather frequent? Behavioural and Cognitive Psychotherapy , 32 ( 3 ), 291–301. [ Google Scholar ]
• Heron KE, & Smyth JM. (2010). Ecological momentary interventions: Incorporating mobile technology into psychosocial and health behaviour treatments . British Journal of Health Psychology , 15 ( 1 ), 1–39. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Hudson JL, & Kendall PC. (2002). Showing you can do it: Homework in therapy for children and adolescents with anxiety disorders . Journal of Clinical Psychology , 58 ( 5 ), 525–534. [ PubMed ] [ Google Scholar ]
• Hudson JL, & Kendall PC. (2005). Children. In Kazantzis N, Deane F, Ronan K, & L’Abate L. (Eds.), Using Homework Assignments in Cognitive Behavior Therapy (pp. 75–94). New York, NY: Routledge. [ Google Scholar ]
• Jungbluth NJ, & Shirk SR. (2013). Promoting homework adherence in cognitive-behavioral therapy for adolescent depression . Journal of Clinical Child and Adolescent Psychology , 42 ( 4 ), 545–553. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Kazantzis N, & Deane FP. (1999). Psychologists’ use of homework assignments in clinical practice . Professional Psychology: Research and Practice , 30 ( 6 ), 581–585. [ Google Scholar ]
• Kazantzis N, Deane FP, & Ronan KR. (2000). Homework assignments in cognitive and behavioral therapy: A meta-analysis . Clinical Psychology: Science and Practice , 7 ( 2 ), 189–202. [ Google Scholar ]
• Kazantzis N, Deane FP, & Ronan KR. (2004). Assessing compliance with homework assingments: Review and recommendations for clinical practice . Journal of Clinical Psychology , 60 ( 6 ), 627–641. [ PubMed ] [ Google Scholar ]
• Kazantzis N, Deane FP, Ronan KR, & L’Abate L. (2005). Using Homework Assignments in Cognitive Behavior Therapy . New York, NY: Routledge. [ Google Scholar ]
• Kazantzis N, & Lampropoulos GK. (2002). Reflecting on homework in psychotherapy: What can we conclude from research and experience? Journal of Clinical Psychology , 58 ( 5 ), 577–585. [ PubMed ] [ Google Scholar ]
• Kazantzis N, Lampropoulos GK, & Deane FP. (2005). A national survey of practicing psychologists’ use and attitudes toward homework in psychotherapy . Journal of Consulting and Clinical Psychology , 73 ( 4 ), 742–748. [ PubMed ] [ Google Scholar ]
• Kazantzis N, MacEwan J, & Dattilio F. (2005). A guiding model for practice. In Kazantzis N, Deane F, Ronan K, & L’Abate L. (Eds.), Using Homework Assignments in Cognitive Behavior Therapy (pp. 359–407). New York: Routledge. [ Google Scholar ]
• Kazantzis Nikolaos, & Shinkfield G. (2007). Conceptualizing patient barriers to nonadherence with homework assignments . Cognitive and Behavioral Practice , 14 ( 3 ), 317–324. [ Google Scholar ]
• Kazantzis Nikolaos, Whittington C, & Dattilio F. (2010). Meta-analysis of homework effects in cognitive and behavioral therapy: A replication and extension. Clinical Psychology : Science and Practice , 17 ( 2 ), 144–156. [ Google Scholar ]
• Kazantzis Nikolaos, Whittington C, Zelencich L, Kyrios M, Norton PJ, & Hofmann SG. (2016). Quantity and quality of homework compliance: A meta-analysis of relations with outcome in cognitive behavior therapy . Behavior Therapy , 47 ( 5 ), 755–772. [ PubMed ] [ Google Scholar ]
• Krebs P, & Duncan DT. (2015). Health app use among US mobile phone owners: A national survey . JMIR MHealth and UHealth , 3 ( 4 ), e101. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Kristjánsdóttir ÓB, Fors EA, Eide E, Finset A, Stensrud TL, Van Dulmen S, … Eide H. (2013). A smartphone-based intervention with diaries and therapist-feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain: Randomized controlled trial . Journal of Medical Internet Research , 15 ( 1 ), e5. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Leahy RL. (2002). Improving homework compliance in the treatment of generalized anxiety disorder . Journal of Clinical Psychology , 58 ( 5 ), 499–511. [ PubMed ] [ Google Scholar ]
• Luxton DD, McCann RA, Bush NE, Mishkind MC, & Reger GM. (2011). MHealth for mental health: Integrating smartphone technology in behavioral healthcare. Professional Psychology : Research and Practice , 42 ( 6 ), 505–512. [ Google Scholar ]
• Lyon AR, & Budd KS. (2010). A community mental health implementation of Parent–Child Interaction Therapy (PCIT) . Journal of Child and Family Studies , 19 ( 5 ), 654–668. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Mausbach BT, Moore R, Roesch S, Cardenas V, & Patterson TL. (2010). The relationship between homework compliance and therapy outcomes: An updated meta-analysis . Cognitive Therapy and Research , 34 ( 5 ), 429–438. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Miles MB, & Huberman AM. (1994). Qualitative data analysis: An expanded sourcebook . Thousand Oaks, CA: Sage Publications. [ Google Scholar ]
• Morse JM. (2000). Determining sample size . Qualitative Health Research , 10 ( 1 ), 3–5. [ PubMed ] [ Google Scholar ]
• Newman MG, Przeworski A, Consoli AJ, & Barr Taylor C. (2014). A randomized controlled trial of ecological momentary intervention plus brief group therapy for generalized anxiety disorder . Psychotherapy , 51 ( 2 ), 198–206. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Reger GM, Hoffman J, Riggs D, Rothbaum BO, Ruzek J, Holloway KM, & Kuhn E. (2013). The “PE coach” smartphone application: An innovative approach to improving implementation, fidelity, and homework adherence during prolonged exposure . Psychological Services , 10 ( 3 ), 342–349. [ PubMed ] [ Google Scholar ]
• Ruggiero KJ, Saunders BE, Davidson TM, Cook DL, & Hanson R. (2017). Leveraging technology to address the quality chasm in children’s evidence-based psychotherapy . Psychiatric Services , 68 , 650–652. [ PubMed ] [ Google Scholar ]
• Scheel MJ, Hanson WE, & Razzhavaikina TI. (2004). The process of recommending homework in psychotherapy: A review of therapist delivery methods, client acceptability, and factors that affect compliance . Psychotherapy , 41 ( 1 ), 38–55. [ Google Scholar ]
• Scheeringa MS, Weems CF, Cohen JA, Amaya-Jackson L, & Guthrie D. (2011). Trauma-focused cognitive-behavioral therapy for posttraumatic stress disorder in threethrough six year-old children: a randomized clinical trial . Journal of Child Psychology and Psychiatry , 52 ( 8 ), 853–860. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Shapiro JR, Bauer S, Andrews E, Pisetsky E, Bulik-Sullivan B, Hamer RM, & Bulik CM. (2010). Mobile therapy: Use of text-messaging in the treatment of bulimia nervosa . International Journal of Eating Disorders , 43 ( 6 ), 513–519. [ PubMed ] [ Google Scholar ]
• Silverman WK, Ortiz CD, Viswesvaran C, Burns BJ, Kolko DJ, Putnam FW, & Amaya-Jackson L. (2008). Evidence-based psychosocial treatments for children and adolescents exposed to traumatic events . Journal of Clinical Child & Adolescent Psychology , 37 ( 1 ), 156–183. [ PubMed ] [ Google Scholar ]
• Simons AD, Marti CN, Rohde P, Lewis CC, Curry J, & March J. (2012). Does homework “matter” in cognitive behavioral therapy for adolescent depression? Journal of Cognitive Psychotherapy , 26 ( 4 ), 390–404. [ Google Scholar ]
• Sukhodolsky DG, Kassinove H, & Gorman BS. (2004). Cognitive-behavioral therapy for anger in children and adolescents: A meta-analysis . Aggression and Violent Behavior , 9 ( 3 ), 247–269. [ Google Scholar ]
• Tang W, & Kreindler D. (2017). Supporting homework compliance in cognitive behavioural therapy: essential features of mobile apps . JMIR Mental Health , 4 ( 2 ), e20. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Wethington HR, Hahn RA, Fuqua-Whitley DS, Sipe TA, Crosby AE, Johnson RL, … Task Force on Community Preventive Services. (2008). The effectiveness of interventions to reduce psychological harm from traumatic events among children and adolescents . American Journal of Preventive Medicine , 35 ( 3 ), 287–313. 10.1016/j.amepre.2008.06.024 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Whiteside SPH, Ale CM, Vickers Douglas K, Tiede MS, & Dammann JE. (2014). Case examples of enhancing pediatric ocd treatment with a smartphone application . Clinical Case Studies , 13 ( 1 ), 80–94. 10.1177/1534650113504822 [ CrossRef ] [ Google Scholar ]
• Wiederhold BK, Boyd C, Sulea C, Gaggioli A, & Riva G. (2014). Marketing analysis of a positive technology app for the self-management of psychological stress . Studies in Health Technology and Informatics , 199 , 83–87. [ PubMed ] [ Google Scholar ]

