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通过对牙买加基础学校进行普遍干预来预防行为问题:一项试点研究。

Preventing behaviour problems through a universal intervention in Jamaican basic schools: a pilot study.

作者信息

Baker-Henningham H, Walker S P, Powell C, Gardner J Meeks

机构信息

Department of Educational Studies, The University of the West Indies, Kingston 7, Jamaica.

出版信息

West Indian Med J. 2009 Nov;58(5):460-4.

Abstract

OBJECTIVE

To evaluate the effect of a preventative intervention in Jamaican basic schools on child behaviour and parent-teacher contacts.

DESIGN AND METHODS

Five basic schools in Kingston, Jamaica, were randomly assigned to an intervention (n = 3) or control (n = 2) condition. Intervention involved seven whole-day teacher workshops using the Incredible Years Teacher Training Programme supplemented by fourteen lessons on social and emotional skills in each class. Within each classroom (n = 27), children were screened for behaviour difficulties through teacher report and children with the greatest difficulties were selected for evaluation of outcomes (135 children). Teachers'reports of child behaviour using the Strengths and Difficulties Questionnaire and of the quality of teacher-parent contacts were collected at the beginning and end of the school year Multilevel regression analyses controlling for school and classroom were used to evaluate the effects of intervention on child behaviour.

RESULTS

Significant benefits of intervention were found for children's conduct problems (regression coefficient (b) = -0.62, 95% confidence interval (CI): -0.01, -1.23), hyperactivity (b = -0.84, 95% CI: -1.57, -0.11) and peer problems (b = -1.24, 95% CI: -1.89, -0.59). The effect sizes were 0.26 for conduct problems, 0.36 for hyperactivity and 0.71 for peer problems. No significant benefits were found for the prosocial and emotional problems subscales. The intervention also resulted in increases in the number of positive teacher-parent contacts (p < 0.0001). No benefits were found for the number of negative teacher-parent contacts.

CONCLUSION

This is a promising approach for reducing children's externalizing behaviour and peer problems and for improving the quality of teachers' contacts with parents of children with behaviour problems.

摘要

目的

评估牙买加基础学校的一项预防性干预措施对儿童行为及家长 - 教师联系的影响。

设计与方法

牙买加金斯敦的五所基础学校被随机分为干预组(n = 3)或对照组(n = 2)。干预措施包括为教师举办七次全天的工作坊,采用“不可思议的岁月教师培训计划”,并在每个班级补充十四节关于社交和情感技能的课程。在每个教室(n = 27)中,通过教师报告对儿童的行为困难进行筛查,并挑选出行为困难最大的儿童进行结果评估(共135名儿童)。在学年开始和结束时收集教师使用优势与困难问卷对儿童行为的报告以及教师与家长联系的质量报告。采用控制学校和班级因素的多层回归分析来评估干预对儿童行为的影响。

结果

干预措施对儿童的品行问题(回归系数(b)= -0.62,95%置信区间(CI):-0.01,-1.23)、多动(b = -0.84,95% CI:-1.57,-0.11)和同伴问题(b = -1.24,95% CI:-1.89,-0.59)有显著益处。品行问题的效应大小为0.26,多动为0.36,同伴问题为0.71。亲社会和情感问题子量表未发现显著益处。干预措施还使积极的教师 - 家长联系数量增加(p < 0.0001)。消极的教师 - 家长联系数量未发现益处。

结论

这是一种有前景的方法,可减少儿童的外化行为和同伴问题,并改善教师与行为问题儿童家长的联系质量。

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