Students with ADHD often have the most trouble attending during drill-and-practice assignments because of the repetitive nature of the tasks. Peer-mediated approaches such as those enumerated below are particularly effective for students with ADHD in such cases, because they increase students’ opportunities for engagement and active learning (Piffner, 2011). In creating peer-mediated activities, the teacher may need to choose students whose skill levels complement each other. Students with and without attention difficulties and impulsivity should be considered for peer partnerships. o Peer Tutoring: Peer tutoring is one of the more effective strategies for students with ADHD, because it provides many of the same supports as one-to-one instruction. It facilitates the acquisition of both academic and social skills. Peer tutoring is most effective when training is provided to participating students (Piffner, 2011). Tutors need to be taught how to be prepared with materials needed for the session and how to give positive and corrective feedback to their partner (Greenwood & Delquadri, 1995). o Cooperative Learning: Carefully structured cooperative learning groups in which each student is assigned a role and has clear expectations for desired outcomes are very helpful for students with ADHD. The more structured the cooperative activity, the more likely it is that these students will succeed. o Sharing Strategies: Think, Pair, Share/Square Share/Group Share: Using this approach, students work with peer partners to discuss the lesson, check each other’s work, and share strategies.