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Impact of Two First-Grade Preventive Interventions on Conduct Problems and Disorder in Early Adolescence |
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Citation: Ialongo, N., Poduska, J., Werthamer, L., and Kellam, S. The distal
impact of two first-grade preventive interventions on conduct problems and
disorder in early adolescence. Journal of Emotional & Behavioral Disorders,
(Fall 2001). 9(3):146-160.
What is the study about?
The study evaluated the long-term impact of two first-grade preventive interventions
on the occurrence of conduct problems and disorder and mental health service
needs. This follow-up study was conducted five years later when the children
were in the sixth grade (age 12). Three first-grade classrooms in each of nine
urban elementary schools were randomly assigned to receive the intervention
or serve as controls for the study. The two interventions were: The classroom-centered
(CC) intervention, designed to enhance teachers’ management of the classroom
and children’s social skills in first grade; and the Family-School Partnership
(FSP) intervention, designed to promote communication between the parent and
teacher, and improve parent’s management of the child’s behavior.
The CC intervention combined two classroom interventions that had been shown
to be effective in earlier research: the Good Behavior Game to address shy and
aggressive behavior, and Mastery Learning for achievement. In this study, the
CC focused on reinforcing good classroom behavior, as well as teaching skills
building in the area of social problem-solving. The CC intervention was conducted
by first-grade teachers after training. The FSP strengthened parents’
interaction with school and parenting skills. Both programs focused on improved
disciplinary techniques by parents and teachers.
What are the findings?
By the spring of the sixth grade, children exposed to the CC intervention
were significantly less likely than control children to have experienced aggression-related
problems. They were less likely than controls to have received a diagnosis of
conduct disorder, been suspended from school, and received or been judged in
need of mental health services. Also, both CC and FSP children were rated by
teachers as exhibiting lower levels of conduct problems in sixth grade than
control children. FSP intervention girls were significantly less likely to have
been suspended in sixth grade than control girls. Overall, the CC intervention
appeared to be the more effective of the two in reducing the prevalence of conduct
problems and disorder at age 12 and in reducing mental service need and utilization.
In addition, the scientists found evidence that these later outcomes were
due in part to success in addressing some of the early risks of attention/concentration
problems and shy and aggressive behavior. By helping children at age 6 to learn
to accept authority, pay attention to task, and participate socially can help
them be successful at age 12 or later.
How do these findings relate to ACT?
ACT, similar to the CC and FSP, recognizes the importance of providing violence
prevention skills to parents and teachers. ACT provides similar messages to
parents in the home and teachers in childcare centers and schools so that consistent
actions are directed toward children in both of these primary settings. The
focus of ACT and the CC/FSP are young children, although includes the whole
range of children from 0-to-8. ACT sees these earlier years as an optimal time
for addressing violence prevention with children. The research findings of CC/FSP
reflect the value of addressing risks early because they found that success
at age 6 contributed in part to later success at age 12.
ACT teaches adults to help children learn how to manage their own anger and
resolve conflicts. These are similar to the skills taught children in the CC
classroom, where positive behavior is rewarded, social problem-solving is a
focus, and achievement is an important goal. Also, ACT and these two interventions
emphasize the importance of positive discipline in the home and the classroom.
For more information
Other Special Topics have reported on the impact of preventive interventions
for aggressive behavior and other conduct problems. See Playground
Aggression and Elementary
School Aggression.
Other references
Ialongo, N., Werthamer, L., Brown, H.Kellam, S., & Wang, S. (1999). The
proximal impact of two first-grade preventive interventions on the early risk
behaviors for later substance abuse, depression, and antisocial behavior. American
Journal of Community Psychology, 27:599-642.
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