Filed under:

• Even Better

How to make school life a little less difficult for kids

Actually useful ways to help children with homework, bullying, and mental health.

Share this story

• Share this on Facebook
• Share this on Twitter
• Share this on Reddit
• Share All sharing options

Share All sharing options for: How to make school life a little less difficult for kids

In early 2020, around the onset of Covid-19 lockdowns, Jessica Mungekar noticed her seventh grade honor student, Layla, retreat. “I knew that she felt really uncomfortable and she wanted to fall into the background,” Mungekar says. “She didn’t want to be noticed and I didn’t quite understand it.”

Meanwhile, Layla was keeping the source of her pain secret from her mother: She was being bullied and was struggling with her identity as a biracial teen in a predominantly white town. Layla feared if she told her mom about the extent of the bullying, Jessica would have called the school, making the problem even worse.

Do you have a question or idea for Even Better?

Submit it by filling out this  form .

Things came to a head the summer before Layla’s first year of high school when she shared with her mom details of a traumatic event. Layla urged her mother not to make decisions on her behalf in the aftermath. Instead, Jessica went into what she calls “mama bear mode” and made demands of her daughter: Cut off contact with these friends, join these extracurricular activities, you are only allowed out of the house during these hours. Layla felt like her autonomy was being taken away.

Over the course of a few months, mother and daughter worked to repair their relationship and communication. Now, Jessica says she is sure to listen to Layla instead of immediately offering advice, validates her daughter’s feelings, and gives her freedom to express herself. For her part, Layla confides in her mother all the time, even about her dating life. Her friends often seek out Jessica for counsel, too. “She’s become a safe place where people go to get advice,” Layla, now 16, says. “She’s joyous and doesn’t pass judgment.”

Students are faced with a daily barrage of potential stressors: a demanding course load, tricky social dynamics, managing both their time and emotions. In a four-year study designed to estimate the prevalence of mental disorders in kindergarteners through 12th graders, findings showed one in six students exhibited enough symptoms to meet the criteria for one or more childhood mental disorders, such as anxiety disorders and attention-deficit/hyperactivity disorder. According to a 2019 Pew Research Center report, 61 percent of teens said they felt a lot of pressure to get good grades. About 22 percent of 12- to 18-year-old students reported being bullied during the school year in 2019, per a National Center for Education Statistics survey . None of these statistics takes into account the toll of the pandemic, which set students back academically and had negative effects on their mental health .

Once kids leave the house, parents and other adults in their lives have little influence on their students’ school days. Unable to witness or guide children through the difficulties in and out of the classroom, parents often get piecemeal or incomplete views of how their kids spent the last hours, especially if the child is young and can’t adequately verbalize their struggles or frustrations. Signs that a student may be experiencing hardship at school include increased irritability, difficulty sleeping or lack of sleep, and changes in appetite, says Jessica Kendorski , the chair of the school psychology department and professor at the Philadelphia College of Osteopathic Medicine. They may also say they feel sick in order to stay home, when in reality they may be stressed or anxious about school, Kendorski says.

Another indicator of a struggling child includes extreme people-pleasing, says Meredith Draughn , the school counselor at B. Everett Jordan Elementary School in Graham, NC, and the 2023 American School Counselor Association Counselor of the Year. High school students may also exhibit a “freeze” response, Draughn says. “It’s like well, that kid just doesn’t care, right? That kid’s super apathetic,” she says. “What we find when we dig into it more is they’re so overwhelmed by everything that’s happening that they just choose to do nothing because they don’t know how to address it.”

What, then, is the right way to support the students in your life? The tactics will vary based on the age of your child and the issues they’re facing. Regardless of your approach, experts say to always keep your kids in the loop of any decisions you’re making about their emotional and academic success.

Encourage growth mindset tactics for academic achievement

From homework to challenging classes, students experience a number of academic hurdles. Sometimes, they may fail a test or drop the ball on a project. While some students may criticize themselves (“I’m not smart enough”) or claim the material was too difficult, parents should promote a growth mindset : the ability to learn from setbacks, implement new processes, and improve. “You want to praise the effort and the strategies that they used,” Kendorski says. “If they fail something, you want to talk through ‘Why did you fail this? Let’s talk about what you can do to be successful next time.’”

A fixed mindset is one where people believe their skills are set in stone and they have no possibility of improving. When students in his classroom share fixed mindset sentiments like “I can’t do this,” elementary school teacher Josh Monroe is quick to amend the statement: “You can’t do this yet .” The power of yet helps students “understand that you don’t have to know it all right now — and it’s important that you don’t, that’s how you grow,” he says.

While it’s crucial to encourage a growth mindset with students who use negative self-talk, like “I’ll never learn this” or “I’m not good enough,” a fixed mindset can also backfire if you constantly tell a student “You’re so smart,” Kendorski says. “When things start to get really difficult, you might find kids that don’t want to take chances,” she says, “because they think that if I fail, I’m going to lose that ‘I’m so smart’ title.” Instead, she says, focus on accomplishments based on effort and strategies: “I’m really proud of you for organizing a study group with your friends.”

To help ensure your kids get their homework done and prepare for tests, Kendorski encourages a routine: dedicating a time and a place for schoolwork. If your student retains information more effectively if they study for a little bit each day instead of cramming, offer that as an option.

