The most important thing to do now is to have her evaluated for a possible disorder of attention. Even children who have such a condition can sustain their attention under conditions of high motivation, but in the absence of such motivation they can struggle. The reason for undergoing the evaluation is to determine the nature of her problem with attention. There can be a number of reasons for inattention. One, but only one, is a manifestation of Attention-Deficit/Hyperactivity Disorder. The fact that her struggle has occurred over a number of years lends some support to the probability that the attention problem is indeed due to ADHD. If it is, it can be treated. If she is diagnosed with ADHD she might benefit from an in-home computer-based program called Cogmed Working Memory Training (most children who display ADHD also display problems with working memory - addressing the working memory deficiency enhances their attention). See the company's web site Cogmed.com for a thorough examination of the program and pay particualr attention to the research that has been conducted on the five-week program.