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.

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