When the kid in your life asks for help with homework and you’re a little rusty on, say, algebra, don’t feel ashamed to admit you don’t know how to solve the problem, Draughn says. Monroe recommends the online educational tool Khan Academy , which features videos that guide both parents and students through all levels of educational concepts and lessons. For additional academic resources, reach out to your student’s teacher who will know about after-school tutoring sessions or extra guidance, Draughn says. “Going to teachers early and often, when help is needed, is the most crucial part of it,” she says, “because there are those programs, but they do fill up pretty quickly.”

Empower students to navigate difficult social situations with confidence

School can be a social minefield, with kids learning how to independently interact with peers and regulate their emotions. If your child shares that they’re being picked on or ostracized in school, Draughn suggests that you first validate their experience and never downplay their emotions. Ask them what level of support they want: Do they think it would be helpful to talk to a school counselor or a teacher? Or do they prefer you to reach out to the teacher directly? In Layla Mungekar’s experience, she would have opted for her mother to not interfere with her social life. “Letting them lead the way on that is important,” Draughn says. “They may say, I feel like I have the tools to handle this — and that’s great. Then you check in. But doing nothing and just not mentioning it again is not going to help anything.”

You might also start counseling your kid on self-advocacy and assertiveness at home, too, Draughn says, helping them identify moments where they should speak out against bad behavior and pointing out trustworthy adults to whom they can report issues, regardless of whether they are on the receiving end or have witnessed another student being bullied. “If someone is making you feel socially or physically unsafe, that’s the time to speak up,” says Tracee Perryman , the author of Elevating Futures: A Model For Empowering Black Elementary Student Success . Again, only reach out to the school yourself after talking it over with your kid.

However, your child may simply be shy and reserved, not the victim of bullying. Perryman says to help build confidence with the kids in your life by reminding them that what they have to say is important and they have valuable interests and insights worth sharing with others.

When it comes to social media, Jessica Mungekar discovered teens will “do what they’re going to do, whether you want them to or not,” she says. It’s better to listen if your child is involved with social media-related conflict, remind them they are not in trouble, and support them as you work to create a plan together. “I think it’s important in this day and age for kids to have social media because otherwise they get [alienated] by their peers,” Layla Mungekar says. “But it’s a lot safer when parents have those conversations, like yeah, this is going to happen and when it does happen, you should feel safe to come to me and not be blamed for that.”

Experts emphasize the transitory nature of school. While it’s crucial for students to apply themselves academically and make strides socially, remind them that one speed bump, fight with a friend, blunder, or bad grade will not drastically alter the trajectory of their lives. “It’s better that I make those mistakes now,” Layla says, “while I have someone there to help me.”

Promote balance to minimize stress

Just like adults, kids can get stressed due to the demands of school and extracurriculars, as well as conflicts with friends and family. If kids are sleeping very late on weekends or too tired to do activities they typically enjoy, like spending time with friends, they might need more balance in their schedules, Perryman says.

Ask your kid directly: “Are you playing T-ball three nights a week because you like it or you feel like you have to?” or “You had three extracurriculars last semester and it was really overwhelming for you. Do you want to pick two for this coming semester?” Draughn suggests. Remind your kid that just because they step away from a hobby now doesn’t mean they can’t come back to it in the future. Make sure students have one weeknight and one weekend day solely devoted to downtime, too, Draughn says. However, don’t discount the fact that sports and other activities can be rejuvenating for kids, even if they’re not resting.

Parents and supportive adults are quick to problem-solve for the kids in their lives, but Kendorski stresses the importance of asking, “Do you want me to listen? Or do you want me to help?” Your child might just want to vent about a tough baseball practice. When Layla wants validation and a hug from her mom, she asks her “to be a waterfall.” When she’s feeling less emotionally charged, then Layla and her mom can problem-solve.

For high-achieving students who may be stressed about grades and college applications, Kendorski suggests asking your kids what story they’re telling themselves about success. For example, they might worry that a bad test grade means they’ll never get into their dream college. Help them map more realistic outcomes by thinking about the absolute worst-case scenario and alternative paths. For example, the worst that could happen if they fail a single test is maybe they get a C for the quarter. But reinforce how if they study and complete all their homework, the likelihood of failing is minimized.

Remember not to make your stress their stress. Children are intuitive and can pick up on how the adults in their lives are feeling, Kendorski says. Instead of turning away from uncomfortable emotions, encourage open communication. If you’re disappointed in a mediocre grade, try saying, “I’m feeling a little bummed about the C on that test, but that’s my issue. I know you work hard and with some more practice, I know you’ll do better next time.”

Parents should always validate their child’s struggles and encourage caring for their mental health. Whether they’re seeking support from a trusted teacher or you think they’d benefit from speaking with a therapist — ask them how they’d feel about chatting with a professional before scheduling an appointment — remind them that “mental health is health,” Draughn says. That matters more than any test score.

Will you help keep Vox free for all?

At Vox, we believe that clarity is power, and that power shouldn’t only be available to those who can afford to pay. That’s why we keep our work free. Millions rely on Vox’s clear, high-quality journalism to understand the forces shaping today’s world. Support our mission and help keep Vox free for all by making a financial contribution to Vox today.

We accept credit card, Apple Pay, and Google Pay. You can also contribute via

Streaming got expensive. Now what?

“equivalent to having 50 super bowls”: the staggering — and lucrative — scale of eclipse tourism, why republican federal judges are fighting among themselves, sign up for the newsletter today, explained, thanks for signing up.

Check your inbox for a welcome email.

Oops. Something went wrong. Please enter a valid email and try again.

Study Tracks Shifts in Student Mental Health During College

Dartmouth study followed 200 students all four years, including through the pandemic.

Phone App Uses AI to Detect Depression From Facial Cues

A four-year study by Dartmouth researchers captures the most in-depth data yet on how college students’ self-esteem and mental health fluctuates during their four years in academia, identifying key populations and stressors that the researchers say administrators could target to improve student well-being. 

The study also provides among the first real-time accounts of how the coronavirus pandemic affected students’ behavior and mental health. The stress and uncertainty of COVID-19 resulted in long-lasting behavioral changes that persisted as a “new normal” even as the pandemic diminished, including students feeling more stressed, less socially engaged, and sleeping more.

The researchers tracked more than 200 Dartmouth undergraduates in the classes of 2021 and 2022 for all four years of college. Students volunteered to let a specially developed app called StudentLife tap into the sensors that are built into smartphones. The app cataloged their daily physical and social activity, how long they slept, their location and travel, the time they spent on their phone, and how often they listened to music or watched videos. Students also filled out weekly behavioral surveys, and selected students gave post-study interviews. 

The study—which is the longest mobile-sensing study ever conducted—is published in the Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies .

The researchers will present it at the Association of Computing Machinery’s UbiComp/ISWC 2024 conference in Melbourne, Australia, in October. 

These sorts of tools will have a tremendous impact on projecting forward and developing much more data-driven ways to intervene and respond exactly when students need it most.

The team made their anonymized data set publicly available —including self-reports, surveys, and phone-sensing and brain-imaging data—to help advance research into the mental health of students during their college years. 

Andrew Campbell , the paper’s senior author and Dartmouth’s Albert Bradley 1915 Third Century Professor of Computer Science, says that the study’s extensive data reinforces the importance of college and university administrators across the country being more attuned to how and when students’ mental well-being changes during the school year.

