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Health Hazards of Homework

March 18, 2014 | Julie Greicius Pediatrics .

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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.”

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Denise Pope

Education scholar Denise Pope has found that too much homework has negative effects on student well-being and behavioral engagement. (Image credit: L.A. Cicero)

A Stanford 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,” Pope said.

She 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.

Media Contacts

Denise Pope, Stanford Graduate School of Education: (650) 725-7412, [email protected] Clifton B. Parker, Stanford News Service: (650) 725-0224, [email protected]

American Psychological Association Logo

Is homework a necessary evil?

After decades of debate, researchers are still sorting out the truth about homework’s pros and cons. One point they can agree on: Quality assignments matter.

By Kirsten Weir

March 2016, Vol 47, No. 3

Print version: page 36

After decades of debate, researchers are still sorting out the truth about homework’s pros and cons. One point they can agree on: Quality assignments matter.

  • Schools and Classrooms

Homework battles have raged for decades. For as long as kids have been whining about doing their homework, parents and education reformers have complained that homework's benefits are dubious. Meanwhile many teachers argue that take-home lessons are key to helping students learn. Now, as schools are shifting to the new (and hotly debated) Common Core curriculum standards, educators, administrators and researchers are turning a fresh eye toward the question of homework's value.

But when it comes to deciphering the research literature on the subject, homework is anything but an open book.

The 10-minute rule

In many ways, homework seems like common sense. Spend more time practicing multiplication or studying Spanish vocabulary and you should get better at math or Spanish. But it may not be that simple.

Homework can indeed produce academic benefits, such as increased understanding and retention of the material, says Duke University social psychologist Harris Cooper, PhD, one of the nation's leading homework researchers. But not all students benefit. In a review of studies published from 1987 to 2003, Cooper and his colleagues found that homework was linked to better test scores in high school and, to a lesser degree, in middle school. Yet they found only faint evidence that homework provided academic benefit in elementary school ( Review of Educational Research , 2006).

Then again, test scores aren't everything. Homework proponents also cite the nonacademic advantages it might confer, such as the development of personal responsibility, good study habits and time-management skills. But as to hard evidence of those benefits, "the jury is still out," says Mollie Galloway, PhD, associate professor of educational leadership at Lewis & Clark College in Portland, Oregon. "I think there's a focus on assigning homework because [teachers] think it has these positive outcomes for study skills and habits. But we don't know for sure that's the case."

Even when homework is helpful, there can be too much of a good thing. "There is a limit to how much kids can benefit from home study," Cooper says. He agrees with an oft-cited rule of thumb that students should do no more than 10 minutes a night per grade level — from about 10 minutes in first grade up to a maximum of about two hours in high school. Both the National Education Association and National Parent Teacher Association support that limit.

Beyond that point, kids don't absorb much useful information, Cooper says. In fact, too much homework can do more harm than good. Researchers have cited drawbacks, including boredom and burnout toward academic material, less time for family and extracurricular activities, lack of sleep and increased stress.

In a recent study of Spanish students, Rubén Fernández-Alonso, PhD, and colleagues found that students who were regularly assigned math and science homework scored higher on standardized tests. But when kids reported having more than 90 to 100 minutes of homework per day, scores declined ( Journal of Educational Psychology , 2015).

"At all grade levels, doing other things after school can have positive effects," Cooper says. "To the extent that homework denies access to other leisure and community activities, it's not serving the child's best interest."

Children of all ages need down time in order to thrive, says Denise Pope, PhD, a professor of education at Stanford University and a co-founder of Challenge Success, a program that partners with secondary schools to implement policies that improve students' academic engagement and well-being.

"Little kids and big kids need unstructured time for play each day," she says. Certainly, time for physical activity is important for kids' health and well-being. But even time spent on social media can help give busy kids' brains a break, she says.

All over the map

But are teachers sticking to the 10-minute rule? Studies attempting to quantify time spent on homework are all over the map, in part because of wide variations in methodology, Pope says.

A 2014 report by the Brookings Institution examined the question of homework, comparing data from a variety of sources. That report cited findings from a 2012 survey of first-year college students in which 38.4 percent reported spending six hours or more per week on homework during their last year of high school. That was down from 49.5 percent in 1986 ( The Brown Center Report on American Education , 2014).

The Brookings report also explored survey data from the National Assessment of Educational Progress, which asked 9-, 13- and 17-year-old students how much homework they'd done the previous night. They found that between 1984 and 2012, there was a slight increase in homework for 9-year-olds, but homework amounts for 13- and 17-year-olds stayed roughly the same, or even decreased slightly.

Yet other evidence suggests that some kids might be taking home much more work than they can handle. Robert Pressman, PhD, and colleagues recently investigated the 10-minute rule among more than 1,100 students, and found that elementary-school kids were receiving up to three times as much homework as recommended. As homework load increased, so did family stress, the researchers found ( American Journal of Family Therapy , 2015).

Many high school students also seem to be exceeding the recommended amounts of homework. Pope and Galloway recently surveyed more than 4,300 students from 10 high-achieving high schools. Students reported bringing home an average of just over three hours of homework nightly ( Journal of Experiential Education , 2013).

On the positive side, students who spent more time on homework in that study did report being more behaviorally engaged in school — for instance, giving more effort and paying more attention in class, Galloway says. But they were not more invested in the homework itself. They also reported greater academic stress and less time to balance family, friends and extracurricular activities. They experienced more physical health problems as well, such as headaches, stomach troubles and sleep deprivation. "Three hours per night is too much," Galloway says.

In the high-achieving schools Pope and Galloway studied, more than 90 percent of the students go on to college. There's often intense pressure to succeed academically, from both parents and peers. On top of that, kids in these communities are often overloaded with extracurricular activities, including sports and clubs. "They're very busy," Pope says. "Some kids have up to 40 hours a week — a full-time job's worth — of extracurricular activities." And homework is yet one more commitment on top of all the others.

"Homework has perennially acted as a source of stress for students, so that piece of it is not new," Galloway says. "But especially in upper-middle-class communities, where the focus is on getting ahead, I think the pressure on students has been ratcheted up."

Yet homework can be a problem at the other end of the socioeconomic spectrum as well. Kids from wealthier homes are more likely to have resources such as computers, Internet connections, dedicated areas to do schoolwork and parents who tend to be more educated and more available to help them with tricky assignments. Kids from disadvantaged homes are more likely to work at afterschool jobs, or to be home without supervision in the evenings while their parents work multiple jobs, says Lea Theodore, PhD, a professor of school psychology at the College of William and Mary in Williamsburg, Virginia. They are less likely to have computers or a quiet place to do homework in peace.

"Homework can highlight those inequities," she says.

Quantity vs. quality

One point researchers agree on is that for all students, homework quality matters. But too many kids are feeling a lack of engagement with their take-home assignments, many experts say. In Pope and Galloway's research, only 20 percent to 30 percent of students said they felt their homework was useful or meaningful.

"Students are assigned a lot of busywork. They're naming it as a primary stressor, but they don't feel it's supporting their learning," Galloway says.

"Homework that's busywork is not good for anyone," Cooper agrees. Still, he says, different subjects call for different kinds of assignments. "Things like vocabulary and spelling are learned through practice. Other kinds of courses require more integration of material and drawing on different skills."

But critics say those skills can be developed with many fewer hours of homework each week. Why assign 50 math problems, Pope asks, when 10 would be just as constructive? One Advanced Placement biology teacher she worked with through Challenge Success experimented with cutting his homework assignments by a third, and then by half. "Test scores didn't go down," she says. "You can have a rigorous course and not have a crazy homework load."

Still, changing the culture of homework won't be easy. Teachers-to-be get little instruction in homework during their training, Pope says. And despite some vocal parents arguing that kids bring home too much homework, many others get nervous if they think their child doesn't have enough. "Teachers feel pressured to give homework because parents expect it to come home," says Galloway. "When it doesn't, there's this idea that the school might not be doing its job."

Galloway argues teachers and school administrators need to set clear goals when it comes to homework — and parents and students should be in on the discussion, too. "It should be a broader conversation within the community, asking what's the purpose of homework? Why are we giving it? Who is it serving? Who is it not serving?"

Until schools and communities agree to take a hard look at those questions, those backpacks full of take-home assignments will probably keep stirring up more feelings than facts.

Further reading

  • Cooper, H., Robinson, J. C., & Patall, E. A. (2006). Does homework improve academic achievement? A synthesis of research, 1987-2003. Review of Educational Research, 76 (1), 1–62. doi: 10.3102/00346543076001001
  • Galloway, M., Connor, J., & Pope, D. (2013). Nonacademic effects of homework in privileged, high-performing high schools. The Journal of Experimental Education, 81 (4), 490–510. doi: 10.1080/00220973.2012.745469
  • Pope, D., Brown, M., & Miles, S. (2015). Overloaded and underprepared: Strategies for stronger schools and healthy, successful kids . San Francisco, CA: Jossey-Bass.

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Homework – Top 3 Pros and Cons

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Pro/Con Arguments | Discussion Questions | Take Action | Sources | More Debates

does homework lead to health problems

From dioramas to book reports, from algebraic word problems to research projects, whether students should be given homework, as well as the type and amount of homework, has been debated for over a century. [ 1 ]

While we are unsure who invented homework, we do know that the word “homework” dates back to ancient Rome. Pliny the Younger asked his followers to practice their speeches at home. Memorization exercises as homework continued through the Middle Ages and Enlightenment by monks and other scholars. [ 45 ]

In the 19th century, German students of the Volksschulen or “People’s Schools” were given assignments to complete outside of the school day. This concept of homework quickly spread across Europe and was brought to the United States by Horace Mann , who encountered the idea in Prussia. [ 45 ]

In the early 1900s, progressive education theorists, championed by the magazine Ladies’ Home Journal , decried homework’s negative impact on children’s physical and mental health, leading California to ban homework for students under 15 from 1901 until 1917. In the 1930s, homework was portrayed as child labor, which was newly illegal, but the prevailing argument was that kids needed time to do household chores. [ 1 ] [ 2 ] [ 45 ] [ 46 ]

Public opinion swayed again in favor of homework in the 1950s due to concerns about keeping up with the Soviet Union’s technological advances during the Cold War . And, in 1986, the US government included homework as an educational quality boosting tool. [ 3 ] [ 45 ]

A 2014 study found kindergarteners to fifth graders averaged 2.9 hours of homework per week, sixth to eighth graders 3.2 hours per teacher, and ninth to twelfth graders 3.5 hours per teacher. A 2014-2019 study found that teens spent about an hour a day on homework. [ 4 ] [ 44 ]

Beginning in 2020, the COVID-19 pandemic complicated the very idea of homework as students were schooling remotely and many were doing all school work from home. Washington Post journalist Valerie Strauss asked, “Does homework work when kids are learning all day at home?” While students were mostly back in school buildings in fall 2021, the question remains of how effective homework is as an educational tool. [ 47 ]

Is Homework Beneficial?

