1. Improving K-12 Schooling in Response to the COVID-19 Pandemic Through Tutoring: One Step Forward in Addressing an Ongoing Public Health Concern
The COVID-19 pandemic adversely impacted children’s schooling throughout the world. Even in countries that could continue presenting instruction online when in-person classes were discontinued, students demonstrated lower academic achievement levels than before the pandemic. For example, in the United States, students’ scores on an academic achievement assessment referred to as the nation’s report card—the National Assessment of Educational Progress (NAEP)—revealed a significant decline. Nine-year-olds showed the greatest score decline in reading since 1990 and the first-ever significant drop in mathematics scores. Similarly, the average reading score for 13-year-olds was significantly lower than in 2020 (when scores were reported for a testing cycle completed before the pandemic’s onset), while the decline in mathematics scores was the greatest ever [
1]. The largest losses occurred in urban and rural areas [
2]. However, declines were reported across nearly all student groups, such as those who are Black, Hispanic, and White [
1].
1.1. Educational Attainment and Health Outcomes
If left unattended, the impact of these performance declines on a student’s overall health and well-being could be significant. Research has established that an individual’s educational achievement and attainment are linked to better health and higher earnings [
3]. Higher levels of education can lead to employment that allows for (a) relatively better insurance coverage; (b) multiple ways to access the healthcare system; (c) the capacity to afford a balanced, nutritious diet and meaningful exercise program; and (d) the ability to make informed decisions involving complex health-related issues.
Likewise, the U.S. Department of Health and Human Services [
4] reported the link between one’s literacy skills and health. The department noted that limited literacy impairs access to health information, such as medication instructions and communication with health care providers. Additionally, it noted that research has revealed a positive correlation between chronic conditions (e.g., diabetes, cancer) and limited literacy skills.
This circumstance highlights the need to emphasize both the outcomes realized from schooling and the processes involved. Individuals will attain different levels of health literacy resulting from matters such as disability status and access to high-quality educational programs. While the educational attainment of some will result in licensure for high-status occupations (e.g., lawyers, accountants), other individuals will attain life skills that equip them with health literacy competencies that contribute to their overall well-being.
1.2. Tutoring: A Proven Approach Used to Address COVID-19 Instructional Issues
Upon students returning to in-person instruction in the United States following the COVID-19 pandemic, schools addressed many resulting instructional issues, including learning loss, interrupted learning of grade-level curriculum content, high rates of student absenteeism, and staffing shortages [
5]. One strategy some schools adopted was to accelerate learning, which involves just-in-time instruction about prerequisite skills students have not learned but underly the grade-level curriculum that is the focus of instruction [
6]. However, another strategy that appears to have been quite popular is tutoring. Mitchell et al. reported that 80% of school districts launched pandemic-related tutoring, while Kepp reported that two-thirds of schools used federal COVID-19 relief funding to increase existing tutoring programs, resulting in what could be described as a tutoring renaissance [
7,
8].
Yet, these data do not differentiate among students who likely accessed this tutoring. Showell found that students’ access to tutoring is limited based on factors such as socioeconomic status, type of school, and the neighborhood in which the school is located. Similarly, Zheng and Yu remarked that financial barriers can impair students’ access to tutoring [
9,
10].
Further, a noteworthy caveat is the discrepancy across schools regarding the worth of their tutoring. DeMio reported that matters including staffing shortages and challenges in providing adequate professional development for tutors resulted in students receiving qualitatively different types of tutoring [
11]. Considering these issues are related to available funding, their adverse impact would more likely be realized in locations such as urban settings with schools beset by high poverty and its associated impacts, including high teacher turnover rates and teachers with relatively lower-level qualifications [
5]. DeMio remarked that public policy and funding must address equity with respect to the type of tutoring all students can access [
11].
For the purposes of this paper, tutoring is defined as the provision of instruction by a person, referred to as a tutor, to one or a small group of students (i.e., tutees) to address an instructional need that cannot be met satisfactorily through the existing instruction presented in the tutee’s school programming. Most often, tutoring involves remedial instruction provided to about 8% of students who exhibit noteworthy academic achievement deficits [
12], with the hoped-for outcome being their resolution. Further, it is supplemental instruction that is provided in addition to ongoing instruction [
13].