“For the first time, we’ve produced granular data about the ebb and flow of student mental health. It’s incredibly dynamic—there’s nothing that’s steady state through the term, let alone through the year,” he says. “These sorts of tools will have a tremendous impact on projecting forward and developing much more data-driven ways to intervene and respond exactly when students need it most.”

First-year and female students are especially at risk for high anxiety and low self-esteem, the study finds. Among first-year students, self-esteem dropped to its lowest point in the first weeks of their transition from high school to college but rose steadily every semester until it was about 10% higher by graduation.

“We can see that students came out of high school with a certain level of self-esteem that dropped off to the lowest point of the four years. Some said they started to experience ‘imposter syndrome’ from being around other high-performing students,” Campbell says. “As the years progress, though, we can draw a straight line from low to high as their self-esteem improves. I think we would see a similar trend class over class. To me, that’s a very positive thing.”

Female students—who made up 60% of study participants—experienced on average 5% greater stress levels and 10% lower self-esteem than male students. More significantly, the data show that female students tended to be less active, with male students walking 37% more often.

Sophomores were 40% more socially active compared to their first year, the researchers report. But these students also reported feeling 13% more stressed during their second year than during their first year as their workload increased, they felt pressure to socialize, or as first-year social groups dispersed.

One student in a sorority recalled that having pre-arranged activities “kind of adds stress as I feel like I should be having fun because everyone tells me that it is fun.” Another student noted that after the first year, “students have more access to the whole campus and that is when you start feeling excluded from things.” 

In a novel finding, the researchers identify an “anticipatory stress spike” of 17% experienced in the last two weeks of summer break. While still lower than mid-academic year stress, the spike was consistent across different summers.

In post-study interviews, some students pointed to returning to campus early for team sports as a source of stress. Others specified reconnecting with family and high school friends during their first summer home, saying they felt “a sense of leaving behind the comfort and familiarity of these long-standing friendships” as the break ended, the researchers report. 

“This is a foundational study,” says Subigya Nepal , first author of the study and a PhD candidate in Campbell’s research group. “It has more real-time granular data than anything we or anyone else has provided before. We don’t know yet how it will translate to campuses nationwide, but it can be a template for getting the conversation going.”

The depth and accuracy of the study data suggest that mobile-sensing software could eventually give universities the ability to create proactive mental-health policies specific to certain student populations and times of year, Campbell says.

For example, a paper Campbell’s research group published in 2022 based on StudentLife data showed that first-generation students experienced lower self-esteem and higher levels of depression than other students throughout their four years of college.

“We will be able to look at campus in much more nuanced ways than waiting for the results of an annual mental health study and then developing policy,” Campbell says. “We know that Dartmouth is a small and very tight-knit campus community. But if we applied these same methods to a college with similar attributes, I believe we would find very similar trends.”

Weathering the pandemic

When students returned home at the start of the coronavirus pandemic, the researchers found that self-esteem actually increased during the pandemic by 5% overall and by another 6% afterward when life returned closer to what it was before. One student suggested in their interview that getting older came with more confidence. Others indicated that being home led to them spending more time with friends talking on the phone, on social media, or streaming movies together. 

The data show that phone usage—measured by the duration a phone was unlocked—indeed increased by nearly 33 minutes, or 19%, during the pandemic, while time spent in physical activity dropped by 52 minutes, or 27%. By 2022, phone usage fell from its pandemic peak to just above pre-pandemic levels, while engagement in physical activity had recovered to exceed the pre-pandemic period by three minutes. 

Despite reporting higher self-esteem, students’ feelings of stress increased by more than 10% during the pandemic. By the end of the study in June 2022, stress had fallen by less than 2% of its pandemic peak, indicating that the experience had a lasting impact on student well-being, the researchers report. 

In early 2021, as students returned to campus, their reunion with friends and community was tempered by an overwhelming concern about the still-rampant coronavirus. “There was the first outbreak in winter 2021 and that was terrifying,” one student recalls. Another student adds: “You could be put into isolation for a long time even if you did not have COVID. Everyone was afraid to contact-trace anyone else in case they got mad at each other.”

Female students were especially concerned about the coronavirus, on average 13% more than male students. “Even though the girls might have been hanging out with each other more, they are more aware of the impact,” one female student reported. “I actually had COVID and exposed some friends of mine. All the girls that I told tested as they were worried. They were continually checking up to make sure that they did not have it and take it home to their family.”

Students still learning remotely had social levels 16% higher than students on campus, who engaged in activity an average of 10% less often than when they were learning from home. However, on-campus students used their phones 47% more often. When interviewed after the study, these students reported spending extended periods of time video-calling or streaming movies with friends and family.

Social activity and engagement had not yet returned to pre-pandemic levels by the end of the study in June 2022, recovering by a little less than 3% after a nearly 10% drop during the pandemic. Similarly, the pandemic correlates with students sticking closer to home, with their distance traveled nearly cut in half during the pandemic and holding at that level since then.

Campbell and several of his fellow researchers are now developing a smartphone app known as MoodCapture that uses artificial intelligence paired with facial-image processing software to reliably detect the onset of depression before the user even knows something is wrong.

Morgan Kelly can be reached at [email protected] .

• Mental Health and Wellness
• Innovation and Impact
• Arts and Sciences
• Class of 2021
• Class of 2022
• Department of Computer Science
• Guarini School of Graduate and Advanced Studies
• Mental Health

Apple’s Ingenious ‘Green Bubble’ Trick

It’s really the cortex that is responsible for generating people’s emotional responses, by changing the way we see and attach meaning to events in our environments.

The ‘Hidden Curriculum’ of Mental Health in Higher Education

• Posted April 1, 2024
• By Ryan Nagelhout
• Career and Lifelong Learning
• Counseling and Mental Health
• Higher Education Leadership
• Student Achievement and Outcomes

As mental health remains a crucial and evolving aspect of teaching students across all levels of education, Professional Education at HGSE has developed programming to help educators evaluate the institutional supports and programs behind caring for student mental health.

One of those programs, Mental Health in Higher Education: A Theory-to-Practice Approach for Student Well-Being , aims to confront the complex challenge managing student mental health presents in higher education. Led by Lecturer Alexis Redding , the four-week virtual institute features a theory-grounded approach to mental health topics in an effort to provide educators clarity around the wide variety of mental health challenges seen in student populations.

“One of the principles of our program is that there is no one-size-fits-all solution when it comes to the college mental health crisis,” says Redding, faculty co-chair of HGSE’s higher education concentration. “Instead, we will give our participants the opportunity to learn from experts in the field who each offer a set of key questions to consider as they craft a tailored solution to meet the need at their home institution.”

Redding explained one of the goals of the curriculum is to bring “a new approach to thinking about student well-being” by using experts across a variety of educational disciplines. Rather than present a uniform set of solutions, the programming offers “a set of key questions to consider” that will help educators find solutions that match their own culture, existing programming, and resources available.

The program features a long list of education experts, including HGSE faculty such as Senior Lecturer Richard Weissbourd , director of Making Caring Common, and Emily Weinstein , executive director and co-founder of the Center for Digital Thriving. Other guests providing insight for the program include the Jed Foundation Chief Medical Officer Laura Erickson-Schroth, faculty director of Boston University’s Newbury Center Anthony Jack and Ball State professor and author Amanda Latz.

