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政策能否促进基于证据的预防计划的采用或结果?以积极行为干预和支持为例。

Can Policy Promote Adoption or Outcomes of Evidence-based Prevention Programming?: a Case Illustration of Positive Behavioral Interventions and Supports.

机构信息

School of Education and Human Development, University of Virginia, Charlottesville, USA.

Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA.

出版信息

Prev Sci. 2021 Oct;22(7):986-1000. doi: 10.1007/s11121-021-01257-0. Epub 2021 Jun 8.

DOI:10.1007/s11121-021-01257-0
PMID:34101072
Abstract

This study examined the impact of a state policy requiring that any school with a habitual truancy rate of 8% or higher to be trained in Tier 1 school-wide Positive Behavioral Interventions and Supports (SW-PBIS). A regression discontinuity (RD) design was used to examine how the schools' mandate status related to SW-PBIS training as well as student suspensions, truancy, and achievement in 410 public middle and high schools, of which 261 were affected by the mandate. We further examined the growth trajectories (i.e., improvement) of implementation fidelity over time using growth mixture modeling (GMM). Contrary to the intent of the policy to improve student outcomes, the RD results suggested that the mandate did not significantly impact reading and math achievement, truancy rates, or SW-PBIS training in 2010-2011 through 2013-2014. Mandated schools had higher suspension rates in 2010-2011 through 2013-2014 than the non-mandated schools; however, these differences in the suspension rates appear to have persisted from years prior to the mandate. Descriptive analyses suggested that mandated schools had statistically significantly higher rates of training, and the GMM analyses on the fidelity data indicated that mandated schools were significantly more likely to be in an improving implementation growth trajectory over time. Taken together, results suggested that the policy showed some promise for improving SW-PBIS training and fidelity over time, but it had little to no impact on student outcomes.

摘要

本研究考察了一项州政策的影响,该政策要求任何习惯性逃学率达到 8%或更高的学校都要接受第一层级的全校积极行为干预和支持(SW-PBIS)培训。使用回归不连续性(RD)设计来检查学校的授权状态如何与 SW-PBIS 培训以及 410 所公立中学和高中的学生停课、逃学和成绩相关,其中 261 所受到该授权的影响。我们进一步使用增长混合模型(GMM)检查了实施保真度随时间的增长轨迹(即改进)。与该政策旨在改善学生成绩的意图相反,RD 结果表明,在 2010-2011 年至 2013-2014 年期间,授权并没有显著影响阅读和数学成绩、逃学率或 SW-PBIS 培训。在 2010-2011 年至 2013-2014 年期间,授权学校的停课率高于非授权学校;然而,这些停课率的差异似乎从授权之前的几年就持续存在。描述性分析表明,授权学校的培训率明显更高,而对保真度数据的 GMM 分析表明,授权学校随着时间的推移更有可能处于改进的实施增长轨迹。总的来说,结果表明,该政策在提高 SW-PBIS 培训和保真度方面显示出了一些希望,但对学生成绩几乎没有影响。

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Can Policy Promote Adoption or Outcomes of Evidence-based Prevention Programming?: a Case Illustration of Positive Behavioral Interventions and Supports.政策能否促进基于证据的预防计划的采用或结果?以积极行为干预和支持为例。
Prev Sci. 2021 Oct;22(7):986-1000. doi: 10.1007/s11121-021-01257-0. Epub 2021 Jun 8.
2
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本文引用的文献

1
Scaling up Evidence-Based Interventions in US Public Systems to Prevent Behavioral Health Problems: Challenges and Opportunities.在美国公共系统中扩大基于证据的干预措施以预防行为健康问题:挑战与机遇。
Prev Sci. 2019 Nov;20(8):1147-1168. doi: 10.1007/s11121-019-01048-8.
2
A state-wide quasi-experimental effectiveness study of the scale-up of school-wide Positive Behavioral Interventions and Supports.全州范围内广泛实施正向行为干预和支持的准实验有效性研究。
J Sch Psychol. 2019 Apr;73:41-55. doi: 10.1016/j.jsp.2019.03.001. Epub 2019 Mar 14.
3
Associations Between Antibullying Policies and Bullying in 25 States.
25个州反欺凌政策与欺凌行为之间的关联
JAMA Pediatr. 2015 Oct;169(10):e152411. doi: 10.1001/jamapediatrics.2015.2411. Epub 2015 Oct 5.
4
Assessing the generalizability of randomized trial results to target populations.评估随机试验结果对目标人群的可推广性。
Prev Sci. 2015 Apr;16(3):475-85. doi: 10.1007/s11121-014-0513-z.
5
Examining the association between implementation and outcomes : state-wide scale-up of school-wide positive behavior intervention and supports.考察实施与结果之间的关联:全州范围内学校全面积极行为干预与支持的推广
J Behav Health Serv Res. 2012 Oct;39(4):417-33. doi: 10.1007/s11414-012-9290-2.
6
A state-wide partnership to promote safe and supportive schools: the PBIS Maryland Initiative.全州范围的合作以促进安全和支持性学校:马里兰州 PBIS 倡议。
Adm Policy Ment Health. 2012 Jul;39(4):225-37. doi: 10.1007/s10488-011-0384-6.
7
Altering school climate through school-wide Positive Behavioral Interventions and Supports: findings from a group-randomized effectiveness trial.通过全校范围的积极行为干预与支持来改变学校氛围:一项群组随机有效性试验的结果
Prev Sci. 2009 Jun;10(2):100-15. doi: 10.1007/s11121-008-0114-9.