Tutoring is recognized by the United States federal government as an evidence-based practice [
14,
15]. According to Robinson and Loeb, “Research consistently demonstrates that tutoring interventions have substantial positive effects on student learning” (p. 1) [
16]. Specifically, over 150 randomized trial studies have documented that tutoring interventions have a substantially positive effect on student learning [
17]. Students have realized gains across grade levels and content areas [
18]. Particularly noteworthy have been the positive outcomes demonstrated by students in schools serving communities with low SES households [
19].
1.3. High-Impact Tutoring
Components
Importantly, researchers have identified the key components that comprise the most effective type of tutoring program, which has been characterized as high-impact tutoring (HIT). It consistently produces six months to over two years of learning gains following a single year of tutoring [
16]. However, it is important to note that effects vary across tutoring programs due to differences among their components. Currently, more is known about effective tutoring programs than the impact of the programs’ components [
16].
Nevertheless, given the learning gains realized from a high-impact tutoring program, identifying its components is important for everyone committed to its success. These components are listed as follows:
Small group size (ideally one-on-one but no more than four students in a small group);
At least three sessions per week of 30–50 min, which can be adjusted to be developmentally appropriate (i.e., shorter sessions for younger students);
Consistent tutors who build beneficial relationships with their tutees;
The provision of coaching to the tutors, as well as ongoing, proper oversight;
Tutoring sessions that are embedded in the school day;
Data-informed instruction that includes formative assessments and identifying students’ needs;
Use of high-quality instructional materials and curricula aligned with the tutees’ general education classroom instruction [
16,
18].
1.4. Post-COVID-19 Impact
Not surprisingly, positive outcomes from high-impact tutoring conducted upon return to in-person schooling after the pandemic have been reported. Results from one large-scale study conducted during the 2022–2023 school year involving 98,000 students across 283 school districts revealed that the students who received high-impact tutoring outperformed the control group (i.e., students who did not receive tutoring) on measures of academic achievement for mathematics and English language arts. Several factors were examined to determine their influence on the gains. The students who participated in the most tutoring sessions realized higher academic achievement gains. Further, among these students, those who demonstrated higher levels of engagement during their sessions made greater gains. Altogether, tutees who attended the most tutoring sessions and demonstrated the highest levels of participation improved their performance by 1.46 grade levels [
19].
Aggregated data at the school district level have also been reported. One district in Texas reported that its performance rating increased twofold from the 2021–2022 to 2022–2023 school years due, in part, to its high-impact tutoring initiative [
20].
While these data are impressive, one must question the extent of the influence of high-impact tutoring. This is because early reports indicated that, among the students receiving tutoring after the pandemic, about 10% received high-impact tutoring [
21].
While the high-impact tutoring described can be depicted as the gold standard, ways to employ effective tutoring that meets a unique need and is less costly and less resource-intensive have been explored. This circumstance highlights the need to distinguish between a tutoring approach’s effectiveness (i.e., whether its impact is very effective, meaning high, or somewhat effective, meaning low) and the resources involved with its implementation (i.e., whether a large amount of resources are involved, meaning a high dosage, or a relatively small amount of resources, meaning a low dosage). An emerging, effective, low-dosage approach is short-burst tutoring.
1.5. Short-Burst Tutoring
Short-burst tutoring derives its name from its relatively limited dosage. The tutoring sessions involve a one-on-one instructional format conducted in the general education classroom with a typical instructor-led, scripted lesson comprising 5 to 10 min. However, the length of each lesson and the number of lessons per week are determined on a case-by-case basis. At the same time, the tutees independently complete computer-assisted instructional activities.
Formative assessments determine whether and how to adapt each student’s programming, such as varying the number of days per week a student participates in tutorial sessions. Every aspect of this type of tutoring focuses on grade-level skills (e.g., basic phonics skills) that students must master so that they will not fall behind to the point that they need more intensive remedial instruction.
Short-burst tutoring has two appealing aspects: the academic gains students realize and the per-pupil cost. In one study reported in January 2024 [
22], kindergarten students who received short-burst reading tutoring scored on average 11 percentile points higher on their district’s reading test than those who only received general education classroom instruction. The students who continued receiving short-burst reading tutoring in first grade were 16 percent less likely to be identified as at-risk readers by the middle of the school year, and 96 percent read at least at grade level by the end of the school year compared to 76 percent of the untutored students. The tutoring program’s per-pupil cost was reported to be
$350–
$450 annually. In comparison, the high-impact programs described previously can cost anywhere from
$1000 to
$4000 per pupil.