“When you look at our faculty, every person has an entirely different vantage point on student mental health and will help us consider a different aspect of the student journey,” Redding says. “We will follow the arc of what students experience from before they even get to college through the job search and graduation. Along the way, we will think critically about the issue of belonging on campus, basic needs security, and students who have been traditionally underserved.”

The vast perspectives considered, and mental health factors explored, allow participants to go beyond the numbers and data to gain new insights and avoid the “hidden curriculum” — assumptions of common knowledge about mental health that can create barriers between educators and student needs.

“This approach will allow them to create solutions that fit their institutional culture, existing programming, and the availability of resources,” Redding said. “Every participant will leave the program with a concrete set of questions to ask related to each of our topics, resources to use, and models of practice that they can consider for inspiration.”

Registration for Mental Health in Higher Education closes on April 10.

The latest research, perspectives, and highlights from the Harvard Graduate School of Education

Related Articles

Mental Health and Wellness at College Today

Unlearning Toward a Fresh Perspective

Professional education alumnus pushes the boundaries of Italian academia

A New Vision for Teacher Collaboration

Does Homework Serve a Purpose?

Finding the right balance between schoolwork and home life..

Posted November 5, 2018 | Reviewed by Ekua Hagan

Homework — a dreaded word that means more work and less play. The mere thought of doing additional work after a seven-hour day (that begins extremely early) can be gruesome. Not to mention, many teens have other commitments after the school day ends.

According to the U.S. Census Bureau, nearly 57 percent of children between the ages of 6 and 17 years old participate in at least one after-school extracurricular activity. And that’s a good thing because youth extracurricular involvement comes with benefits such as boosting academic performance, reducing risky behaviors (i.e., drug use and drinking), promoting physical health, and providing a safe structured environment. However, tag these extracurricular activities onto the end of a school day and you’ll find that many teens don’t get home until it's dark outside.

What about the teen who works a 15- to 20-hour job on top of an extracurricular activity? The US Department of Labor reports that one in five high school students have a part-time job, and those jobs too can come with added benefits. Teens who work often learn the value of a hard-earned dollar. They learn how to manage their money, learn to problem solve, and most importantly, they learn how to work with people. Plus, a job in high school is a great way to add valuable experience to a resume.

With so many after school opportunities available for teens, it can be extremely difficult for them to balance homework with their other commitments. Oftentimes, active kids simply don’t have enough time in a day to get all that’s asked of them finished. When it comes homework, in all my years of working in the public school system, I have never seen a student jump for joy when homework was assigned. Of course, there are some who were anxious to complete the assignment, but that was more to get it off their busy plate. Which brings us to the essential question — does homework serve a purpose?

There are those who stand firm and back the claim that homework does serve a purpose . They often cite that homework helps prepare students for standardized tests, that it helps supplement and reinforce what’s being taught in class, and that it helps teach fundamental skills such as time management , organization, task completion, as well as responsibility (extracurricular activities and work experience can also teach those fundamental skills).

Another argument for homework is that having students complete work independently shows that they can demonstrate mastery of the material without the assistance of a teacher. Additionally, there have been numerous studies supporting homework, like a recent study that shows using online systems to assign math homework has been linked to a statistically significant boost in test scores. So, there you have it: Homework has a lot of perks and one of those involves higher test scores, particularly in math. But don’t form your opinion just yet.

Although many people rally for and support homework, there is another school of thought that homework should be decreased, or better yet, abolished. Those who join this group often cite studies linking academic stress to health risks. For example, one study in the Journal of Educational Psychology showed that when middle school students were assigned more than 90 to 100 minutes of daily homework, their math and science test scores began to decline.

The Journal of Experimental Education published research indicating that when high school students were assigned too much homework, they were more susceptible to serious mental and physical health problems, high-stress levels, and sleep deprivation. Stanford University also did a study that showed more than a couple of hours of homework a night was counterproductive. Think about it — teens spend an entire day at school, followed by extracurricular activities and possibly work, and then they get to end their day with two to three hours of homework. Now that’s a long day! No wonder so many of our teens are sleep-deprived and addicted to caffeine? On average most teens only get about 7.4 hours of sleep per night but according to the American Academy of Pediatrics , they need 8 to 10 hours.

Regardless of where you stand on the homework debate, a few things are certain: If homework is given, it should be a tool that’s used to enhance learning. Also, teachers should take into account the financial requirements of assignments, electronic accessibility, and they should be familiar with student needs as well as their other commitments. For example, not all students have equal opportunities to finish their homework, so incomplete work may not be a true reflection of their ability—it may be the result of other issues they face outside of school.

Many of today's teens are taking college-level courses as early as the ninth and tenth grades. With the push of programs such as Advanced Placement, International Baccalaureate, Early College Programs, and Dual Enrollment, today’s teens are carrying academic loads that surpass past generations. The result of this push for rigor can lead to high levels of stress, exhaustion, sleep deprivation, depression , anxiety , and early burnout . Too many teens are already running on empty. With more than half of teens reporting school and homework as a primary source of their stress, it’s evident that academic pressure is becoming a burden.

On the flip side, not all students spend a lot of time doing homework. What takes one student an hour to complete may take another three hours. Too often educators don’t take this into account when assigning homework. According to the University of Phoenix College of Education teacher survey, high school students can get assigned up to 17.5 hours of homework each week. To top it off, a Today article reported that teachers often underestimate the amount of homework they assign by as much as 50%. Now that’s a huge miscalculation, and our nation's youth have to suffer the consequences of those errors.

There are definitely pros and cons to doing homework. I think the bigger question that educators need to address is, “what’s the purpose of the assignment?” Is it merely a way to show parents and administration what's going on in the class? Is it a means to help keep students' grades afloat by giving a grade for completion or is the assignment being graded for accuracy? Does the assignment enhance and supplement the learning experience? Furthermore, is it meaningful or busywork?

The homework debate will likely continue until we take a good, hard look at our current policies and practices. What side of the line do you stand on when it comes to homework? Perhaps you’re somewhere in the middle?

Please weigh in with your thoughts. I am always eager to hear students’ voices in this discussion. If you are a student, please share what’s on your plate and how much time you spend doing homework each night.

Challenge Success White Paper: http://www.challengesuccess.org/wp-content/uploads/2015/07/ChallengeSuc…

Cooper, H., et al. (meta analysis): https://www.jstor.org/stable/3700582?seq=1#page_scan_tab_contents

Marzano, R., et al.: http://www.marzanocenter.com/2013/01/17/have-you-done-your-homework-on-…

NEA (National Education Association): http://www.nea.org/tools/16938.htm

Pope, Brown, and Miles (2015), Overloaded and Underprepared. (Brief synopsis here: https://www.learningandthebrain.com/blog/overloaded-and-underprepared-s… )

Raychelle Cassada Lohman n , M.S., LPC, is the author of The Anger Workbook for Teens .

