Johns Hopkins Bloomberg School of Public Health, and Johns Hopkins Center for the Prevention of Youth Violence, Baltimore, Maryland, USA.
Pediatrics. 2012 Nov;130(5):e1136-45. doi: 10.1542/peds.2012-0243. Epub 2012 Oct 15.
School-Wide Positive Behavioral Interventions and Supports (SWPBIS) is a universal prevention strategy currently implemented in >16,000 schools across the United States. SWPBIS intends to reduce students' behavior problems by altering staff behaviors and developing systems and supports to meet children's behavioral needs. The current study reports intervention effects on child behaviors and adjustment from an effectiveness trial of SWPBIS.
The sample of 12,344 elementary school children was 52.9% male, 45.1% African American, and 46.1% Caucasian. Approximately 49% received free or reduced-priced meals, and 12.9% received special education services at baseline. The trial used a group randomized controlled effectiveness design implemented in 37 elementary schools. Multilevel analyses were conducted on teachers' ratings of children's behavior problems, concentration problems, social-emotional functioning, prosocial behavior, office discipline referrals, and suspensions at 5 time points over the course of 4 school years.
The multilevel results indicated significant effects of SWPBIS on children's behavior problems, concentration problems, social-emotional functioning, and prosocial behavior. Children in SWPBIS schools also were 33% less likely to receive an office discipline referral than those in the comparison schools. The effects tended to be strongest among children who were first exposed to SWPBIS in kindergarten.
These findings provide support for the hypothesized reduction in behavior problems and improvements in prosocial behavior and effective emotion regulation after training in SWPBIS. The SWPBIS framework appears to be a promising approach for reducing problems and promoting adjustment among elementary school children.
学校范围的积极行为干预和支持(SWPBIS)是目前在美国超过 16000 所学校实施的一种普遍预防策略。SWPBIS 旨在通过改变员工行为和开发系统和支持来满足儿童的行为需求,从而减少学生的行为问题。本研究报告了 SWPBIS 有效性试验中对儿童行为和适应的干预效果。
12344 名小学生的样本中,男生占 52.9%,非裔美国人占 45.1%,白种人占 46.1%。约 49%的学生在基线时获得免费或减价餐,12.9%的学生接受特殊教育服务。该试验采用群组随机对照有效性设计,在 37 所小学实施。在 4 个学年的 5 个时间点上,对教师对儿童行为问题、注意力问题、社会情感功能、亲社会行为、办公室纪律转介和停学的评分进行了多层次分析。
多层次结果表明 SWPBIS 对儿童的行为问题、注意力问题、社会情感功能和亲社会行为有显著影响。SWPBIS 学校的儿童接受办公室纪律转介的可能性也比对照学校的儿童低 33%。这种效应在那些在幼儿园首次接触 SWPBIS 的儿童中最为强烈。
这些发现为 SWPBIS 培训后假设的行为问题减少和亲社会行为以及有效情绪调节的改善提供了支持。SWPBIS 框架似乎是减少小学生问题和促进适应的一种有前途的方法。