1.6. Tutoring as Supplemental Instruction
With research having established tutoring’s effectiveness in various forms, a practical matter needing to be addressed is how to incorporate tutoring within existing school programming. As supplemental instruction, tutoring can be a noteworthy component of a school’s multi-tiered system of supports (MTSS) framework [
18,
23]. Schools in the United States widely use this framework to establish an organizational scheme for accounting for the performance of every student [
24]. The scheme involves developing a system of interventions provided to students based on their performances, particularly concerning ongoing progress monitoring [
25,
26]. While this framework can address students’ academic, behavioral, and social-emotional needs [
27], this paper describes it solely as relating to their academic needs.
An MTSS framework is typically depicted graphically as a triangle divided into three sections, each referred to as a tier. An MTSS framework often consists of three tiers that serve as categories for the interventions students are provided based on their academic performances. Tier 1 sits at the triangle’s base and represents all students’ instruction in the general education classroom. This high-quality instruction should be effective for 80% of a school’s students.
Tier 2 and Tier 3 sit atop Tier 1 and are called higher-level tiers. They consist of supplemental interventions for students who do not demonstrate adequate academic achievement from Tier 1 instruction. Tier 2 services are typically provided to 15% of students. The intent is to remediate a student’s academic achievement deficit so they can perform at grade level after receiving only Tier 1 instruction. Tier 3 services are provided to 5% of a school’s students who demonstrate significant, persistent academic achievement deficits despite receiving Tier 1 and Tier 2 services [
28]. While the hoped-for outcome is remediating a student’s academic achievement deficit, it is not uncommon for a student to be provided Tier 3 services for an extended period, including their entire school career.
Schools face two primary challenges in implementing tutoring within their MTSS frameworks. One challenge is scheduling this supplementary instruction so students do not miss Tier 1 instruction. A second challenge is designing tutoring to address each student’s unique needs [
29]. This latter matter was addressed by an elementary school in the southeastern United States as it grappled with establishing and sustaining a tutoring program following the pandemic.
1.7. Tutoring’s Post-COVID-19 Window of Opportunity
As the one-time federal stimulus funds used for tutoring wane, what remains to be seen is how schools will proceed with tutoring. The post-pandemic interest in tutoring has created a window of opportunity for schools to decide whether to employ it and, if so, how [
30]. Given that many schools used the stimulus funds to expand existing tutoring programs, it is likely that many will be continued. Safran posited that schools will exercise one or a combination of the following options [
30]:
- (a)
Continue with the expanded tutoring program made possible with the federal stimulus funds.
- (b)
Revert to the tutoring program in place prior to the pandemic. In most instances, the program would involve presenting remedial instruction to 8% of the school’s students.
- (c)
Broaden either program described in (a) and (b) above by making tutoring available to every student.
- (d)
Begin a distinctive tutoring program. This option might be chosen by a school that does not have a tutoring program but has become interested in starting one because of what they have learned about tutoring from the publicity it received after the pandemic.
Option d, beginning a distinctive tutoring program, was exercised by the elementary school featured in the case report below. Upon returning to in-person instruction, benchmark testing revealed their kindergarten students were performing significantly below grade level and much lower than previous years’ students. Typically, the school must provide remedial instruction in basic mathematics and reading skills to at least 20% of the students. However, a much higher percentage required this remedial instruction upon returning to in-person instruction following the pandemic. Consequently, the principal expressed interest in finding a way to address this recurring need.
By chance, the school’s partnership with a researcher from a nearby university enabled the school to explore establishing a distinctive tutoring program for the school’s lower elementary students (kindergarten–first grade (K-1)). The case report below details how the school pursued creating a distinctive K-1 tutoring program during the aforementioned window of opportunity.
3. Materials and Methods
3.1. Sample
The focus school is an elementary school in the southeastern United States and is attended by 466 pre-kindergarten through sixth-grade students. The student body comprises a majority-minority student population residing in low-SES households. Altogether, the lead investigator solicited involvement from over a half-dozen schools across two school districts. The school that participated in the investigation was the only one to grant permission for the study and complete the requisite paperwork.