• Find a Therapist
• Find a Treatment Center
• Find a Psychiatrist
• Find a Support Group
• Find Teletherapy
• United States
• Brooklyn, NY
• Chicago, IL
• Houston, TX
• Los Angeles, CA
• New York, NY
• Portland, OR
• San Diego, CA
• San Francisco, CA
• Seattle, WA
• Washington, DC
• Asperger's
• Bipolar Disorder
• Chronic Pain
• Eating Disorders
• Passive Aggression
• Personality
• Goal Setting
• Positive Psychology
• Stopping Smoking
• Low Sexual Desire
• Relationships
• Child Development
• Therapy Center NEW
• Diagnosis Dictionary
• Types of Therapy

Understanding what emotional intelligence looks like and the steps needed to improve it could light a path to a more emotionally adept world.

• Coronavirus Disease 2019
• Affective Forecasting
• Neuroscience

Where are you located?

Use my location

We’ll recommend therapists who are licensed to practice in your area .

What are you looking for?

How working from home impacts your mental health

Reviewed by Monika Cope-Ward, LCSW

Last updated: 08/03/2023

Share article

Working from home has its fair share of perks. I love that my commute is nonexistent, and my office is designed just the way I like it.

People who’ve never known what it’s really like to work from home tend to tell me I’m “living the dream” as a remote worker. But that’s because they’re not looking past the comfy sweatpants and DIY schedule.

The truth is that working from home can be hard—and sometimes even downright unpleasant. Here are some of the risks that remote workers face every day.

Working from home can cause stress, anxiety, and depression

Each person’s job, work style, work environment, and personal life are unique to them, but everyone who works from home has some factors in common. Researchers have found that our mental health takes a hit if we struggle with loneliness, have trouble focusing on work, feel like we lack control over our work hours, suffer from  poor sleep , or don’t exercise enough. 1

It’s hard to separate work from your personal life

Though some studies have shown how remote work leads to better productivity and engagement, it can also lead to worse work-life balance and work satisfaction. 2 This is primarily because the boundary between work and private life has become blurred for people who do their jobs from home. During the  COVID-19  pandemic, it’s become common for remote workers to put in longer hours and feel like they always have to be available. The pandemic stress level also seems to have been higher for women , likely due to their experience of a “triple whammy”: having to work, take care of most household responsibilities, and be the primary caretakers for children.

It’s isolating

Working from home can mean limited socialization and long periods of being alone. This can be hard for even for the most independent or introverted people. Some experts suggest that loneliness is associated with high levels of stress and may be detrimental to work satisfaction and performance. 3 If left unaddressed,  social isolation  and feelings of loneliness can  lead to depression . 4

“Zoom fatigue” is real

If you work from home, chances are you rely on technology to get your job done and meet with colleagues. Increased usage of Zoom, a popular video calling app that many companies have embraced in the pandemic, has also resulted in “Zoom fatigue,” meaning the tiredness many of us feel from joining so many virtual meetings every day. Research shows that this exhaustion may be tied to how much harder our brains have to work to send and receive communication signals in such an unnatural environment. 5

Tips for staying healthy while working from home

If remote workers aren’t careful, poor mental and physical health habits can lead to other serious conditions like  burnout , heart problems, obesity, and more. Here’s how to take control of your workday and find a better balance.

Start your day with a proper routine . The way you get ready for work can help create momentum and stability to drive motivation. Think of it as a launchpad that helps you start strong and improve your mood, energy level, and focus. For example, taking a shower, getting dressed, and brushing your teeth each morning may help you get “in the zone” more effectively than starting work in your pajamas.

Have a dedicated workspace . Reserving a room or a space in your home for work—and only work—can help you set boundaries between your job and your personal life. Ideally, this workspace is not in your bedroom or any other space where you like to relax.

Plan your day . Instead of having a mishmash of things to do, try scheduling time for specific work tasks, as well as time for personal tasks. This will also help divide your work and personal life, so it doesn’t feel like a never-ending workday.

Avoid multitasking. Studies show that multitasking is not only inefficient , but also detrimental to your mood and level of work satisfaction. 6 Instead, focus on doing one thing at a time to help you finish each task faster and better.

Take breaks . Without giving your mind and body the chance to recharge every so often, you’ll become fatigued and potentially burn yourself out. Try taking a 5- to 10-minute break every hour to stand up, stretch, get a snack, drink some water, or rest your eyes.

Set limits for yourself . Working late nights and weekends can make you less productive because it violates work-life boundaries and gives you less time to relax and recharge. Schedule time off in your calendar, let coworkers and clients know when they can (and can’t) reach you, and turn off your work-related devices when you’re not working.

Stand up and move around . Sitting at a desk and staring at a screen for many hours a day is hard on your body as well as your mind. Combine break times with movement by physically leaving your desk to walk around, stretch, do a few yoga poses, or even dance.

Get out of the house and socialize . Try to leave the house at least once a day to get a change of environment, reconnect with friends and family , or even meet new people. It takes some effort and planning, but it can really help make remote work feel less isolating.

Managing the challenges of remote work

Remote work is great for creative and independently motivated people like me, but it’s not a utopia. The stress and isolation can feel overwhelming at times, even when you have the knowledge and tools to try and manage it.

Everyone experiences remote work differently, and some people find it easier than others. If your personal life is affecting your ability to work from home—or vice versa—consider looking for help from a licensed therapist . They can help you explore what’s going on and find effective strategies for improvement.

1 https://pubmed.ncbi.nlm.nih.gov/34487006/ 2 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297005/ 3 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8247534/ 4 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568112/ 5 https://pubmed.ncbi.nlm.nih.gov/34423999/ 6 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075496/

About the author

Elise Burley is a member of the therapist.com editorial team. She has more than a decade of professional experience writing and editing on a variety of health topics, including for several health-related e-commerce businesses, media publications, and licensed professionals. When she’s not working, she’s usually practicing yoga or off the grid somewhere on her latest canoe camping adventure.

Related articles

Burnout: Stages, types, causes, signs

How to manage your mental health after a layoff

Mental health in the workplace

Caring for yourself when your job is caring for others

Find a therapist

Browse therapists in your area who are available in-person or online

Our wellness advice is expert-vetted . Our top picks are based on our editors’ independent research, analysis, and hands-on testing. If you buy through our links, we may get a commission. Reviews ethics statement

• Mental Health

7 Simple Happiness Hacks to Help You Control Your Mood

Stress can be overwhelming. Fight back with daily habits that are easy to start.

• Certified Sleep Science Coach, Certified Stress Management Coach

Stress isn't just annoying -- it can be downright dangerous to your health. High levels of stress might be comparable to smoking, according to a June 2023 study in the journal of the American Psychosomatic Society. On the flip side, happiness is associated with a wide variety of physical health benefits .

Being intentional about focusing on positivity can go a long way when things are stressful. It sounds small, but it can make a big difference in boosting your satisfaction and mood. I'm not talking about big, sweeping changes to your life. It can be as easy as making yourself laugh and meeting up with friends.

Nourishing your mental health will help you connect more deeply with others, reduce anxiety and boost your confidence. Small things you can do right now will make a difference, and it won't cost a thing. Start with these seven happiness hacks today.

Also, see how to naturally relieve anxiety without medication , and check out these tips for improving your mental health without therapy .

Simple mental health habits to start using today

1. make relaxation a routine.

