Playing the long game: A multivariate multilevel non-linear growth curve model of long-term effects in a randomized trial of the Good Behavior Game.

Playing the long game: A multivariate multilevel non-linear growth curve model of long-term effects in a randomized trial of the Good Behavior Game.
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DOI:
10.1016/j.jsp.2021.08.002
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发表时间:
2021-10
影响因子:
5
通讯作者:
Humphrey N
Humphrey N
中科院分区:
心理学1区
文献类型:
--
作者:
Troncoso P;Humphrey N

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这项随机对照试验(RCT)研究了良好行为游戏(GBG)对儿童中期(6-7岁)至青春期早期(10-11岁)的破坏性行为,注意力集中问题和亲社会行为发展轨迹的影响。英格兰的77所学校被随机分配到干预组和对照组。分配按学校规模和有资格享受免费校餐的儿童比例平衡。基线时6-7岁的儿童(N = 3084)是目标队列。在随机化之前(基线-时间1)和接下来的4年(时间2至时间5)每年进行一次结果测量,通过儿童适应检查表的教师观察进行评估。在为期2年的主要试验期内(时间1至时间3),干预学校的这一组教师实施了GBG,而对照组的教师则继续其一贯做法。多变量多水平非线性增长曲线模型表明,GBG减少浓度问题随着时间的推移。此外,该模型还显示,干预措施改善了高危儿童的亲社会行为(例如,在时间1时行为问题症状升高的患者,n = 485)。没有明确的干预效果被发现与破坏性行为有关。这些研究结果进行了讨论,在现存的文献,优势和局限性,并强调了实际和方法的影响。
This cluster randomized controlled trial (RCT) examined the impact of the Good Behavior Game (GBG) on children's developmental trajectories of disruptive behavior, concentration problems, and prosocial behavior from middle childhood (ages 6–7 years) to early adolescence (ages 10–11 years). Seventy-seven schools in England were randomly assigned to intervention and control groups. Allocation was balanced by school size and the proportion of children eligible for free school meals. Children (N = 3084) ages 6–7 years at baseline were the target cohort. Outcome measures, assessed via the Teacher Observation of Child Adaptation Checklist, were taken prior to randomization (baseline – Time 1) and annually for the next 4 years (Time 2 to Time 5). During the 2-year main trial period (Time 1 to Time 3), teachers of this cohort in intervention schools implemented the GBG, whereas their counterparts in the control group continued their usual practice. A multivariate multilevel non-linear growth curve model indicated that the GBG reduced concentration problems over time. In addition, the model also revealed that the intervention improved prosocial behavior among at-risk children (e.g., those with elevated symptoms of conduct problems at Time 1, n = 485). No intervention effects were unequivocally found in relation to disruptive behavior. These findings are discussed in relation to the extant literature, strengths and limitations are noted, and practical and methodological implications are highlighted.
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