The principal, two lead teachers for the school’s after-school program, a school counselor, and a kindergarten and first-grade teacher were the participants who contributed input (a) about an appropriate HIT protocol for the school and (b) the study’s social validity. The principal selected the staff based on their overall experience at the school and in the after-school program, where the HIT tutoring protocol for lower elementary students (K-1) would be implemented.
The part of the study that focused on the effectiveness of the instructional strategy involved seven general education students, ages 5–7, whom the school identified as needing Tier 2 services in mathematics or reading (6 females, 1 male; 5 African American, 2 Caucasians). The strategy was field tested with the students during lessons presented in their after-school program. School personnel provided data to establish potential learning targets. Informed, written parent consent and child assent for participation in the investigation were obtained as part of the university’s institutional review board approval process. Further, participation in the research study was voluntary and participants could withdraw at any time; in the event of a withdrawal, the study would continue with all remaining participants.
The lead investigator and two undergraduate students attending a local university and enrolled in its undergraduate research experiential program presented the lessons. Over 60% of the lessons were presented by the undergraduate students.
3.2. Instrument
Data for answering the first research question were obtained through a questionnaire soliciting open-ended responses from the school’s staff about configuring their distinctive tutoring protocol. The lead investigator wrote relevant questions about the seven components comprising HIT, as identified by Robinson and Loeb [
16].
A criterion-referenced assessment was created for each academic skill taught during the lessons presented in the after-school program. Each skill was assessed twice during daily probes conducted at the beginning of each lesson. The resulting data were used to answer the second research question.
The third research question involved a social validity questionnaire. Each of the questionnaire’s items comprised a 5-point Likert scale the participants marked to indicate their “level of agreement” with statements about the value of the investigation’s aspects.
3.3. Design
A mixed methods research design was used to obtain data to answer each research question. Qualitative methodology addressed the first and third research questions, and quantitative methodology addressed the second.
The lead investigator summarized and synthesized the staff’s responses to the HIT questionnaire and then presented the information to the group for consensus agreement about the emerging tutoring protocol.
A single case design was used to answer the second research question. For each of the seven participants, the multiple probe design involved at least three demonstrations of the effect of the instructional strategy (i.e., an explicit instruction approach) on every mathematics and reading skill taught. A minimum of 5 baseline data points established a stable or contra-therapeutic trend, followed by an intervention phase with a change in the data’s level and therapeutic trend to skill mastery. The procedure for independent and dependent variable reliability checks involved data collection across all conditions, a minimum of 20% of all sessions with a criterion for agreement of 90% or more.
Descriptive statistics (mean, median, mode) were calculated for the Likert scale scores obtained from the social validity measure.
5. Discussion
It is doubtful that schools throughout the United States will abandon all types of tutoring when the federal government’s COVID-19 relief funds are unavailable. It is a proven intervention that, at the very least, can address a widespread need for remedial instruction. Therefore, many schools are considering how they will continue employing tutoring. In a few instances, schools that have not implemented tutoring before may elect to do so after learning of tutoring’s virtues through others’ responses to the instructional issues raised by the COVID-19 pandemic.
The case report revealed one school’s initial foray into tutoring based on others’ uses following the pandemic. The investigation revealed how a school designed a distinctive tutoring protocol that included providing a developmentally appropriate instructional strategy and dosage. Additionally, the investigation revealed the school’s commitment to equity by making tutoring available to all students.
A significant outcome of the investigation was its focus on a developmentally appropriate instructional strategy and dosage. Robinson and Loeb remarked that more is known about effective tutoring programs than about the impact of the components comprising each type of tutoring [
16]. If more can become known about the effect of the components comprising each type of tutoring, every school will be equipped to configure tutoring comprised of components that align with the school’s unique purpose for employing it. While the results from this study have limited generalizability due to the small sample involved, Barshay reported a study of a similar innovative tutoring program across 400 K-1 students in 49 classrooms within one school district [
31]. That study’s follow-up investigations will determine the students’ reading abilities in third grade. Altogether, the results will have broader relevance.
Future research should investigate the impacts of the components comprising each type of tutoring. Robinson and Loeb identified some of them and their relevance [
16].
The time when tutoring is offered. Tutoring is more effective during the school day instead of outside the day’s schedule. Nevertheless, schools with robust, well-attended after-school programs will likely experience a high probability of successfully integrating tutoring into them.