Very few things in life are promised, but stress-free times are unfortunately guaranteed. There will be times when you feel overwhelmed or stressed out , but you can control how you respond to the strain. Implementing relaxation techniques into your daily routine can help you manage stress. 

Meditation is a popular way to relax as it can help reach a state of calm , decrease stress and improve your mood. Some people even use music to guide them through their meditation sessions. If meditation isn't your thing, deep breathing , reading or taking a hot bath are also popular relaxation techniques. No matter how you choose to relax, try to make it a habit.

2. Practice gratitude 

Including gratitude in your life is a way to create a positive outlook on your life. More than that, it has tangible benefits for your mental health, including reducing stress , lessening depression symptoms and boosting your mood. 

Gratitude is a simple concept but sometimes can be difficult to keep up with. Take time for self-reflection and share your gratitude with the people around you. If you like to journal, regularly write down a list of things you're grateful for.

3. Value social interaction

Sharing our time with others is sometimes just what we need to boost our mood or change our perspective on things. By making time for friends and family, you will decrease feelings of loneliness and ensure you have an emotional support system at your fingertips. If you can't regularly meet in person, text messages and zoom calls are all meaningful ways to connect with others without actually seeing each other. 

The other side of valuing social interaction is knowing when you've had enough. Boundaries are an essential part of mental health that helps keep you from pushing yourself too far. Feel empowered to say no or move plans around when your body tells you to. 

4. Take care of your physical health

Mental health is directly tied to physical health; one cannot flourish without the other. The three main areas to target are sleep, nutrition and exercise. 

Let's dig into each target area :

• Sleep: The state of your mental health is influenced by the sleep you get . If you don't get enough sleep , your brain doesn't have the chance to rest and recover. Sleep deprivation makes it harder to regulate your emotions and cope with stress , which can amplify the symptoms of existing mental illnesses. Being intentional about prioritizing your sleep is a simple way to value your mental health. 
• Food and hydration: Giving your body the nutrients and hydration it needs to function is another essential part of mental health. In addition to eating well-balanced meals, try adding foods to your diet that boost happiness . Make sure you drink enough water; hydration is linked to a decreased risk of anxiety and depression . 
• Exercise: Being active is another way to boost your mood and make you feel good . Adding exercise to your routine gives you a chance to bond with others, reduce anxiety and boost your confidence. It doesn't have to be heavy lifting or intense workouts; regular walks or bike rides can also boost your mental health.

5. Monitor your social media intake

Our phones are our lifelines. Most of the time, they're beside us, keeping us connected to the outside world through calls, texts and social media. The hours spent scrolling through social media, comparing ourselves to the snapshot of perfection people post, can seriously impact our self-view and stain our mental health. Constant social media use has been linked to worsened anxiety and depression symptoms , feelings of inadequacy and unhealthy sleeping habits .

You can use social media in a way that doesn't deplete your mental health. Use these tactics to make social media work for you :

• Put a limit on how long you can spend on social media. 
• Don't start or end your day with social media. 
• Use the time you used to spend on social media to do something that brings you joy or relaxation. 

6. Journal your feelings

Journaling is a powerful tool to cope with mental health disorders by working through emotions and channeling thoughts. A 2018 study found that journaling for 15 minutes each day significantly reduced stress and feelings of anxiety. Other research has linked it to helping work through PTSD symptoms or depression .

There is no right or wrong way to journal. Many people journal daily , others may only journal when stressed or need to work through something. No matter how you use it, journaling is a way you can track your progress and growth throughout the year. 

7. Make yourself laugh

Sometimes, laughter is the best medicine. When you're feeling stressed or down, do things that will make you laugh to reduce anxiety and stress . Watch your favorite TV show or movie to give your mood a boost or find the source within yourself. Sing while you're in the shower or dance while cleaning your home. Dancing reduces the stress hormone cortisol in the body. 

Improving your mental health is a journey; it doesn't happen overnight. You can make lasting tweaks to your well-being by intentionally adding habits to your routine.

Other Wellness Guides

• Best Places to Buy Glasses Online
• Best Places to Buy Contacts Online
• Best Prescription Sunglasses
• Best Place to Buy Replacement Prescription Lenses
• Best Blue Light Blocking Glasses
• Best Electric Toothbrush
• Best Invisible Braces
• Best Sunscreen
• Best Mattress
• Best Mattress for Back Pain
• Best Adjustable Mattress
• Purple Mattress
• Saatva Mattress
• Best Headphones for Sleeping
• Best Pillow
• Best Sheets
• Best Elliptical
• Best Treadmill
• Best Rowing Machine
• Best Peloton Alternative
• Best Adjustable Dumbbells
• Best Weightlifting Shoes
• Best Massage Gun
• Theragun Review
• Best Meal Kit Delivery Service
• Best Healthy Meal Delivery Service
• Best Cheap Meal Delivery Service
• Best Plant-Based Meal Delivery Service
• Best Keto Meal Delivery
• Best DNA Test
• Ancestry vs 23 and Me
• Best Continuous Glucose Monitors
• Best Blood Pressure Monitor
• Best Prescription Delivery Services
• Best Portable Humidifiers
• Best Mental Health Apps
• Best Teas for Stress and Anxiety
• Best Fidget Toys for Anxiety
• Best Online Therapy
• Amazon Promo Codes
• Air Up Coupons

10 Undeniable Benefits Of Working From Home, According To Science

Senior Lifestyle Reporter, HuffPost

Four years since the COVID-19 pandemic forced businesses to shut down office spaces around the world, remote and hybrid work seems here to stay.

About a third of U.S. workers who can work from home now do so all the time, according to a Pew Research Center survey from March 2023 . (The majority of U.S. workers ― 61% ― do not have jobs that can be done from home, Pew notes.)

Still, there are a lot of work-from-home skeptics out there ― most of them C-level business executives . Facebook founder Mark Zuckerberg has remarked that engineers “get more done” in-office, and JPMorgan CEO Jamie Dimon said that remote work “doesn’t work for those who want to hustle” while calling all U.S.-based employees back into the offices in May 2021.

Companies that insist on mandatory full-time attendance at the office do so at their own peril; today’s employees value the autonomy that comes with remote or hybrid work and are increasingly leaving workplaces that forget they have lives outside their 9-to-5 .

In March 2022, Microsoft’s second annual Worker Trend Index found that 53% of respondents prioritize their health and well-being over work, “and if unhappy, more than half of Gen Z and millennial respondents said [they’d] seriously consider switching employers over the next year.”

Of course, working from home is not without its drawbacks. Many working women say they feel greater conflicts between their job and family roles while teleworking, and studies have shown increased rates of depression and anxiety during remote work . (Though it’s worth noting, most of the research was conducted while respondents were living through an active pandemic ― stressful in its own right.)

Still, with increased social support and systems put in place by managers and organizations trained in managing hybrid teams, research also suggests there’s plenty of benefits to working from home. Below, 10 studies and surveys that quantify just how game-changing remote work can be for employees and companies.

Remote workers experience a better work-life balance.

Prior to the remote work era, a healthy work-life balance often felt like a pie-in-the-sky goal for workers: nice to idly dream about but never quite attainable. Now, it’s more in reach: Among hybrid workers who are not self-employed, 71% say working for home at least partially helps them balance their work and personal lives, according to the Pew Research survey.

