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Published on: March 1, 2019
Proximal impact of two first-grade preventive interventions on the early risk behaviors for later substance abuse,
N S Ialongo1, L Werthamer, S G Kellam
1Department of Mental Hygiene, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
Insights
Two first-grade interventions aimed to reduce early risk behaviors. The classroom-centered (CC) approach showed greater impact on target behaviors than the family-school partnership (FSP) intervention.
Area of Science:
- Child Psychology
- Educational Interventions
- Behavioral Science
Background:
- Early risk behaviors like aggression and shyness predict later substance abuse, affective disorder, and conduct disorder.
- Preventive interventions in early education are crucial for mitigating long-term negative outcomes.
- Identifying effective strategies for addressing concentration problems and behavioral issues in first graders is essential.
Purpose of the Study:
- To assess the immediate effects of two universal first-grade preventive interventions on early risk behaviors.
- To compare the efficacy of a classroom-centered (CC) intervention versus a family-school partnership (FSP) intervention.
- To examine the influence of gender and preintervention risk levels on intervention outcomes.
Main Methods:
- Two universal interventions were implemented in first grade: classroom-centered (CC) and family-school partnership (FSP).
- Interventions targeted proximal risk behaviors: poor achievement, concentration problems, aggression, and shy behaviors.
- Data were collected over first and second grades, including implementation fidelity and behavior ratings.
Main Results:
- The classroom-centered (CC) intervention demonstrated a greater impact on its targeted risk behaviors compared to the family-school partnership (FSP) intervention.
- Intervention effects varied based on child's gender and preintervention risk levels.
- Higher fidelity to intervention protocols correlated with greater positive impact on behavior and achievement.
Conclusions:
- The classroom-centered intervention appears more effective in reducing early risk behaviors in first graders.
- Family-school partnerships show promise but may require further refinement for optimal impact.
- Intervention effectiveness is influenced by individual child characteristics and consistent implementation.
Abstract:
We assessed the immediate effects of two universal, first-grade preventive interventions on the proximal targets of poor achievement, concentration problems, aggression, and shy behaviors, known early risk behaviors for later substance use/abuse, affective disorder, and conduct disorder. The classroom-centered (CC) intervention was designed to reduce these early risk behaviors by enhancing teachers' behavior management and instructional skills, whereas the family-school partnership (FSP) intervention was aimed at improving parent-teacher communication and parental teaching and child behavior management strategies. Over the course of first and second grades, the CC intervention yielded the greatest degree of impact on its proximal targets, whereas the FSP's impact was somewhat less. The effects were influenced by gender and by preintervention levels of risk. Analyses of implementation measures demonstrated that greater fidelity to the intervention protocols was associated with greater impact on behavior ratings and on achievement scores, thus providing some evidence of specificity in the effect of the interventions.
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