Students’ needs and opting in or out. Tutoring must address a student’s needs, but that does not always mean having to provide remedial instruction. Hence, tutoring is likely more successful when made available to all students for varying purposes. This arrangement would eliminate the need for parents to decide whether tutoring is appropriate for their child, a process known as opting in. Further, this approach can eliminate the negative stigma attached to tutoring when associated exclusively with remedial instruction.
Benefits beyond academic gains. Understandably, schools will focus on collecting data to determine whether tutoring results in students demonstrating meaningful academic achievement gains. Data-driven decision-making is a component of the high-impact tutoring discussed above. However, schools should also consider measuring possible residual impacts from tutoring. Student attendance may improve because tutees want to have the opportunity to work with their valued tutors. Likewise, a student’s overall behavior may improve due to experiencing gains in academic achievement.
Training and ongoing support. Tutors need training about their role, including ongoing support following initial training. Salcito highlighted the need for this training by sharing his experiences in which personnel who were effective general education classroom teachers often needed specific training for the role of an effective tutor [
12].
Alignment with the general education curriculum. It is imperative for the content students are taught during tutoring sessions to be aligned with their general education classroom’s curriculum. Additionally, tutors should use the same high-quality instructional materials the school uses to teach the curriculum.
Tutor consistency. Tutoring is more likely to be effective when the same tutor instructs the same students throughout all tutoring sessions. This is one reason for calls to investigate having the same tutor work with the same students across multiple consecutive school years.
Building tutor–tutee rapport. One component of the high-impact tutoring described previously is the establishment of a positive rapport between the tutor and the tutee. Schools must consider whether to let this happen naturally or to require that tutors be provided with a means of developing a positive rapport with their tutee.
Stakeholder buy-in. A universal approach to tutoring, which involves all students and not just those needing remedial instruction, will likely increase the buy-in of various stakeholders (e.g., parents, teachers, school board members, and business leaders in the community). This could increase the probability that a tutoring program will receive community support, enabling it to continue across multiple school years. A limitation of this study is the absence of parental input regarding the tutoring program the school has developed. This oversight should have been addressed when the investigation was conceptualized.
Impact on tutors. Teachers, paraprofessionals, and adult volunteers have proven to be effective tutors. Regarding paraprofessionals, schools should consider how their effectiveness as tutors may carry over to similar assigned tasks during the school day. Also, the tutoring experience may lead some tutors to pursue teacher licensure. This outcome would help address the current teacher shortage.
The school’s decision to make tutoring available to all students signifies how tutoring can be individualized and extend beyond high-impact tutoring that only involves remedial instruction, thereby exemplifying a holistic approach. Mitchell et al. reported his urban school district’s focus on designing post-pandemic tutoring programs that include all students resulting from their community’s expectation for this arrangement [
8]. Four types of tutoring schools might be used for the described purposes, including the following:
High-impact tutoring for remediation. This type of typical tutoring involves three to five 30- to 50-min instructional sessions weekly designed for students needing remedial instruction to address a noteworthy academic achievement deficit. In addition to the dosage described, this type of tutoring would involve all the components that were previously described as high-impact tutoring.
Short-burst tutoring. This type of tutoring would be a part of a school’s general education classroom programming (i.e., Tier 1 services). The tutoring would be aimed at students needing a relatively small amount of supplemental instruction to maintain grade-level performance.
On-demand tutoring. Students would solicit this tutoring when they need a little extra help with a skill as it is being addressed in the general education classroom.
Enrichment. Tutors could serve as expert mentors to students demonstrating advanced academic achievement and completing projects designed to extend their knowledge and skills significantly about a topic. Or, enrichment could involve addressing any topic that is of interest or needed by students but is not covered in their school programming.
Configuring tutoring so every student can access it will address concerns raised about its role in promoting equality and equity [
17,
31]. Equality will be addressed when schools ensure that every student can access tutoring. Arranging tutoring in ways that address students’ varying needs will result in equity [
32].
This approach reflects how tutoring can be addressed holistically as one part of any school reform endeavor. “School reform” is an often-used term for changing existing school practices [
33]. School reform involves replacing ineffective and insufficient practices instead of overhauling existing practices wholesale. Thus, many schools in the United States must consider tutoring’s role in their ongoing efforts to provide their students with the best education possible. Schools that perform better on behalf of all their students will indirectly address the impact of education on students’ overall health and well-being.