Pro 1 Homework improves student achievement. Studies have shown that homework improved student achievement in terms of improved grades, test results, and the likelihood to attend college. Research published in the High School Journal indicated 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.” [ 6 ] Students in classes that were assigned homework outperformed 69% of students who didn’t have homework on both standardized tests and grades. 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. [ 7 ] [ 8 ] 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. [ 10 ] Read More
Pro 2 Homework helps to reinforce classroom learning, while developing good study habits and life skills. Students typically retain only 50% of the information teachers provide in class, and they need to apply that information in order to truly learn it. Abby Freireich and Brian Platzer, co-founders of Teachers Who Tutor NYC, explained, “at-home assignments help students learn the material taught in class. Students require independent practice to internalize new concepts… [And] these assignments can provide valuable data for teachers about how well students understand the curriculum.” [ 11 ] [ 49 ] Elementary school students who were taught “strategies to organize and complete homework,” such as prioritizing homework activities, collecting study materials, note-taking, and following directions, showed increased grades and more positive comments on report cards. [ 17 ] Research by the City University of New York noted that “students who engage in self-regulatory processes while completing homework,” such as goal-setting, time management, and remaining focused, “are generally more motivated and are higher achievers than those who do not use these processes.” [ 18 ] Homework also helps students develop key skills that they’ll use throughout their lives: accountability, autonomy, discipline, time management, self-direction, critical thinking, and independent problem-solving. Freireich and Platzer noted that “homework helps students acquire the skills needed to plan, organize, and complete their work.” [ 12 ] [ 13 ] [ 14 ] [ 15 ] [ 49 ] Read More
Pro 3 Homework allows parents to be involved with children’s learning. Thanks to take-home assignments, parents are able to track what their children are learning at school as well as their academic strengths and weaknesses. [ 12 ] Data from a nationwide sample of elementary school students show that parental involvement in homework can improve class performance, especially among economically disadvantaged African-American and Hispanic students. [ 20 ] Research from Johns Hopkins University found that an interactive homework process known as TIPS (Teachers Involve Parents in Schoolwork) improves student achievement: “Students in the TIPS group earned significantly higher report card grades after 18 weeks (1 TIPS assignment per week) than did non-TIPS students.” [ 21 ] Homework can also help clue parents in to the existence of any learning disabilities their children may have, allowing them to get help and adjust learning strategies as needed. Duke University Professor Harris Cooper noted, “Two parents once told me they refused to believe their child had a learning disability until homework revealed it to them.” [ 12 ] Read More
Con 1 Too much homework can be harmful. A poll of California high school students found that 59% thought they had too much homework. 82% of respondents said that they were “often or always stressed by schoolwork.” High-achieving high school students said too much homework leads to sleep deprivation and other health problems such as headaches, exhaustion, weight loss, and stomach problems. [ 24 ] [ 28 ] [ 29 ] Alfie Kohn, an education and parenting expert, said, “Kids should have a chance to just be kids… it’s absurd to insist that children must be engaged in constructive activities right up until their heads hit the pillow.” [ 27 ] Emmy Kang, a mental health counselor, explained, “More than half of students say that homework is their primary source of stress, and we know what stress can do on our bodies.” [ 48 ] Excessive homework can also lead to cheating: 90% of middle school students and 67% of high school students admit to copying someone else’s homework, and 43% of college students engaged in “unauthorized collaboration” on out-of-class assignments. Even parents take shortcuts on homework: 43% of those surveyed admitted to having completed a child’s assignment for them. [ 30 ] [ 31 ] [ 32 ] Read More
Con 2 Homework exacerbates the digital divide or homework gap. Kiara Taylor, financial expert, defined the digital divide as “the gap between demographics and regions that have access to modern information and communications technology and those that don’t. Though the term now encompasses the technical and financial ability to utilize available technology—along with access (or a lack of access) to the Internet—the gap it refers to is constantly shifting with the development of technology.” For students, this is often called the homework gap. [ 50 ] [ 51 ] 30% (about 15 to 16 million) public school students either did not have an adequate internet connection or an appropriate device, or both, for distance learning. Completing homework for these students is more complicated (having to find a safe place with an internet connection, or borrowing a laptop, for example) or impossible. [ 51 ] A Hispanic Heritage Foundation study found that 96.5% of students across the country needed to use the internet for homework, and nearly half reported they were sometimes unable to complete their homework due to lack of access to the internet or a computer, which often resulted in lower grades. [ 37 ] [ 38 ] One study concluded that homework increases social inequality because it “potentially serves as a mechanism to further advantage those students who already experience some privilege in the school system while further disadvantaging those who may already be in a marginalized position.” [ 39 ] Read More
Con 3 Homework does not help younger students, and may not help high school students. We’ve known for a while that homework does not help elementary students. A 2006 study found that “homework had no association with achievement gains” when measured by standardized tests results or grades. [ 7 ] Fourth grade students who did no homework got roughly the same score on the National Assessment of Educational Progress (NAEP) math exam as those who did 30 minutes of homework a night. Students who did 45 minutes or more of homework a night actually did worse. [ 41 ] Temple University professor Kathryn Hirsh-Pasek said that homework is not the most effective tool for young learners to apply new information: “They’re learning way more important skills when they’re not doing their homework.” [ 42 ] In fact, homework may not be helpful at the high school level either. Alfie Kohn, author of The Homework Myth, stated, “I interviewed high school teachers who completely stopped giving homework and there was no downside, it was all upside.” He explains, “just because the same kids who get more homework do a little better on tests, doesn’t mean the homework made that happen.” [ 52 ] Read More

Discussion Questions

1. Is homework beneficial? Consider the study data, your personal experience, and other types of information. Explain your answer(s).

2. If homework were banned, what other educational strategies would help students learn classroom material? Explain your answer(s).

3. How has homework been helpful to you personally? How has homework been unhelpful to you personally? Make carefully considered lists for both sides.

Take Action

1. Examine an argument in favor of quality homework assignments from Janine Bempechat.

2. Explore Oxford Learning’s infographic on the effects of homework on students.

3. Consider Joseph Lathan’s argument that homework promotes inequality .

4. Consider how you felt about the issue before reading this article. After reading the pros and cons on this topic, has your thinking changed? If so, how? List two to three ways. If your thoughts have not changed, list two to three ways your better understanding of the “other side of the issue” now helps you better argue your position.

5. Push for the position and policies you support by writing US national senators and representatives .

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2.Edward Bok, “A National Crime at the Feet of American Parents,”  , Jan. 1900
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15.University of Montreal, “Do Kids Benefit from Homework?,” teaching.monster.com (accessed Aug. 30, 2018)
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17.Joan M. Shepard, “Developing Responsibility for Completing and Handing in Daily Homework Assignments for Students in Grades Three, Four, and Five,” eric.ed.gov, 1999
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21.Frances L. Van Voorhis, “Reflecting on the Homework Ritual: Assignments and Designs,”  , June 2010
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23.Jamie Ballard, “40% of People Say Elementary School Students Have Too Much Homework,” yougov.com, July 31, 2018
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26.End the Race, “Homework: You Can Make a Difference,” racetonowhere.com (accessed Aug. 24, 2018)
27.Elissa Strauss, “Opinion: Your Kid Is Right, Homework Is Pointless. Here’s What You Should Do Instead.,” cnn.com, Jan. 28, 2020
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34.Heather Koball and Yang Jiang, “Basic Facts about Low-Income Children,” nccp.org, Jan. 2018
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37.Claire McLaughlin, “The Homework Gap: The ‘Cruelest Part of the Digital Divide’,” neatoday.org, Apr. 20, 2016
38.Doug Levin, “This Evening’s Homework Requires the Use of the Internet,” edtechstrategies.com, May 1, 2015
39.Amy Lutz and Lakshmi Jayaram, “Getting the Homework Done: Social Class and Parents’ Relationship to Homework,”  , June 2015
40.Sandra L. Hofferth and John F. Sandberg, “How American Children Spend Their Time,” psc.isr.umich.edu, Apr. 17, 2000
41.Alfie Kohn, “Does Homework Improve Learning?,” alfiekohn.org, 2006
42.Patrick A. Coleman, “Elementary School Homework Probably Isn’t Good for Kids,” fatherly.com, Feb. 8, 2018
43.Valerie Strauss, “Why This Superintendent Is Banning Homework – and Asking Kids to Read Instead,” washingtonpost.com, July 17, 2017
44.Pew Research Center, “The Way U.S. Teens Spend Their Time Is Changing, but Differences between Boys and Girls Persist,” pewresearch.org, Feb. 20, 2019
45.ThroughEducation, “The History of Homework: Why Was It Invented and Who Was behind It?,” , Feb. 14, 2020
46.History, “Why Homework Was Banned,” (accessed Feb. 24, 2022)
47.Valerie Strauss, “Does Homework Work When Kids Are Learning All Day at Home?,” , Sep. 2, 2020
48.Sara M Moniuszko, “Is It Time to Get Rid of Homework? Mental Health Experts Weigh In,” , Aug. 17, 2021
49.Abby Freireich and Brian Platzer, “The Worsening Homework Problem,” , Apr. 13, 2021
50.Kiara Taylor, “Digital Divide,” , Feb. 12, 2022
51.Marguerite Reardon, “The Digital Divide Has Left Millions of School Kids Behind,” , May 5, 2021
52.Rachel Paula Abrahamson, “Why More and More Teachers Are Joining the Anti-Homework Movement,” , Sep. 10, 2021

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Does Homework Serve a Purpose?

