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减少课堂上的干扰和分散注意力行为:评估证据基础。

Reducing Disruptive and Distracting Behaviors in the Classroom: Assessing the Evidence Base.

机构信息

Westat, Rockville, Maryland (Marshall, Hoey, Rao, Taylor, George, Ghose, Cosgrove); Substance Abuse and Mental Health Services Administration (SAMHSA), Rockville, Maryland (Patel).

出版信息

Psychiatr Serv. 2024 Sep 1;75(9):895-907. doi: 10.1176/appi.ps.20230543. Epub 2024 May 13.

Abstract

OBJECTIVE

Disruptive and distracting behaviors in the classroom, from off-task to aggressive behaviors, negatively affect academic engagement and achievement and can lead to more serious problems, including mental health conditions and substance use disorders. The goals of this systematic review were to assess the level of evidence, using established rating criteria, for interventions aimed at preventing or reducing disruptive and distracting classroom behaviors; identify program components common to multiple interventions; synthesize the evidence in regard to students from different racial-ethnic groups; and conduct an economic analysis of these interventions.

METHODS

A search of major databases, gray literature, and evidence base registries was conducted to identify studies published between 2008 and 2022. The authors rated interventions as having high, moderate, or low levels of evidence of effectiveness on the basis of the number and rigor of studies with positive outcomes.

RESULTS

Of the 27 interventions identified across 65 studies (N=73 articles), six interventions received a high or moderate evidence rating. The Good Behavior Game was the most frequently studied intervention. Many interventions shared similar program components, including behavioral management, classroom management, emotional-cognitive processes, and skills acquisition. Most articles (86%) were focused on elementary school students. The four interventions rated as having high evidence of effectiveness also showed generally positive outcomes in studies conducted in school settings with racial-ethnic diversity. No studies met the criteria for inclusion in an economic analysis.

CONCLUSIONS

With greater use and more research, interventions focusing on reducing disruptive and distracting behaviors have the potential to promote student well-being and prevent mental health conditions.

摘要

目的

课堂上的干扰和分心行为,从注意力不集中到攻击行为,都会对学业参与和成绩产生负面影响,并可能导致更严重的问题,包括心理健康问题和物质使用障碍。本系统评价的目的是使用既定的评估标准,评估旨在预防或减少课堂干扰和分心行为的干预措施的证据水平;确定多个干预措施共有的计划组成部分;综合关于不同种族和族裔群体学生的证据;并对这些干预措施进行经济分析。

方法

对主要数据库、灰色文献和证据库进行了检索,以确定 2008 年至 2022 年期间发表的研究。作者根据具有积极结果的研究数量和严谨性,对干预措施的有效性进行了高低水平的评估。

结果

在 65 项研究(N=73 篇文章)中确定了 27 种干预措施,其中 6 种干预措施具有较高或中等水平的有效性证据。良好行为游戏是研究最多的干预措施。许多干预措施都有类似的计划组成部分,包括行为管理、课堂管理、情感认知过程和技能获取。大多数文章(86%)都侧重于小学生。四种被评估为具有高度有效性证据的干预措施,在具有种族和族裔多样性的学校环境中进行的研究中也显示出了普遍的积极结果。没有研究符合纳入经济分析的标准。

结论

随着更多的使用和研究,关注减少干扰和分心行为的干预措施有可能促进学生的幸福感并预防心理健康问题。

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