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[A multi-center randomized controlled trial of social skills training among children with behavior problems]
Insights
Social skills training significantly improved behavior in children with child behavior disorders. The intervention group showed greater improvements in parent and teacher ratings and higher clinical cure rates compared to the waitlist group.
Area of Science:
- Child Psychology
- Behavioral Therapy
- Clinical Intervention
Context:
- Child behavior disorders present significant challenges in family and school environments.
- Effective interventions are crucial for improving social functioning and reducing behavioral issues in children.
Purpose:
- To evaluate the feasibility and effectiveness of a 12-week social skills training program for children aged 7-13 with behavior disorders.
- To compare outcomes between an intervention group and a waitlist control group.
Summary:
- 441 children were randomized into intervention or waitlist groups.
- The intervention group received weekly social skills training for 12 weeks.
- Significant improvements were observed in parent/teacher ratings (Rutter Scale) and reduced behavioral problems (Achenbach Child Behavior Checklist) in the intervention group compared to the waitlist group, with higher clinical cure rates.
Impact:
- The social skills training program demonstrated significant effectiveness in improving children's behavior problems.
- Findings support the use of this program in both family and school settings.
- This intervention offers a viable approach to managing child behavior disorders.
Objective:
To investigate the feasibility and effectiveness of a social skills training program in children with child behavior disorders.
Methods:
A total of 441 children, aged 7-13 years old, from 6 centers were randomized into intervention (n = 216) and waitlist group (n = 225). The social skills training program was offered to the intervention group 1 hour weekly for totally 12 weeks. The Rutter Parent & Teacher Scale and Achenbach Child Behavior Checklist (CBCL) were used at baseline and completion of intervention.
Results:
Change of total score, neurotic factor score and antisocial factor score of Rutter Parent Scale in the intervention group was significantly larger than that in the waitlist group (P = 0.000, P = 0.000, P = 0.000). The clinical cure rate of the intervention group (47.69%) was significantly higher than that of the waitlist group (24.89%) after intervention (chi(2) = 24.84, P = 0.000). Change of total score, neurotic factor score and antisocial factor score of Rutter Teacher Scale in the intervention group was significantly larger than that in the waitlist group (P = 0.000, P = 0.003, P = 0.002). The clinical cure rate of the intervention group (56.02%) was significantly higher than that of the waitlist group (38.22%) after intervention (chi(2) = 14.01, P = 0.000). The total score, somatic complaint score and delinquent score of Achenbach Child Behavior Checklist (CBCL) of the intervention group decreased significantly than that of the waitlist group after intervention (P = 0.000, P = 0.000, P = 0.002) with the exception of aggressive behavior score (P = 0.078). The difference and decrease rate of total score, somatic complaint score, delinquent score and aggressive behavior score of intervention group were significantly higher than that of the waitlist group after intervention (P = 0.000, P = 0.000, P = 0.006, P = 0.015, P = 0.000, P = 0.000, P = 0.000, P = 0.012).
Conclusion:
This study provides supports for the use of social skills training program to improve children's behavior problems in both family and school settings.
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