The Benefits of Booster Interventions: Evidence from a Family-Focused Prevention Program

The Benefits of Booster Interventions: Evidence from a Family-Focused Prevention Program
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DOI:
10.1007/s11121-009-0139-8
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发表时间:
2009-12-01
期刊:
影响因子:
3.5
通讯作者:
Schoeny, Michael
Schoeny, Michael
中科院分区:
医学2区
文献类型:
--
作者:
Tolan, Patrick H.;Gorman-Smith, Deborah;Schoeny, Michael

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在少数预防和治疗研究中报告了增强效应。然而,如Eyberg等人在Clinical Psychology:Science and Practice,5,544-554(1998)中所指出的,还没有足够的加强剂效应的随机分配测试来解决加强剂是否比初始干预增加效应的基本问题。本研究通过随机分配196个家庭进行加强干预(SAFEChildren II),并将干预1年后的效果与仅分配到初始干预(SAFEChildren I)的家庭进行比较来解决这个问题。这两种干预措施的基础上的发展生态框架,强调家庭管理的子女抚养和相关的挑战内的内城社会生态。助推器导致整体样本的儿童攻击性和学校集中度相对改善,对学业成绩,行为和家庭组织的高风险群体有额外的好处。研究还表明,需要更仔细地研究与预防中的助推效应有关的过程,包括比较相互竞争的模式。
Booster effects have been reported in few prevention and treatment studies. However, as noted by Eyberg et al. Clinical Psychology: Science and Practice, 5, 544-554 (1998), there has been no adequate random-assignment test of booster effects to address the basic question of whether boosters increase effects over initial intervention. The present study addresses this question by randomly assigning 196 families to a booster intervention (SAFEChildren II) and comparing effects 1 year after that intervention with families who had been assigned to the initial intervention only (SAFEChildren I). Both interventions were based in a developmental-ecological framework emphasizing family management of child-rearing and related challenges within an inner-city social ecology. The booster led to a relative improvement in child aggression and concentration in school for the overall sample, with additional benefit for high-risk groups in academic achievement, behavior, and family organization. The study also suggests need for more careful study of processes related to booster effects in prevention, including comparison of competing models.