Effects of the SAFE Children preventive intervention on developmental trajectories of attention-deficit/hyperactivity disorder symptoms.
Effects of the SAFE Children preventive intervention on developmental trajectories of attention-deficit/hyperactivity disorder symptoms.
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SAFE 儿童预防性干预对注意力缺陷/多动障碍症状发展轨迹的影响。
DOI：
10.1017/s0954579414000170
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发表时间：
2014
影响因子：
3.3
通讯作者：
Tolan,PatrickH
中科院分区：
文献类型：
--
作者：
Fowler,PatrickJ;Henry,DavidB;Schoeny,Michael;Gorman-Smith,Deborah;Tolan,PatrickH
本研究考察了以家庭为基础的城市儿童进入一年级的预防干预是否可以改变注意力缺陷/多动障碍（ADHD）症状的发展过程。参与者是随机选择的424个家庭，并随机分配到对照条件（n = 192）或学校和家庭教育儿童（n = 232）。SAFE儿童将以家庭为中心的预防与学术辅导相结合，以解决多种发展-生态需求。在最初的干预中，对随机分配的四年级儿童（n =101）进行了加强干预，评估了增加预防效果的潜力。随访超过5年，父母和老师报告了注意力问题。生长混合模型确定了ADHD症状的多种发育轨迹。干预的初始阶段将儿童置于更积极的冲动和多动的发展轨迹上，证明了在高危青少年中预防ADHD的潜力，但SAFE儿童增强剂对ADHD指标的轨迹或改变没有额外的影响。
This study examined whether a family-based preventive intervention for inner-city children entering the first grade could alter the developmental course of attention-deficit/hyperactivity disorder (ADHD) symptoms. Participants were 424 families randomly selected and randomly assigned to a control condition (n = 192) or Schools and Families Educating Children (SAFE) Children (n = 232). SAFE Children combined family-focused prevention with academic tutoring to address multiple developmental–ecological needs. A booster intervention provided in the 4th grade to randomly assigned children in the initial intervention (n =101) evaluated the potential of increasing preventive effects. Follow-up occurred over 5 years with parents and teachers reporting on attention problems. Growth mixture models identified multiple developmental trajectories of ADHD symptoms. The initial phase of intervention placed children on more positive developmental trajectories for impulsivity and hyperactivity, demonstrating the potential for ADHD prevention in at-risk youth, but the SAFE Children booster had no additional effect on trajectory or change in ADHD indicators.