Finding the right balance between schoolwork and home life..

Posted November 5, 2018 | Reviewed by Ekua Hagan

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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.

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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.

does homework lead to health problems

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.

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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…

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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 Lohmann Ph.D.

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

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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])

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Homework: The Good and The Bad

Young boy sitting at a table doing homework

Homework.  A single word that for many brings up memories of childhood stress. Now that you’re a parent, you may be reminded of that feeling every time your child spills their backpack across the table. You also may be questioning how much homework is too much and wondering how you can best help your child with their schoolwork.

Here, Dr. Cara Goodwin of Parenting Translator explains what the research actually says about homework. She outlines specific ways parents can support their kids to maximize the academic benefits and develop lifelong skills in time management and persistence.

In recent years, many parents and educators have raised concerns about homework. Specifically, they have questioned how much it enhances learning and if its benefits outweigh potential costs, such as stress to the family.

So, what does the research say?

Academic benefits vs risks of homework

One of the most important questions when it comes to homework is whether it actually helps kids understand the content better. So does it? Research finds that homework is associated with higher scores on academic standardized tests for middle and high school students, but not for elementary school students (1, 2).

In other words, homework seems to have little impact on learning in elementary school students. 

Additionally, a 2012 study found that while homework is related to higher standardized test scores for high schoolers, it is not related to higher grades.

Not surprisingly, homework is more likely to be associated with improved academic performance when students and teachers find the homework to be meaningful or relevant, according to several studies (1, 3, 4). Students tend to find homework to be most engaging when it involves solving real-world problems (5).  

The impact of homework may also depend on socioeconomic status. Students from higher income families show improved academic skills with more homework and gain more knowledge from homework, according to research. On the other hand, the academic performance of more disadvantaged children seems to be unaffected by homework (6, 7). This may be because homework provides additional stress for disadvantaged children. They are less likely to get help from their parents on homework and more likely to be punished by teachers for not completing it (8).

Non-academic benefits vs risks of homework

Academic outcomes are only part of the picture. It is important to look at how homework affects kids in ways other than grades and test scores.

Homework appears to have benefits beyond improving academic skills, particularly for younger students. These benefits include building responsibility, time management skills, and persistence (1, 9, 10). In addition, homework may also increase parents’ involvement in their children’s schooling (11, 12, 13, 14).

Yet, studies show that too much homework has drawbacks. It can reduce children’s opportunities for free play, which is essential for the development of language, cognitive, self-regulation, and social-emotional skills (15). It may also interfere with physical activity, and too much homework is associated with an increased risk for being overweight (16, 17). 

In addition to homework reducing opportunities for play, it also leads to increased conflicts and stress for families. For example, research finds that children with more hours of homework experience more academic stress, physical health problems, and lack of balance in their lives (18). 

Clearly, more is not better when it comes to homework.

What is the “right” amount of homework? 

Recent reports indicate that elementary school students are assigned three times the recommended amount of homework. Even kindergarten students report an average of 25 minutes of homework per day (19).

Additionally, the National Assessment of Educational Progress (NAEP) found that homework has been increasing in recent years for younger students. Specifically, 35% of 9-year-olds reported that they did not do homework the previous night in 1984 versus 22% of 9-years-old in 2012. However, homework levels have stayed relatively stable for 13- and 17-year-olds during this same time period. 

Research suggests that homework should not exceed 1.5 to 2.5 hours per night for high school students and no more than 1 hour per night for middle school students (1). Homework for elementary school students should be minimal and assigned with the aim of building self-regulation and independent work skills. A common rule , supported by both the National Education Association (NEA) and National Parent Teacher Association (PTA), is 10-minutes of homework per grade in elementary school. Any more than this and homework may no longer have a positive impact. Importantly, the NEA and the National PTA do not endorse homework for kindergarteners.

How can parents best help with homework?

Most parents feel that they are expected to be involved in their children’s homework (20). Yet, it is often unclear exactly how to be involved in a way that helps your child to successfully complete the assignment without taking over entirely. Most studies find that parental help is important but that it matters more HOW the parent is helping rather than how OFTEN the parent is helping (21).

While this can all feel very overwhelming for parents, there are some simple guidelines you can follow to ease the homework burden and best support your child’s learning.

1. Help only when needed.

Parents should focus on providing general monitoring, guidance and encouragement. Allow children to generate answers on their own and complete their homework as independently as possible . This is important because research shows that allowing children more independence in completing homework benefits their academic skills (22, 23). In addition, too much parent involvement and being controlling with homework is associated with worse academic performance (21, 24, 25). 

What does this look like?

  • Be present when your child is completing homework to help them to understand the directions.
  • Be available to answer simple questions and to provide praise for their effort and hard work.
  • Only provide help when your child asks for it and step away whenever possible.

2. Have structure and routines.

Help your child create structure and to develop some routines. This helps children become more independent in completing their homework. Research finds that providing this type of structure and responsiveness is related to improved academic skills (25).

This structure may include:

  • A regular time and place for homework that is free from distractions.
  • Have all of the materials they need within arm’s reach.
  • Teach and encourage kids to create a checklist for their homework tasks each day.

Parents can also help their children to find ways to stay motivated. For example, developing their own reward system or creating a homework schedule with breaks for fun activities.

3. Set specific rules around homework.

Research finds that parents setting rules around homework is related to higher academic performance (26). For example, parents may require that children finish homework before screen time or may require children to stop doing homework and go to sleep at a certain hour. 

4. Emphasize learning over outcome.

Encourage your child to persist in challenging assignments and frame difficult assignments as opportunities to grow. Research finds that this attitude is associated with student success (20). Research also indicates that more challenging homework is associated with enhanced school performance (27).

Additionally, help your child to view homework as an opportunity to learn and improve skills. Parents who view homework as a learning opportunity rather than something that they must get “right” or complete successfully to obtain a higher grade are more likely to have children with the same attitudes (28). 

5. Stay calm and positive.

Yes, we know this is easier said than done, but it does have a big impact on how kids persevere when things get hard! Research shows that mothers showing positive emotions while helping with homework may improve children’s motivation in homework (29)

6. Praise hard work and effort. 

Praise focused on effort is likely to increase motivation (30). In addition, research finds that putting more effort into homework may be associated with enhanced development of conscientiousness in children (31).

7. Communicate with your child’s teacher.

Let your child’s teacher know about any problems your child has with homework and the teachers’ learning goals. Research finds that open communication about homework is associated with improved school performance (32). 

List of 7 strategies for parents to help with homework

In summary, research finds that homework provides some academic benefit for middle- and high-school students but is less beneficial for elementary school students. As a parent, how you are involved in your child’s homework really matters. By following these evidence-based tips, you can help your child to maximize the benefits of homework and make the process less painful for all involved!

For more resources, take a look at our recent posts on natural and logical consequences and simple ways to decrease challenging behaviors .

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The Student News Site of Boulder High School

Is Excessive Homework the Cause of Many Teen Issues?

Sydney Trebus , Business Manager | September 15, 2019

Does excessive homework really make a student perform worse? Is homework a big influencer on the emotional and physical health of students? Can we change the bad reputation homework has obtained over the years or is it too late?

Today, schooling is ever-changing, currently focusing on a “necessary” end goal of attending college. Standards are rising, teachers are better trained, and students are left with rigorous courses riddled with hours and hours of homework. People are now wondering how important homework really is. Is that just the overload talking or does homework actually have a negative impact on students? 

Popular opinion would suggest yes, claiming that homework is a useless and stress-inducing part of school at any age. Many Boulder High students communicate a similar complaint. 

Seniors Carson Williams and Carson Bennett voiced their opinions. Bennet says that “Homework results in later bedtimes which means we get less sleep and therefore, have less energy the next day.” Williams agreed and added,“Homework is good if you need it to study, but if it is just busywork then it is useless.” 

Another student, Bishal Ellison, commented that in some classes “homework doesn’t impact [his] success, there is no point … In one of [his] classes, homework is just for extra credit.”

While student opinions are extremely significant, teachers are the ones in control of this so-called “stress inducing and useless activity.” 

Mr. Weatherly, an AP World Geography teacher here at Boulder High, commented that homework has an enormous impact on the success of students within the class; he claimed that there is simply not enough time in class to review everything. He does, however, agree with popular opinion, saying, “Teachers give homework thinking about their own class, not the five or six others students have.” 

So which is it? How important is homework? Homework has been seen both beneficial and detrimental in association with time. Homework over a certain time limit can cause stress, depression, anxiety, lack of sleep, and more. 

Homework distracts from extracurriculars and sports as well, something colleges often look for. Homework is ultimately leading students to resent school as a whole.

According to a study done by Stanford University, 56 percent of students considered homework a primary source of stress, 43 percent viewed tests as a primary stressor, while less than one percent of the students said homework was not a stressor. They were able to conclude that too much homework can result in a lack of sleep, headaches, exhaustion, and weight loss. 

Experts denote that the homework assigned to students today promotes less active learning and instead leads to boredom and a lack of problem-solving skills. Active learning, done through students learning from each other through discussion and collaboration, enhances a student’s ability to analyze and apply content to aid them in a real-world setting. 

This negative attitude towards homework can, unfortunately, arise at a young age, especially in today’s schooling systems. 

Students in all grades are required to extend the hard rigor of school past the average eight hours they need to spend inside the building. According to an Education Week article by Marva Hinton, kindergarteners are often required to do a minimum of 30 minutes of homework a night; these young students are expected to read for 15 minutes as well as work on a packet for another 15-30 minutes. 

