The Effectiveness of a Community-Based Mentoring Program for Children Aged 5-11 Years: Results from a Randomized Controlled Trial.

The Effectiveness of a Community-Based Mentoring Program for Children Aged 5-11 Years: Results from a Randomized Controlled Trial.
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DOI:
10.1007/s11121-020-01132-4
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发表时间:
2021-01
期刊:
Prevention science : the official journal of the Society for Prevention Research
影响因子:
--
通讯作者:
Warner G
Warner G
中科院分区:
其他
文献类型:
--
作者:
Axford N;Bjornstad G;Matthews J;Whybra L;Berry V;Ukoumunne OC;Hobbs T;Wrigley Z;Brook L;Taylor R;Eames T;Kallitsoglou A;Blower S;Warner G

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这项研究是一项两臂,随机对照,平行组,优越性试验,旨在评估一个为期12个月的一对一志愿者心理计划的实施和有效性,旨在改善5至11岁儿童的行为和情感结果在英国伦敦的五个地点,有246名儿童(123个干预,123岁;男孩平均年龄为87%),有246名儿童(123个干预措施,123岁)教师评价的优势和困难问卷(SDQ)的总困难测量以及在父母评分的SDQ总困难测量中的“边界”或异常范围。通过网站,数据收集者和统计学家对参与的分配状态视而不见。 (在必要时使用估算的数据)表明,干预后(随机化后16个月),对主要结果没有统计学上的显着影响 - 父级评级的SDQ总难度(调整后的标准化平均差= -0.12; 95%CI:95%CI:: -0.38至0.13; p = 0.33)或任何次要结果。 - 对主要结果的影响。 本文的在线版本(10.1007/s11121-020-01132-4)包含补充材料,可供授权用户使用。
The study, a two-arm, randomized controlled, parallel group, superiority trial, aimed to evaluate the implementation and effectiveness of a 12-month one-to-one volunteer mentoring program designed to improve behavioral and emotional outcomes in children aged 5 to 11 years who have teacher- and parent/carer-reported behavioral difficulties. Participants were 246 children (123 intervention, 123 control; mean age 8.4 years; 87% boys) in five sites in London, UK, scoring in the “abnormal” range on the teacher-rated Strengths and Difficulties Questionnaire (SDQ) Total Difficulties measure and in the “borderline” or abnormal range on the parent-rated SDQ Total Difficulties measure. Randomization on a 1:1 ratio took place using a computer-generated sequence and stratifying by site. Data collectors and statisticians were blind to participant allocation status. Outcome measures focused on parent- and teacher-rated child behavior and emotions, and child-rated self-perception and hope. Intention-to-treat analysis on all 246 randomized participants (using imputed data where necessary) showed that at post-intervention (16 months after randomization), there were no statistically significant effects on the primary outcome—parent-rated SDQ Total Difficulties (adjusted standardized mean difference = − 0.12; 95% CI: −0.38 to 0.13; p = 0.33)—or any secondary outcomes. Results from complier average causal effect (CACE) analysis using the primary outcome indicated the intervention was not effective for children who received the recommended duration of mentoring. Exploratory analyses found no sub-group effects on the primary outcome. The article concludes that the mentoring program had no effect on children’s behavior or emotional well-being, and that program content needs revising to satisfactorily address key risk and protective factors. The online version of this article (10.1007/s11121-020-01132-4) contains supplementary material, which is available to authorized users.
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