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This study explores how K-12 educators make decisions on accommodations for multilingual learners taking WIDA ACCESS. As part of a larger mixed-methods study, we conducted in-depth, semi-structured interviews with 31 educators. Results revealed a collaborative but complex process influenced by role-based authority, systemic constraints, and limited parent and student involvement. Interviewees described using WIDA materials and resources, state training, and support from colleagues while identifying challenges with specific assessments and accommodations. They expressed a mix of commitment and confusion, citing the need for clearer guidance, additional training, and greater policy flexibility. Centering educator voices, this study offers practical recommendations to improve accommodations practices and informs test developers, policymakers, and professional development providers working to support inclusive assessment for multilingual learners.