Kindergarten is forcing children to learn concepts they may not be ready for, discouraging them at a young age. As a principle rule, the National PTA recommends 10 to 20 minutes of homework per night for children in first grade and an additional 10 minutes for every grade after that. 

After this time marker, homework begins to be detrimental to the success of a student. Additionally, according to the Journal of Educational Psychology , students who did more than 90 to 100 minutes of homework per night actually did worse on tests than those with less than 90 minutes of homework.

The hours of homework students receive takes time that could be spent on extracurriculars, with family and friends, or on sports or activities. Children and young adults focus a large part of their time and energy on school, removing time to replenish and work on other skills in life, including socializing. 

Physical activity can actually be very beneficial to the success rates of students, improving self-esteem, well-being, motivation, memory, focus, and higher thinking. 

According to the   US Center for Disease Control and Prevention (CDC ) , exercise has an impact on cognitive skills such as concentration and attention, and it enhances classroom attitudes and behaviors. 

The more time taken away from the emotional and physical health of a student, the more resentful they will be towards school. In kindergarten, over 85 percent of students are enthusiastic about learning and attending school, whereas 40 percent of high school students are chronically disengaged from school and any learning that takes place. 

What’s even more baffling is that as students enter high school, they are expected to be enthusiastic about school, obtain perfect grades and test scores, and do extracurricular activities and sports in order to get into a good college. 

Logan Powell, the Dean of Admissions at Brown University asks when accepting students, “Have they learned time management skills, leadership, teamwork, discipline? How have they grown as a person and what qualities will they bring to our campus?” 

These are unrealistic standards for students who most likely already have negative attitudes towards school and homework and aren’t given the opportunity to work on the skills colleges look for by exploring their community through clubs, volunteering, and working.

Experts see how detrimental homework can really be for a plethora of reasons; Donaldson Pressman reported that homework is not only not beneficial to a students grades or GPA, but it is also  detrimental to their attitude towards school, their grades, their self-confidence, their social skills, and their quality of life.” 

Homework, however, helps student achievement, reinforces good habits, involves parents in their students’ learning, and helps students remember material learned in class. 

This is all based on the circumstances however, if schools keep making homework more prominent in the learning system, students will lose their passion for learning. Unfortunately, many of us already have. So when teachers consider giving homework to their students, they should ask themselves how they believe it will improve their students’ learning and abilities.

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Chris • Feb 23, 2023 at 6:24 am

I hate homework in 5th grade

Jason • May 24, 2023 at 8:25 am

good luck in 7th grade then cuz that’s where finals start to get difficult. I’m barely keeping up right now and have to stay up late to keep up with the work.

John • May 9, 2022 at 11:40 am

Good article very informative.

Garrett • May 19, 2022 at 7:01 pm

yes i agree

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

Education scholar Denise Pope has found that too much homework has negative impacts on student well-being and behavioral engagement (Shutterstock)

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 .

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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

VariableMSD
Age47.4813.63
Years Treating Children23.298.80
Years Training Providers14.958.98
Workshops in Past Year17.0021.67
Providers Trained in Past Year345.52339.90
Estimated % of Providers Experiencing Difficulty with Homework76.40%17.10%
Sex
 Female1571.4
 Male628.6
Race
 White2095.2
 Asian14.8
Ethnicity
 Non-Hispanic/Latino1885.7
 Hispanic/Latino314.3
Discipline
 Physician (MD)14.8
 Clinical Psychologist (PhD, PsyD)1047.6
 Counselor (LPC)14.8
 Social Worker (LCSW, MSW)733.3
 Other29.5
Currently Licensed21100.0

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

VariableYouth =15Caregivers =12
Age13.203.1944.37.90
Time Since Ending Treatment in Weeks 49.0042.32--
Comfort with Technology9.621.127.832.63
Sex
 Female853.3866.7
 Male746.7433.3
Race
 White1280.012100
 Black/African American213.300.0
 Native American/American Indian16.700.0
Ethnicity
 Non-Hispanic/Latino1510012100
 Hispanic/Latino00.000.0
Education
 High School--18.3
 High School--433.3
 Some College--541.7
 College Degree--325.0

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

LevelsThemesNo. of Trainers Raising ThemeNo. of References to Theme
Provider
Difficulty engaging patients and or discouraged by low engagement1523
Don’t see homework as an integral part of therapy or important1417
Don’t know what to assign1214
Forget1113
Too busy or lack of time1118
Don’t know how to effectively assess and assign homework1114
Don’t effectively assess patient barriers1011
Difficulty individualizing homework to specific patients1013
Difficulty with consistency910
Assignments are too difficult or overwhelming69
Don’t want to distress or put too many demands on the patient67
Difficulty planning ahead for homework56
Lack resources45
Patient
Don’t see homework as an integral part of therapy or important1519
Forget56
Don’t understand the rationale55
Patient avoidance or symptoms45
Don’t understand practical implementation (i.e., when, where, and how)44
Task
Homework is an aversive term77
Assignment does not align with patient values or treatment goals712
Environment
Home life is busy and chaotic; no time1517
Lack of caregiver involvement1318
Lack of reward or reinforcement710

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

LevelsThemesNo. of Families Raising ThemeNo. of References to Theme
Patient
Patient avoidance or symptoms1023
Forget914
Don’t understand practical implementation (i.e., when, where, and how)812
Don’t understand the rationale813
Don’t see homework as an integral part of therapy or important55
Disinterested or don’t care45
Task
Assignment is viewed as boring1012
Assignment does not align with patient values or treatment goals33
Paperwork is inconvenient22
Environment
Home life is busy and chaotic; no time1221
Lack of reward or reinforcement77
Lack of caregiver involvement22
Lack of provider enthusiasm22

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

ThemesNo. of Trainers Raising ThemeNo. of References to Theme
Reminders and schedules for patients1626
Reports or activity summaries1624
Behavior and symptom tracking1321
Interactive and fun activities1315
Include a variety of homework activities to choose from1214
Easy to use and easy navigation to relevant resources1119
Resources for caregivers and caregiver engagement1120
Patient centered and developmentally appropriate1017
Reward system1022
Reminders and schedules for providers79
Clear instructions on how to do assignments46
Information on rationale for homework23

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

ThemesNo. of Families Raising ThemeNo. of References to Theme
Built-in reward system1253
Instructions via video, text, audio1228
Reminders and schedules1224
Interactive and fun activities1018
Reports or activity summaries920
Colorful712
Resources for caregivers and caregiver engagement45
Access without internet45

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

ThemeSub-themesNo. of Trainers Raising ThemeNo. of References to Theme
Clinical utility1321
Youth like technology and would engage with it911
Would help with keeping track of homework34
Will help youth develop skills and maintain treatment gains34
Will help providers with developing and assigning homework22
Access, comfort, convenience914
Most people have mobile phones providing easy access67
Some providers are really good with
technology
55
Having exercises on the phone would be convenient22
Confidentiality issues1315
Access, comfort1226
Some families may not have access to the technology89
Youth access to device might be restricted46
Providers might not have access to the technology33
Some families may not have internet access33
Some providers are not good with technology33
Some caregivers might not feel comfortable with it22
Negative impacts on therapy1011
Might promote social isolation44
It may add to the provider's administrative load33
Providers will still need to use clinical judgement33
Exercises might not fit with provider preferences11
“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

ThemesSub-themesNo. of Families Raising ThemeNo. of References to Theme
Clinical utility1160
Will lead to better communication between providers and families1021
Would help make treatment and homework more rewarding79
Youth like technology and would engage with it77
Would help families remember to do assignments57
Would help reinforce skills learned in therapy46
Could help to bring families together44
Would help treatment go faster45
Would help families remember why homework is beneficial11
Confidentiality issues1120
Access, comfort915
Some families may not have access to the technology66
Some families may not have internet access44
Some families aren’t good with technology22
Youth access to device might be restricted22
Some families might have concerns about data or storage space11

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.

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How does homework affect students.

Posted by Kenny Gill

Homework is essential in the learning process of all students. It benefits them in managing time, being organized, and thinking beyond the classroom work. When students develop good habits towards homework, they enjoy good grades. The amount of homework given to students has risen by 51 percent. In most cases, this pushes them to order for custom essays online. A lot of homework can be overwhelming, affecting students in negative ways.

How homework affects the psyche of students Homework plays a crucial role in ensuring students succeeds both inside and outside the classroom. The numerous hours they spend in class, on school work, and away from family and friends lead to them experiencing exhaustion. Too much homework leads to students becoming disheartened by the school, and it chips away at their motivation for succeeding.

As a result, homework becomes an uphill battle, which they feel they will never win despite putting an effort. When they continue to find homework difficult, they consider other ways of working on it, such as cheating.

Getting enough time to relax, engage with friends and family members helps the students to have fun, thus, raising their spirit and their psyche on school work.  However, when homework exceeds, it affects their emotional well-being making them sad and unproductive students who would rather cheat their way through school.

How does homework affect students?

As a result, they have to struggle with a lack of enough sleep, loss of weight, stomach problems, headaches, and fatigue. Poor eating habits where students rely on fast foods also occasions as they struggle to complete all their assignments. When combined with lack of physical activity, the students suffer from obesity and other health-related conditions. Also, they experience depression and anxiety. The pressure to attend all classes, finish the much homework, as well as have time to make social connections cripples them.

How can parents help with homework? Being an active parent in the life of your child goes a long way towards promoting the health and well-being of children. Participating in their process of doing homework helps you identify if your child is facing challenges, and provide the much-needed support.

The first step is identifying the problem your child has by establishing whether their homework is too much. In elementary school, students should not spend over twenty minutes on homework while in high school they should spend an average of two hours. If it exceeds these guidelines, then you know that the homework is too much and you need to talk with the teachers.

The other step is ensuring your child focuses on their work by eliminating distractions. Texting with friends, watching videos, and playing video games can distract your child. Next, help them create a homework routine by having a designated area for studying and organizing their time for each activity.

