Wilson Sandra Jo, Lipsey Mark W
Center for Evaluation Research and Methodology, Vanderbilt Institute for Public Policy Studies, Vanderbilt University, Nashville, Tennessee.
Am J Prev Med. 2007 Aug;33(2 Suppl):S130-43. doi: 10.1016/j.amepre.2007.04.011.
Research about the effectiveness of school-based psychosocial prevention programs for reducing aggressive and disruptive behavior was synthesized using meta-analysis. This work updated previous work by the authors and further investigated which program and student characteristics were associated with the most positive outcomes.
Two hundred forty-nine experimental and quasi-experimental studies of school-based programs with outcomes representing aggressive and/or disruptive behavior were obtained. Effect sizes and study characteristics were coded from these studies and analyzed.
Positive overall intervention effects were found on aggressive and disruptive behavior and other relevant outcomes. The most common and most effective approaches were universal programs and targeted programs for selected/indicated children. The mean effect sizes for these types of programs represent a decrease in aggressive/disruptive behavior that is likely to be of practical significance to schools. Multicomponent comprehensive programs did not show significant effects and those for special schools or classrooms were marginal. Different treatment modalities (e.g., behavioral, cognitive, social skills) produced largely similar effects. Effects were larger for better-implemented programs and those involving students at higher risk for aggressive behavior.
Schools seeking prevention programs may choose from a range of effective programs with some confidence that whatever they pick will be effective. Without the researcher involvement that characterizes the great majority of programs in this meta-analysis, schools might be well-advised to give priority to those that will be easiest to implement well in their settings.
运用荟萃分析综合研究了以学校为基础的心理社会预防项目在减少攻击性行为和破坏性行为方面的有效性。这项工作更新了作者之前的研究,并进一步调查了哪些项目和学生特征与最积极的结果相关。
获取了249项以学校为基础的项目的实验性和准实验性研究,这些研究的结果涉及攻击性行为和/或破坏性行为。从这些研究中编码效应量和研究特征并进行分析。
发现对攻击性行为、破坏性行为及其他相关结果有积极的总体干预效果。最常见且最有效的方法是针对全体学生的项目以及针对选定/指明儿童的针对性项目。这些类型项目的平均效应量表明攻击/破坏性行为有所减少,这对学校可能具有实际意义。多成分综合项目未显示出显著效果,针对特殊学校或班级的项目效果微弱。不同的治疗方式(如行为、认知、社交技能)产生的效果大致相似。实施得更好的项目以及涉及攻击行为风险较高学生的项目效果更大。
寻求预防项目的学校可以放心地从一系列有效项目中进行选择,相信无论选择哪一个都会有效。如果没有本荟萃分析中大多数项目所具有的研究人员参与,建议学校优先选择那些在其环境中最易于良好实施的项目。