They don’t feel micromanaged, either, despite being out of the office and outside the eyeline of their bosses. The same Pew survey found that employees who work from home at least some of the time (71%) say their manager or supervisor trusts them a “great deal” to get their work done when they’re out of the office.

Working remotely can halve an office worker’s carbon footprint.

Working from home isn’t just good for your morale, it’s also pretty good for the planet. According to research published in the Proceedings of the National Academy of Sciences last year, people who work remotely all the time produce less than half the greenhouse gas emissions of on-site employees.

Hybrid work arrangements help some, too. Working remotely two or four days a week reduced an individual’s emissions by up to 29% compared with office workers.

In 2015, Xerox reported that its teleworkers drove 92 million fewer miles, reducing carbon dioxide emissions by nearly 41,000 metric tons.

Remote workers tend to eat more healthy ― up to a point.

Research on remote work can be a little contradictory ― is it good for your mental health or does it lead to depression? ― so in December 2023, British researchers set out to interpret over 1,930 academic papers on teleworking and hybrid work arrangements.

What they found was that people working from home tend to feel lower rates of stress, eat healthier meals and have lower blood pressure.

The study, funded in part by the British National Institute for Health and Care Excellence, pointed out some negatives, too. One of the studies reviewed found that 46.9% of employees working from home had put on weight. Another study put that number around 41%. Remote workers also tended to drink and smoke more.

A downside for workers: Remote employees work longer hours.

Though working from home is often equated with laziness and low productivity, the aforementioned British study found that remote workers tend to work longer hours and that their work is more likely to bleed into evenings and weekends. Regrettably, they’re also less likely to take sick time.

Another study ― this one tracking more than 60,000 Microsoft employees over the first half of 2020 ― found that remote work led to a 10% boost in weekly hours.

One drawback was less collaboration. The Microsoft study, published in the journal Nature Human Behavior, found that cross-group collaboration dropped by about 25% of the pre-pandemic level.

Less commuting time means more time for work.

Remote employees are working more because they’re spending less time stuck in traffic. One 2023 University of Chicago study looked at data from 27 countries and found that remote workers saved 72 minutes in daily commuting time. On average, employees spent about half an hour of that extra time engaged in daily work, which comes out to more than two hours a week.

Since the pandemic, some social scientists have highlighted the downside to eliminating the daily commute: In one 2022 study published in the Organizational Psychology Review, researchers argued that commutes are a source of healthy “liminal space” — a time free of constraints from work and home that gives people a chance to recover from the workday and mentally prepare for reentering the home.

“Without the ability to mentally shift gears, people experience role blurring, which can lead to stress,” the study’s co-authors wrote in The Conversation . “Without mentally disengaging from work, people can experience burnout.”

Remote or hybrid work options may help with employee retention.

Worried about losing your employees to more enticing offers? Give them the chance to work from home. In 2019, video conferencing company Owl Labs surveyed 1,200 U.S. workers between the ages of 22 and 65 and found that remote workers were 13% more likely to stay in their current job for the next five years than on-site workers .

When asked if the opportunity to work remotely would make them happier, 83% of the survey respondents agreed, while 80% agreed that working remotely would make them feel like their employer cares.

People of color say they’re able to manage stress better working from home.

More Black professionals want flexible work policies than their white, Asian and Latino colleagues, according to a 2021 study conducted by The Future Forum, a research consortium organized by Slack.

Black workers reported a 50% increase in their sense of workplace belonging and a 64% increase in their ability to manage stress when they began working from home.

In the wake of the pandemic and office closures, many Black Americans spoke of how draining microaggressions in their office environments can be.

“Most of my interactions with my co-workers are very focused on the work that we’re doing, and for me, I appreciate that,” Christina, a Black software engineer, told HuffPost in 2021 after switching to remote work. “Sometimes hearing your co-worker’s opinions on current events are not really the most inclusive opinion. It’s nice that I don’t have to delve into that with them.“

Mothers and caregivers report higher rates of well-being with hybrid work.

A March 2023 study out of the University of Melbourne found that women ― especially mothers and caregivers ― reported improved well-being when they’re given the option to work from home. The researchers posited that such flexibility helps women balance paid employment with unpaid caregiving and household duties, which women disproportionately bear the brunt of .

Remote work has been a benefit for people with disabilities, too.

Workers with disabilities appreciate the option to work from home because it reduces transportation and accessibility challenges they face going into the office every day. It also allows them to better manage chronic health conditions.

“Before COVID-19, work from home was generally not popular, and disabled people had to try hard to get these accommodations,” Meenakshi Das, a software engineer focused on accessibility, told HuffPost in 2021 . “It took a pandemic for people to realize how accommodations are low-cost and totally doable, and I hope it stays that way.”

There’s benefits for employers, too. Almost two-thirds of disabled employees believe they were more productive when working from home than at an office or external workplace, according to a 2023 study out of the University of New South Wales in Sydney, Australia.

Employees with flexible schedules tend to have better mental health.

Employees at workplaces that prioritize flexibility and higher job security are less likely to experience serious psychological distress or anxiety, according to a March 2024 study published in JAMA Network Open. The study, which polled more than 18,000 U.S. workers, defined “job flexibility” as the ability to adjust their own work schedule to meet personal demands.

Workers with flexible schedules were 13% less likely to experience daily anxiety, 11% less likely to experience weekly anxiety and 9% less likely to experience anxiety several times a year. The researchers also found that increased flexibility and job security led to reduced absenteeism ― a win for everyone involved.

Before You Go

From our partner, huffpost shopping’s best finds, more in life.

• Latest Latest
• The West The West
• Sports Sports
• Opinion Opinion
• Magazine Magazine

How to follow the news while protecting your mental health

Watching the news can heighten emotional distress, especially in the aftermath of a tragedy.

By Alyssa Bradford

A lot is happening in the world today, and it’s easier than ever before to stay informed.

A smartphone gives you access not just to the latest headlines, but also reactions to those headlines on social media sites like Facebook and X.

But the endless stream of information can be harmful to your mental health, especially in the aftermath of a tragedy, like a natural disaster or other mass casualty event.

Here’s a look at how to follow the news while prioritizing your mental well-being.

Prioritizing mental health while following the news

Seeing videos of tragic events, like the recent bridge collapse in Baltimore , can be profoundly distressing for people, triggering conflicting responses from various regions of the brain, per ABC News .

George Everly, an associate professor of psychiatry and adjunct professor of public health at Johns Hopkins University, said to ABC News , “Over time, the human brain gets use to everyday threats, but when something novel and spectacular like (the bridge collapse) happens, it can go into survival mode, which is a protective mechanism.”

Jyoti Kanwar, a psychiatrist at the University of Maryland Medical Center and assistant professor at the University of Maryland School of Medicine, emphasized the importance of pausing and examining the factual details of news events in an interview with ABC News .

Young people, in particular, need to understand that just because a bad thing happened once, it doesn’t mean it will happen all the time, Kanwar said to ABC News .

Tips for staying informed — and healthy

Last year, CNBC highlighted five ways to stay informed while taking care of your mental health:

• Pick two to three reliable sources to follow.
• Set a time limit.
• Focus on written articles instead of pictures of videos.
• Pay attention to your body and how you are feeling.
• Give yourself breaks, especially when you’re feeling overwhelmed.