Why it is better to do homework with friends Extracurricular activities such as sports and volunteer work that students engage in are vital. The events allow them to refresh their minds, catch up, and share with friends, and sharpen their communication skills. Homework is better done with friends as it helps them get these benefits. Through working together, interacting, and sharing with friends, their stress reduces.

Working on assignments with friends relaxes the students. It ensures they have the help they need when tackling the work, making even too much homework bearable. Also, it develops their communication skills. Deterioration of communication skills is a prominent reason as to why homework is bad. Too much of it keeps one away from classmates and friends, making it difficult for one to communicate with other people.

Working on homework with friends, however, ensures one learns how to express themselves and solve issues, making one an excellent communicator.

How does a lot of homework affect students’ performance? Burnout is a negative effect of homework. After spending the entire day learning, having to spend more hours doing too much homework lead to burnout. When it occurs, students begin dragging their feet when it comes to working on assignments and in some cases, fail to complete them. Therefore, they end up getting poor grades, which affects their overall performance.

Excessive homework also overshadows active learning, which is essential in the learning process. It encourages active participation of students in analyzing and applying what they learn in class in the real world. As a result, this limits the involvement of parents in the process of learning and children collaboration with friends. Instead, it causes boredom, difficulties for the students to work alongside others, and lack of skills in solving problems.

Should students have homework? Well, this is the question many parents and students ask when they consider these adverse effects of homework. Homework is vital in the learning process of any student. However, in most cases, it has crossed the line from being a tool for learning and becomes a source of suffering for students. With such effects, a balance is necessary to help students learn, remain healthy, and be all rounded individuals in society.

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Great info and really valuable for teachers and tutors. This is a really very wonderful post. I really appreciate it; this post is very helpful for education.

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Why Homework Is Good for Students: 20 No-Nonsense Reasons

Why Homework Is Good for Students: 20 No-Nonsense Reasons

Is homework beneficial in education? It has long been a cornerstone, often sparking debates about its value. Some argue it creates unnecessary stress, while others assert it’s essential for reinforcing in-class learning. Why is homework important? The reality is, that homework is vital for students' personal and academic growth. It not only improves their grasp of the material but also develops crucial skills that extend well beyond the classroom. This review explores 20 reasons why homework is good and why it continues to be a key element of effective education.

Enhances Study Habits

Does homework help students learn? Establishing strong study habits is essential for long-term success. Home assignment plays a key role in enhancing these habits through regular practice. Here are reasons why students should have homework:

  •  Routine Building: Independent work creates a consistent study routine, helping learners form daily study habits. This consistency is crucial for maintaining progress and avoiding last-minute cramming. 
  •  Time Management: Managing home assignments teaches students to balance academic duties with other activities and personal time. 
  •  Self-Discipline: Finishing assignments requires resisting distractions and staying focused, fostering the self-discipline needed for success in and out of college or school. 
  •  Organization: Home task involves tracking preps, deadlines, and materials, improving students' organizational skills. 

These points underscore why homework is good for boosting study habits that lead to academic success. Regular home assignments help learners manage time, stay organized, and build the discipline necessary for their studies.

Facilitates Goal Setting

Setting and achieving goals is vital for student success. Homework assists in this by providing possibilities for setting both short-term and long-term academic objectives. Here’s why is homework beneficial for goal-setting: 

  •  Short-Term Objectives: Homework encourages immediate targets, like finishing assignments by deadlines, and helping students stay focused and motivated. 
  •  Long-Term Aspirations: Over time, preps contribute to broader accomplishments, such as mastering a subject or improving grades, providing direction in their studies. 
  •  Motivation: Completing home tasks boosts motivation by demonstrating results from their effort. Achieving targets reinforces the importance of perseverance. 
  •  Planning: Homework teaches essential planning and prioritization skills, helping learners approach tasks systematically. 

These aspects demonstrate the reasons why homework is good for setting and achieving educational targets. Regular preps help students establish clear objectives, plan effectively, and stay motivated.

Improves Concentration

Attention is vital for mastering any subject. Homework offers an opportunity to develop this ability. Here’s why homework is important for boosting attention:

  •  Increased Focus: Regular assignments require sustained attention, improving mental engagement over time, benefiting both academic and non-academic tasks. 
  •  Better Task Management: Homework teaches managing multiple tasks, enhancing the ability to concentrate on each without becoming overwhelmed. 
  •  Mental Endurance: Completing home tasks builds stamina for longer study sessions and challenging tasks, crucial for advanced studies and career success. 
  •  Attention to Detail: Home assignments promote careful attention to detail, requiring students to follow instructions and ensure accuracy. 

These elements show ‘why is homework good for students’. Homework aids students in improving their focus, leading to better academic outcomes. Regular practice through homework improves mental engagement.

Reinforces Perseverance

Perseverance is key to success. Homework significantly contributes to teaching this skill. Here are reasons homework is good in supporting the development of perseverance:

  •  Problem-Solving: Homework challenges students to tackle difficult problems, fostering perseverance as they approach challenges with determination. 
  •  Resilience: Regular homework helps build resilience against academic challenges, developing mental toughness. 
  •  Persistence: Homework encourages persistence, teaching students to complete tasks despite difficulties, which is crucial for long-term goals. 
  •  Confidence: Completing assignments boosts confidence, motivating students to tackle new challenges with determination. 

These reasons highlight ‘Why is homework good for fostering perseverance?’ Engaging with home tasks consistently helps students overcome obstacles and achieve their goals.

Final Consideration

To recap, the motivating reasons for homework extend well beyond the classroom. From improving study habits and mental engagement to fostering goal-setting and perseverance, the advantages are clear. Preps equip students with skills necessary for personal and academic growth. What do you think are the top 10 reasons why students should have homework among the ones we listed? Discuss with your peers. To refine your homework or essays, consider using tools like the AI Essay Detector and College Essay Generator to boost your academic performance.

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does homework lead to health problems

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Does Homework Cause Stress? Exploring the Impact on Students’ Mental Health

How much homework is too much?

does homework lead to health problems

Homework has become a matter of concern for educators, parents, and researchers due to its potential effects on students’ stress levels. It’s no secret students often find themselves grappling with high levels of stress and anxiety throughout their academic careers, so understanding the extent to which homework affects those stress levels is important. 

By delving into the latest research and understanding the underlying factors at play, we hope to curate insights for educators, parents, and students who are wondering whether homework causing stress in their lives?

The Link Between Homework and Stress: What the Research Says

Over the years, numerous studies investigated the relationship between homework and stress levels in students. 

One study published in the Journal of Experimental Education found that students who reported spending more than two hours per night on homework experienced higher stress levels and physical health issues . Those same students reported over three hours of homework a night on average.

This study, conducted by Stanford lecturer Denise Pope, has been heavily cited throughout the years, with WebMD producing the below video on the topic– part of their special report series on teens and stress : 

Additional studies published by Sleep Health Journal found that long hours on homework on may be a risk factor for depression , suggesting that reducing workload outside of class may benefit sleep and mental fitness .

Homework’s Potential Impact on Mental Health and Well-being

Homework-induced stress on students can involve both psychological and physiological side effects. 

1. Potential Psychological Effects of Homework-Induced Stress:

• Anxiety: The pressure to perform well academically and meet homework expectations can lead to heightened levels of anxiety in students. Constant worry about completing assignments on time and achieving high grades can be overwhelming.

• Sleep Disturbances : Homework-related stress can disrupt students’ sleep patterns, leading to sleep anxiety or sleep deprivation, both of which can negatively impact cognitive function and emotional regulation.

• Reduced Motivation: Excessive homework demands could drain students’ motivation, causing them to feel fatigued and disengaged from their studies. Reduced motivation may lead to a lack of interest in learning, hindering students’ overall academic performance.

2. Potential Physiological Effects of Homework-Induced Stress:

• Impaired Immune Function: Prolonged stress could weaken the immune system, making students more susceptible to illnesses and infections.

• Disrupted Hormonal Balance : The body’s stress response triggers the release of hormones like cortisol, which, when chronically elevated due to stress, can disrupt the delicate hormonal balance and lead to various health issues.

• Gastrointestinal Disturbances: Stress has been known to affect the gastrointestinal system, leading to symptoms such as stomachaches, nausea, and other digestive problems.

• Cardiovascular Impact: The increased heart rate and elevated blood pressure associated with stress can strain the cardiovascular system, potentially increasing the risk of heart-related issues in the long run.

• Brain impact: Prolonged exposure to stress hormones may impact the brain’s functioning , affecting memory, concentration, and other cognitive abilities.

The Benefits of Homework

It’s important to note that homework also offers many benefits that contribute to students’ academic growth and development, such as: 

• Development of Time Management Skills: Completing homework within specified deadlines encourages students to manage their time efficiently. This valuable skill extends beyond academics and becomes essential in various aspects of life.

• Preparation for Future Challenges : Homework helps prepare students for future academic challenges and responsibilities. It fosters a sense of discipline and responsibility, qualities that are crucial for success in higher education and professional life.

• Enhanced Problem-Solving Abilities: Homework often presents students with challenging problems to solve. Tackling these problems independently nurtures critical thinking and problem-solving skills.

While homework can foster discipline, time management, and self-directed learning, the middle ground may be to  strike a balance that promotes both academic growth and mental well-being .

How Much Homework Should Teachers Assign?

As a general guideline, educators suggest assigning a workload that allows students to grasp concepts effectively without overwhelming them . Quality over quantity is key, ensuring that homework assignments are purposeful, relevant, and targeted towards specific objectives. 

Advice for Students: How to balance Homework and Well-being

Finding a balance between academic responsibilities and well-being is crucial for students. Here are some practical tips and techniques to help manage homework-related stress and foster a healthier approach to learning:

• Effective Time Management : Encourage students to create a structured study schedule that allocates sufficient time for homework, breaks, and other activities. Prioritizing tasks and setting realistic goals can prevent last-minute rushes and reduce the feeling of being overwhelmed.

• Break Tasks into Smaller Chunks : Large assignments can be daunting and may contribute to stress. Students should break such tasks into smaller, manageable parts. This approach not only makes the workload seem less intimidating but also provides a sense of accomplishment as each section is completed.

• Find a Distraction-Free Zone : Establish a designated study area that is free from distractions like smartphones, television, or social media. This setting will improve focus and productivity, reducing time needed to complete homework.

• Be Active : Regular exercise is known to reduce stress and enhance mood. Encourage students to incorporate physical activity into their daily routine, whether it’s going for a walk, playing a sport, or doing yoga.

• Practice Mindfulness and Relaxation Techniques : Encourage students to engage in mindfulness practices, such as deep breathing exercises or meditation, to alleviate stress and improve concentration. Taking short breaks to relax and clear the mind can enhance overall well-being and cognitive performance.

• Seek Support : Teachers, parents, and school counselors play an essential role in supporting students. Create an open and supportive environment where students feel comfortable expressing their concerns and seeking help when needed.

How Healium is Helping in Schools

Stress is caused by so many factors and not just the amount of work students are taking home.  Our company created a virtual reality stress management solution… a mental fitness tool called “Healium” that’s teaching students how to learn to self-regulate their stress and downshift in a drugless way. Schools implementing Healium have seen improvements from supporting dysregulated students and ADHD challenges to empowering students with body awareness and learning to self-regulate stress . Here’s one of their stories. 

By providing students with the tools they need to self-manage stress and anxiety, we represent a forward-looking approach to education that prioritizes the holistic development of every student. 

To learn more about how Healium works, watch the video below.

About the Author

does homework lead to health problems

Sarah Hill , a former interactive TV news journalist at NBC, ABC, and CBS affiliates in Missouri, gained recognition for pioneering interactive news broadcasting using Google Hangouts. She is now the CEO of Healium, the world’s first biometrically powered immersive media channel, helping those with stress, anxiety, insomnia, and other struggles through biofeedback storytelling. With patents, clinical validation, and over seven million views, she has reshaped the landscape of immersive media.

Can Anxiety Cause Paranoia? How Are They Linked?

When a person has paranoid thoughts, they typically become convinced that others are out to get them or cause them harm. While paranoia has been associated with mental illness,  up to one in three people has had paranoid feelings and thoughts at some point, which suggests that paranoid thought is also common among people without mental illness. People with mental illness tend to have more severe paranoid delusions, while those without mental illness may have more mild paranoid thoughts.

Both long- and short-term paranoia can negatively impact a person's everyday life, causing distress and interfering with relationships. Experts have explored potential causes of paranoia, and some have asked, can anxiety cause paranoia? Research suggests there are links between anxiety and paranoia , which we will delve into below.

A woman in a purple shirt sits on the couch while looking at her phone with a worried expression.

Anxiety and paranoia often overlap

Experts have found overlap among people who have paranoid thoughts and those who have anxious thoughts . The occurrence of both anxiety and paranoia is common in people with psychiatric disorders and those without them. The connection between anxiety and paranoia is impactful to study because findings could lead to treatments that help people experiencing either or both challenges. Early research has found that anxiety-focused cognitive-behavioral therapy reduces paranoia .

Researchers have explored the overlap between anxiety and paranoia , outlining potential relationships between the two phenomena. Some experts have posited that anxiety causes paranoia, while others believe that paranoia causes anxiety. There are also other variables associated with both anxiety and paranoia that may help explain the connection between the two.

Discerning between anxiety and paranoia

People who have both anxiety and paranoia may struggle to understand the difference between the two symptoms. To clarify, anxiety describes when a person experiences a stress response, which can involve a variety of symptoms. A person with anxiety may experience worried thoughts, muscle tension, and other physical symptoms, like an increased heart rate. 

Paranoia describes a specific type of thought, which may or may not be accompanied by anxiety. Paranoid thoughts typically involve believing others are out to cause one harm, despite this not being true. People with paranoia may feel like they are being unfairly targeted, persecuted, or oppressed, or they may feel as if others are plotting to harass them or cause them harm.

Anxiety may precede paranoid thoughts

, (missing content) and some research supports this idea. A systematic review of 19 studies found that anxiety appears to have a cause-and-effect relationship with paranoia , but the authors caution that more research is needed. Many of the existing studies on anxiety and paranoia were designed in ways that .(missing content)  Also, other research found the opposite— that anxiety develops in people who have paranoia, but paranoia does not develop in people who have anxiety .

Those arguing that anxiety is likely to precede or cause paranoia hypothesize this could be due to a concept called the threat-anticipation model . In the threat-anticipation model, delusions that one is being persecuted or targeted for harm develop when three processes occur together in response to a stressor or life event. The three processes involve thinking and feeling about oneself, others and the world in an anxious way, having anomalous experiences and arousal, and having cognitive biases. 

In the threat-anticipation model, because anxious thoughts are a key part of the development of paranoid thoughts, reducing anxiety may then reduce paranoia. Similarly, increasing anxiety may increase paranoia. Research somewhat supports this idea, as past studies have found people who experience difficulty regulating their anxiety have more paranoia . 

Anxiety and paranoia may involve similar factors

Some researchers have broken down the threat-anticipation model into greater specifics, detailing the exact types of anxiety-related thoughts and feelings that might precede the development of paranoia. These include stress, negative thoughts, selective attention to threats, worry, and biases regarding risks. Below, we’ll explore each of these types of anxiety-related tendencies and occurrences and outline the research surrounding their relationship to paranoia.

Experiencing stressors may lead to a stress response and emotions that then lead to negative beliefs that spark or reinforce paranoia. While the negative beliefs and thoughts are a problem, they may not have occurred without the original stress. Studies have shown that stress and paranoid thoughts are connected. 

One study found that about 19% of people sampled from across several countries experienced paranoia related to the COVID-19 pandemic . The study authors noted that the rates of this "pandemic paranoia" were roughly consistent with other mental health measures taken during the pandemic, such as the prevalence of anxiety. While the study did not directly investigate if there was a connection between anxiety and paranoia, both occurred in response to a global stressful event, reinforcing the idea that stress plays a role in both anxiety and paranoia.

Negative thoughts

As mentioned above, stress may give rise to negative thinking, which may then make paranoia more likely. Negative thinking can be distinct from anxious thought, but the two often overlap with each other, as well as with paranoia. For example, a person who feels anxious and paranoid about others causing them harm may hold negative thoughts about how they are vulnerable, other people are unkind, or the world is dangerous. These irrational thoughts can lead to low self-esteem and negative views of other people and the world at large. When people hold these types of negative beliefs, they tend to make distorted judgments.

Some research has also examined the relationship among anxiety, paranoia, and negative metacognitions, which are negative thoughts about thinking itself . For example, a person experiencing negative metacognition may believe that their anxious thoughts are out of control or that their thoughts reveal something negative about their personality or mental health. Researchers found that the presence of negative metacognitions predicted the presence of both anxiety and paranoia a year later . A concept called the metacognitive model helps explain this phenomenon, arguing that the way people view and respond to their anxious thoughts impacts their mental health moving forward.

Selective attention to threats

In addition to stress and negative thoughts, both anxiety and paranoia also often involve selective attention to threats. When a person has a tendency toward paying selective attention to threats, they notice potentially threatening information, or situations more than others do. They may also perceive threats in an exaggerated way, wrongly assuming that a potentially threatening situation is more likely to progress into a dangerous situation than it actually is.

A man in a blue shirt sits at a table with his laptop as he holds a phone in his hand and gazes off deep in thought.

Risk perception biases

Risk perception biases go hand-in-hand with selective attention to threats and are more likely to occur in both anxiety and paranoia. When a person has a risk perception bias, they are typically likely to exaggerate the potential risk associated with a situation. As with selective attention to threats, they tend to incorrectly assume a situation will become dangerous or harmful. However, they also tend to have an exaggerated assumption about how much harm the situation will cause or how damaging the outcome will be.

A research study on risk perception biases looked at two groups of people — those with symptoms of generalized anxiety disorder and those with paranoia stemming from psychotic delusions . Both people with anxiety and those with paranoia tended to believe that negative events were more likely to happen to them in the near future compared to people who do not have anxiety or paranoia. Both groups also viewed negative events as causing more harm compared to people without anxiety or paranoia. These findings may help experts identify treatments for both anxiety and paranoia, as changing people's perceptions of risk may reduce such symptoms.

Some experts argue that worry may be a connector between anxiety and paranoia . People who experience both anxiety and paranoia tend to have more worries pertaining to daily life, as well as more metacognitive worry. A form of negative metacognition, metacognitive worry describes when a person worries about how much they've been worrying.

Other research has found that worry is often present with paranoia . While anxiety often involves worry, the two are not one and the same. Worry involves anxiously thinking about the future, often moving the mind through hypothetical situations of negative outcomes. Worry can be seen through trouble relaxing or physical symptoms, such as muscle tension or a rapid heartbeat. More research is needed to clarify, but one possibility is that anxiety only causes paranoia when certain elements, like worry, negative thinking, or other mental practices, are present. One study with over 2,000 participants found that worry was a risk factor for the development of new paranoid thinking . 

Some experts argue that worry may be part of a paranoia continuum . According to the paranoia continuum idea, people with mild paranoia experience worry, while those with severe paranoia experience extreme delusions and feel convinced of plots against them. Within this framework, worry and paranoid delusion are not two separate phenomena, but opposite ends on a scale describing the full range of mild to severe paranoia.

Anxiety and paranoia are both mental health disorder symptoms

Anxiety and paranoia are also linked in the sense that they're both mental illness symptoms. Multiple mental health disorders are characterized by the presence of paranoia, anxiety, or both. Below, we’ll look at a brief overview of these disorders.

Paranoid personality disorder (PPD)

Paranoid personality disorder is likely the disorder most commonly associated with paranoia. With this disorder, a person typically has long-term paranoia as a personality trait, though treatment may help reduce symptoms. This disorder is considered a risk factor for developing an anxiety disorder .

Borderline personality disorder (BPD)

Borderline personality disorder typically involves severe mood swings, poor self-image, and troubled relationships, often due to an underlying fear of abandonment. Although borderline personality disorder isn't primarily characterized by paranoia, one symptom of BPD is developing short-term paranoia in times of stress. Often, this paranoia relates to fear of abandonment. In addition to temporary paranoia, people with BPD may also experience anxiety disorders or anxiety around the possibility of losing relationships .

Schizophrenia

Schizophrenia may involve a disconnect from reality through delusions, hallucinations, or both . Delusions are persistently false beliefs that may be paranoid in nature. While not everyone with schizophrenia has anxiety as well, anxiety or a co-occurring anxiety disorder may be common.

Delusional disorder

Delusional disorder is a relatively rare disorder that involves holding onto a false belief for over a month , despite evidence suggesting the belief isn't true. False beliefs that are paranoid in nature are some of the most common among people with delusional disorder. Those who have them are considered to have the persecutory type of the disorder. Although anxiety isn't a diagnostic criterion, many people with the persecutory type of delusional disorder also feel anxious and irritable.

Generalized anxiety disorder (GAD)

Generalized anxiety disorder (GAD) is an anxiety disorder characterized by excessive worry. As discussed previously, some experts believe, and some research supports the idea that this worry could cause or worsen paranoia.

Social anxiety disorder

In social anxiety disorder, a person typically feels excessive anxiety in or about social situations. Paranoia is not a diagnostic criterion for social anxiety disorder. However, more research is needed to confirm if there is a link between social anxiety disorder and paranoia.

Post-traumatic stress disorder (PTSD)

Post-traumatic stress disorder (PTSD) is an anxiety disorder that can develop after a person has experienced trauma that involves a threat or perceived threat to their life or someone else’s life. People with PTSD may experience intrusive thoughts, flashbacks, or nightmares about their trauma. They may also have a negative mood, changes in cognition, and a desire to avoid situations that remind them of the traumatic event.

In some cases, people with PTSD also develop hallucinations or delusions. These are not diagnostic criteria, however, and instead indicate that a person has a proposed variant of PTSD with psychotic features. Those with PTSD who develop delusions are likely to have paranoid delusions and believe people are persecuting them .

Mental health and paranoid thoughts

While paranoid thoughts can be involved in multiple mental illnesses, like those described above, not all people with paranoid thoughts have a mental illness. The frequency and severity of symptoms often determine whether or not a mental illness is present. Only a mental health professional can diagnose a disorder related to paranoid thoughts

Anxiety and paranoia may both stem from physical health problems

Paranoia is linked to physical health problems, primarily those impacting the brain. Dementia, epilepsy, brain tumors, and traumatic brain injury may all cause paranoia in a person. Similarly, research shows that anxiety may affect up to 71% of people with dementia , and it is also more common among people with medical illnesses more generally .

Insomnia is related to both anxiety and paranoia

Insomnia may both cause and result from anxiety and paranoia. When two factors impact one another in this way, experts call their relationship bidirectional. More research is needed to fully understand how anxiety, paranoia, and insomnia interrelate, but experiencing one may increase a person's risk of experiencing the others.

Substance use is related to both anxiety and paranoia

Substance use may also lead to paranoia. There are many anecdotal reports that alcohol, cannabis, stimulants, and other recreational drugs may bring about paranoia in some people. Similarly, many of these substances are said to also bring about anxiety.

The side effects of anxiety and paranoia may have been most studied among cannabis users. A systematic review of anxiety and cannabis found that the two are linked, and in many cases, cannabis users also reported paranoia . However, the study authors argue that the results lack substantial evidence to support the idea that cannabis causes anxiety. Instead, they hypothesize that people predisposed to anxiety seek out cannabis use to self-medicate.

A woman in white shirt sits at a table and looks at the tablet in her hand while talking on the phone.

Therapy for anxiety, paranoia, and paranoid personality disorder

While experts continue to try to figure out how anxiety and paranoia affect one another, those who experience these symptoms may benefit from seeking help. Therapy is one treatment option for both symptoms, whether a person has a mental illness like paranoid personality disorder or not. Therapy available remotely may be especially appealing, since a person can connect with a therapist from the comfort of home. With an online therapy platform like BetterHelp, individuals can typically be matched with a remote mental health care provider within 48 hours.

Research suggests that online therapy can be effective for anxiety and other mental disorders. One study published in 2017 found that online cognitive behavioral therapy was effective for generalized anxiety disorder, social anxiety, and bipolar disorder, the latter of which can cause paranoia in some people.

While many research studies suggest that anxiety causes paranoia, results are mixed, and more studies are needed. Some experts argue that anxiety causes paranoia, while others argue that paranoia causes anxiety. Still others argue that other variables, like thought patterns, health issues, and insomnia, are likely to cause both anxiety and paranoia. Regardless of which symptom causes which, both are often related. People experiencing anxiety, paranoia, or both can seek help, and therapy is one treatment option available. Take the first step toward getting support with anxiety or paranoia and reach out to BetterHelp today.

  • Learn What Causes Paranoia In Adults Medically reviewed by Julie Dodson , MA, LCSW
  • Overcoming Pregnancy Paranoia Medically reviewed by Corey Pitts , MA, LCMHC, LCAS, CCS
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Teens who vape more likely to have poor mental health, new report shows

Topic: Vaping

Geo, wearing hi-vis, looking at the camera with a neutral expression

Geo first started using vapes when he was 13. ( ABC News: Brendan Esposito )

A study of 5,000 students has found teenagers who vape are more likely to have poor mental health.

Experts say being curious with teenagers can help open conversations about vaping and teaching life coping skills may also assist.

What's next?

Researchers will follow up with survey participants in three years.

For Geo, the rush he gets from vaping is "euphoric".

The 17-year-old apprentice electrician started vaping at 13 after a short period of smoking cigarettes.

"Everyone around me was doing it so, definitely the peer pressure side of it, also [they're] cheaper than darts, a lot cheaper," he said.

"I love it to be honest, just the effect it has on me.

"I can focus better, I can concentrate more."

Geo blowing vape towards the camera

Geo said he feels "stressed" and "anxious" when he does not vape for a period of time.

But he thinks there is probably a link between his vaping and mental health.

"The only time I notice it on my mental [health] is when I'm without it for a certain amount of time," he said.

"It makes me stressed, anxious, like I need it, like there's something missing."

Depressed teens twice as likely to vape

The Matilda Centre for Research in Mental Health and Substance Use paper, published today in the Australian and New Zealand Journal of Psychiatry, found teenagers who vape were more likely to have poor mental health.

The survey of more than 5,000 year 7 and 8 students across three states is the most comprehensive data on e-cigarette use and mental health in early adolescents in Australia.

Chief Investigator associate professor Emily Stockings said while the survey found only 8 per cent of respondents had used a vape, those with symptoms of severe depression were twice as likely to use e-cigarettes.

"For those who had low wellbeing, they were 100 per cent more likely to vape and those with high stress were 74 per cent more likely to vape," she said.

The study found that almost 22 per cent of the teenagers surveyed had moderate to severe depression, 20 per cent had moderate to severe anxiety and one third had low wellbeing.

"So, this is a mentally not very well population," she said.

An image of a teenager's hand holding a vape.

Researchers surveyed 5,000 teenagers about their vape use. ( ABC News: Rachel Carbonell )

Does vaping cause poor mental health or does poor mental health lead to vaping?

The study showed a correlation between the two, but did not establish a causal link.

Associate Professor Stockings said evidence from previous studies suggested it was likely to be "bi-directional".

"There's studies that have shown that depression causes vaping and there's been studies that show vaping causes depression," she said.

She said it was easy to see why teenagers going through mental health struggles were attracted to vaping with bright colours and clever marketing, but adding nicotine was a powerful combination.

"Nicotine is an incredibly effective drug on the brain … once it's in the bloodstream it hits your brain within seconds.

"It gives you this combined feeling of reduced anxiety … but also a little bit of a buzz because of the stimulant effect."

Understanding the teen brain crucial in tackling vaping

Associate Professor Stockings said the research showed mental health and vaping needed to be tackled together.

"We know that education alone, saying to someone, 'don't use drugs' or 'don't drink', it doesn't work. Education alone is not sufficient," she said.

The data is part of the largest trial of vaping prevention in Australia, which aims to test whether teenagers are less likely to take up vaping if they're given life coping skills early on in the classroom.

Emily Stockings looking at camera smiling

Associate professor Emily Stockings said the study found those with high stress were more likely to vape.   ( Supplied )

It will follow up with survey participants in three years.

"What we think is going to be helpful in this age group, what we've seen and had evidence for [is]… we give them skills training, coping skills, mechanisms, telling them how you can help a friend, how you can identify when you're not doing well, how to seek help effectively," she said.

Professor of youth mental health and neurobiology at the University of Sunshine Coast Dan Hermens said understanding the teenage brain, which is wired to "look for novelty", was critical.

"[It] has an exaggerated response to rewarding behaviours, usually they're described as risk-taking things," he said.

One of the ways the brain responds is to release dopamine, the feel-good hormone, with research suggesting it can be two to seven times higher in adolescents in response to reward-seeking behaviour.

He said because vaping often involved friends, risk taking and nicotine, it was a "perfect storm".

"The adolescent brain, we know from a whole range of research, has increased dopamine response to a whole range of behaviours," he said.

"When you add a quite addictive substance like nicotine the response in terms of dopamine is even greater."

Dan Hermens standing in front of a wall of paintings of brains

Professor of youth mental health and neurobiology at the University of Sunshine Coast Dan Hermens said understanding the teenage brain was essential. ( Supplied )

Professor Hermens said the adolescent brain was going through an important biological process.

"…The adolescent brain benefits from new experiences as part of adolescent development and preparing to become an adult," he said.

"It's arguably the most dynamic time in our lives in terms of brain changes and that comes with increased vulnerability."

Professor Hermens said while concerns about vaping were often linked to harmful chemicals, nicotine alone could change the brain's "function and activity".

"By stimulating the brain to release dopamine, if it's done over a period of time, it changes the way the brain responds to rewarding things," he said.

Neuroscientists believe it can then become more difficult to do things without nicotine and inhibit the same response from healthier activities.

Teenager quits after health concerns

Emeliya, 18, first tried vaping a year ago when she was at a friend's birthday party.

"They were all socially doing it … so, I just joined in," she said.

Initially she did not like it, but soon noticed a change.

A hand holding a pink vape

The study is the most recent and comprehensive data on e-cigarette use and mental health in younger teenagers. ( ABC News: Rachel Carbonell )

"I felt like I was less stressed after taking a chuff," she said.

She worried about the health impacts and recently decided to quit.

"You could see in my face I was breaking out, like I felt quite sick after, I had bad breath. It was really gross," she said.

"I feel so much better not vaping … if I'm anxious or stressed about something, I'll find something else to let my stress out, instead of literally, sucking it in.

"I feel like I'm able to get out and sit in the sun … and just be able to breathe normally without having to have a smoke."

Less shame, more curiosity

Chief Investigator Emily Stockings said while she hoped banning vapes would eventually make it less socially acceptable, there's a lot more that can be done.

For parents and carers, associate professor Stockings said being curious with teenagers about why they vape and how it made them feel was more likely to help than shame.

"We're good at banning things, we're good at playing by the rules and it just makes people be quiet if they're engaging in these behaviours, it just becomes a hidden behaviour as opposed to one that they're willing to talk about and seek help for," she said.

Professor Hermens agreed.

His tip was to talk to teenagers about how their brains worked as opposed to bad behaviours.

"It's important to understand as parents and teachers that there's a reason why adolescents like … doing different things and that includes substance use," he said.

"It's important to understand that kind of biology, but it's complicated because adolescents are … speaking like older people.

"They're becoming more self aware, they're becoming more insightful."

He said adults needed to help young people figure out what they could be focusing on instead, with one possible solution through helping young people find a natural buzz through healthier risk taking.

"I guess a whole range of things from … roller coaster rides to doing adventurous things with your friends, like outdoors, you know jumping into the water, it's mostly safe but there's a little bit of risk, doing a school play, that's a social risk," he said.

Mental health disorders among young people have soared by nearly 50 per cent in 15 years. The ABC is talking to youth, parents, and researchers about what's driving this pattern, and what can be done to turn things around.

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  1. Why Is Homework Bad? How It Damages Students’ Mental Health

    does homework lead to health problems

  2. Is your child’s homework harming their health?

    does homework lead to health problems

  3. Exploring How Does Homework Affect Students’ Health

    does homework lead to health problems

  4. The Negative Health Effects of Too Much Homework

    does homework lead to health problems

  5. Exploring How Does Homework Affect Students’ Health

    does homework lead to health problems

  6. Excessive homework during pandemic has consequences

    does homework lead to health problems

VIDEO

  1. Why Homework Does Not Lead To Better Grades

  2. Johnny Does Homework With Anthony/Grounded

  3. Student Homework Machine 🤯📝

  4. Wellness at Work: Why It’s Time to Talk About Mental Health

  5. Disadvantages of Homework

  6. What Is The Toughest Exam In India? Unacademy Co-Founder Roman Saini Reveals #shorts

COMMENTS

  1. Health Hazards of Homework

    Health Hazards of Homework. 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.".

  2. Why Homework is Bad: Stress and Consequences

    In 2013, research conducted at Stanford University found that students in high-achieving communities who spend too much time on homework experience more stress, physical health problems, a lack of ...

  3. Stanford research shows pitfalls of homework

    * 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 ...

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

    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 ...

  5. Homework Struggles May Not Be a Behavior Problem

    Mental health challenges and neurodevelopmental differences directly affect children's ability to do homework. Understanding what difficulties are getting in the way—beyond the usual explanation ...

  6. Is homework a necessary evil?

    But they were not more invested in the homework itself. They also reported greater academic stress and less time to balance family, friends and extracurricular activities. They experienced more physical health problems as well, such as headaches, stomach troubles and sleep deprivation. "Three hours per night is too much," Galloway says.

  7. Homework Pros and Cons

    High-achieving high school students said too much homework leads to sleep deprivation and other health problems such as headaches, exhaustion, weight loss, and stomach problems. ... Excessive homework can also lead to cheating: 90% of middle school students and 67% of high school students admit to copying someone else's homework, and 43% of ...

  8. Is Too Much Homework Unhealthy?

    Think big picture. Forcing a child to complete a homework assignment, after they have spent a reasonable amount of time on it (10 minutes per grade), is not promoting balance. Keep academic ...

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

    Mental health experts weigh in. August 16 2021, by Sara M Moniuszko. It's no secret that kids hate homework. And as students grapple with an ongoing pandemic that has had a wide-range of mental ...

  10. Does Homework Serve a Purpose?

    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 ...

  11. hot topic (Homework as a Mental Health Concern)

    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 ...

  12. Homework: The Good and The Bad

    For example, research finds that children with more hours of homework experience more academic stress, physical health problems, and lack of balance in their lives (18). Clearly, more is not better when it comes to homework. ... Specifically, 35% of 9-year-olds reported that they did not do homework the previous night in 1984 versus 22% of 9 ...

  13. Addressing Student Mental Health Through the Lens of Homework Stress

    When addressing a mental health crisis like the one facing our current generation of students, homework and its associated academic stress is a high stakes psychosocial domino; a stressor. that when not properly addressed, may lead to flagging motivation, negative health outcomes due.

  14. PDF Does Homework Work or Hurt? A Study on the Effects of Homework on ...

    Homework on Mental Health and Academic Performance . Ryan Scheb . Cristo Rey Brooklyn High School Follow this and additional works at: https://digitalcommons.lmu.edu/ce . ... there are systemic and structural problems that must be fixed for the school to truly address the mental health crisis that exists within its community.

  15. Infographic: How Does Homework Actually Affect Students?

    Homework can affect both students' physical and mental health. According to a study by Stanford University, 56 per cent of students considered homework a primary source of stress. Too much homework can result in lack of sleep, headaches, exhaustion and weight loss. Excessive homework can also result in poor eating habits, with families ...

  16. Is homework making your child sick?

    Their findings were troubling: Research showed that excessive homework is associated with high stress levels, physical health problems and lack of balance in children's lives; 56% of the ...

  17. Is Excessive Homework the Cause of Many Teen Issues?

    Homework over a certain time limit can cause stress, depression, anxiety, lack of sleep, and more. Homework distracts from extracurriculars and sports as well, something colleges often look for. Homework is ultimately leading students to resent school as a whole. According to a study done by Stanford University, 56 percent of students ...

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

    More than two hours of homework may be counterproductive, research suggests. GSE scholar Denise Pope finds that students in high-achieving schools who spend too much time on homework experience more stress and health problems. A Stanford education researcher found that too much homework can negatively affect kids, especially their lives away ...

  19. Barriers Associated with the Implementation of Homework in Youth Mental

    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 ...

  20. Impact of homework time on adolescent mental health: Evidence from

    Additionally, this study explores the moderating effects of teacher support and parent involvement. The results indicate that homework time has a negative effect on adolescent mental health, but only when the amount of time spent on homework exceeds about 1 hour and 15 minutes. Overall, there is a non-linear relationship between homework time ...

  21. How does homework affect students?

    Homework is essential in the learning process of all students. It benefits them in managing time, being organized, and thinking beyond the classroom work. When students develop good habits towards homework, they enjoy good grades. The amount of homework given to students has risen by 51 percent. In most cases, this pushes them to order for ...

  22. Homework, sleep insufficiency and adolescent neurobehavioral problems

    During the past few decades, mental health problems among adolescents have received considerable attention as a public health concern. According to the 2013 global burden of disease study, ... which may lead to high homework burden (Fraser et al., 2021); At the 7th grade, students usually experience a critical transitional period from low ...

  23. Why Homework Is Good for Students: 20 No-Nonsense Reasons

    Here are reasons homework is good in supporting the development of perseverance: Problem-Solving: Homework challenges students to tackle difficult problems, fostering perseverance as they approach challenges with determination. Resilience: Regular homework helps build resilience against academic challenges, developing mental toughness.

  24. Does Homework Cause Stress? Exploring the Impact on Students' Mental Health

    1. Potential Psychological Effects of Homework-Induced Stress: • Anxiety: The pressure to perform well academically and meet homework expectations can lead to heightened levels of anxiety in students. Constant worry about completing assignments on time and achieving high grades can be overwhelming. • Sleep Disturbances: Homework-related ...

  25. AI and mental health crisis fuel renewed anti-homework movement

    Dogs may not have anything to eat, but students could feel less stress if more schools reconsider their homework assignment policies.. Why it matters: Conversations about the value of homework in education have simmered for years, but students' mental health struggles and artificial intelligence have pushed it to the forefront. 37% of 13-year-old students said they had "no homework assigned ...

  26. Can Anxiety Cause Paranoia? How Are They Linked?

    The frequency and severity of symptoms often determine whether or not a mental illness is present. Only a mental health professional can diagnose a disorder related to paranoid thoughts. Anxiety and paranoia may both stem from physical health problems. Paranoia is linked to physical health problems, primarily those impacting the brain.

  27. Not getting enough sleep? This is what's happening to your body and

    Emotions and mental health. When you sleep the neurons in your brain get a hard-earned rest. But if you don't get enough quality shut-eye, they'll struggle to make new connections the next day ...

  28. Foods That Lower Gum Disease Risk, According to 2024 Study

    More than 42 percent of adults older than 30 have gum disease, so if you're one of them, you're far from alone.Especially common in men, older populations and people who smoke, gum disease ...

  29. Teens who vape more likely to have poor mental health, new report shows

    In short: A study of 5,000 students has found teenagers who vape are more likely to have poor mental health. Experts say being curious with teenagers can help open conversations about vaping and ...

  30. US farmers face a silent mental health crisis. What can we do?

    If you or someone you know need mental health resources and support, please call, text or chat with the 988 Suicide & Crisis Lifeline or visit 988lifeline.org for 24/7 access to free and ...