Systematic Efficacy Replication Study of Conjoint Behavioral Consultation in Elementary Schools
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 720
- 试验地点
- 1
- 主要终点
- Child Externalizing Problems, Parent Report, Outcome 1
研究概览
简要总结
The purpose of this project is to conduct an impact evaluation of the Conjoint Behavioral Consulting (CBC) intervention under real-world conditions as an IES Efficacy Replication trial. CBC is a family-school partnership intervention proven efficacious for children with serious emotional and behavior problems. The investigation will conduct a systematic efficacy replication of CBC to identify important process and context variables in need of attention prior to a CBC effectiveness study. School-based specialists (SBSs) will implement CBC and will be responsible for working directly with parents and teachers who have a student with or at risk for severe emotional disturbance, with more implementation support (i.e., non-routine conditions) than would be expected under routine conditions to ensure adequate fidelity of implementation. The research questions examine the impact of CBC, when implemented by SBSs, on student, parent, and teacher outcomes, as well its effect on mediational pathways. In addition, the research team will gather stakeholder feedback in focus groups to provide information about factors that stakeholders perceive as impeding or promoting CBC adoption, implementation, and sustainability.
详细描述
Sixty schools will be recruited for this impact evaluation (20 from Madison Metropolitan School District, and 40 from Milwaukee Public Schools). The population for this evaluation will consist of the 12 children from grades k-4 in each participating school who demonstrate the highest levels of behavioral and/or emotional difficulties in school, based on teacher ratings on the BASC3-BESS screening (and whose families consent to participate in the evaluation). The total population for this evaluation will include 720 students. Baseline will take place at the beginning of the intervention school year, outcome 1 at the end of the intervention school year, and outcome 2 at the end of the subsequent school year. At all three timepoints, the research team will gather parent questionnaires (covering competence in problem solving, parenting strategies, parent-teacher relationships, and their child's social and behavioral functioning), teacher questionnaires in relation to each study child (covering the parent-teacher relationship, teacher competence in problem solving, and the student's social and behavioral functioning), direct observations of teacher and student behavior in the classroom, and student records related to discipline.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 4 Years 至 10 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Enrolled in kindergarten, Grade 1, Grade 2, Grade 3, or Grade 4 at recruitment
- •Among the 12 students with the highest risk score on the Behavioral and Emotional Screening System 3 Behavioral and Emotional Screening System (BASC3-BESS) in the above grade span in their school (among those with parental consent for screening).
排除标准
- 未提供
研究组 & 干预措施
Control Group
For this group, school staff who work with families and teachers to address student emotional and behavioral concerns will engage in business as usual.
CBC Treatment Group
For this group, school staff who work with families and teachers to address student emotional and behavioral concerns will use the CBC model to do so.
干预措施: Conjoint Behavioral Consultation (CBC) (Behavioral)
结局指标
主要结局
Child Externalizing Problems, Parent Report, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in children's norm-referenced t-scores on the Externalizing Problems subscale of the Behavior Assessment System for Children, Third Edition, parent report version.
Child Externalizing Problems, Teacher Report, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in children's norm-referenced t-scores on the Externalizing Problems subscale of the Behavior Assessment System for Children, Third Edition, teacher report version.
Child Externalizing Problems, Parent Report, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in children's norm-referenced t-scores on the Externalizing Problems subscale of the Behavior Assessment System for Children, Third Edition, parent report version.
Child Externalizing Problems, Techer Report, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in children's norm-referenced t-scores on the Externalizing Problems subscale of the Behavior Assessment System for Children, Third Edition, teacher report version.
Child Internalizing Problems, Parent Report, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in children's norm-referenced t-scores on the Internalizing Problems subscale of the Behavior Assessment System for Children, Third Edition, parent report version.
Child Internalizing Problems, Teacher Report, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in children's norm-referenced t-scores on the Internalizing Problems subscale of the Behavior Assessment System for Children, Third Edition, teacher report version.
Child Internalizing Problems, Parent Report, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in children's norm-referenced t-scores on the Internalizing Problems subscale of the Behavior Assessment System for Children, Third Edition, parent report version.
Child Internalizing Problems, Teacher Report, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in children's norm-referenced t-scores on the Internalizing Problems subscale of the Behavior Assessment System for Children, Third Edition, teacher report version.
Child Behavioral Symptoms, Parent Report, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in children's norm-referenced t-scores on the Behavioral Symptoms subscale of the Behavior Assessment System for Children, Third Edition, parent report version.
Child Behavioral Symptoms, Teacher Report, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in children's norm-referenced t-scores on the Behavioral Symptoms subscale of the Behavior Assessment System for Children, Third Edition, teacher report version.
Child Behavioral Symptoms, Parent Report, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in children's norm-referenced t-scores on the Behavioral Symptoms subscale of the Behavior Assessment System for Children, Third Edition, parent report version.
Child Behavioral Symptoms, Teacher Report, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in children's norm-referenced t-scores on the Behavioral Symptoms subscale of the Behavior Assessment System for Children, Third Edition, teacher report version.
Child Adaptive Skills, Parent Report, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in children's norm-referenced t-scores on the Adaptive Skills subscale of the Behavior Assessment System for Children, Third Edition, parent report version.
Child Adaptive Skills, Teacher Report, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in children's norm-referenced t-scores on the Adaptive Skills subscale of the Behavior Assessment System for Children, Third Edition, teacher report version.
Child Adaptive Skills, Parent Report, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in children's norm-referenced t-scores on the Adaptive Skills subscale of the Behavior Assessment System for Children, Third Edition, parent report version.
Child Adaptive Skills, Teacher Report, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in children's norm-referenced t-scores on the Adaptive Skills subscale of the Behavior Assessment System for Children, Third Edition, teacher report version.
Child School Problems, Teacher Report, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in children's norm-referenced t-scores on the School Problems subscale of the Behavior Assessment System for Children, Third Edition, teacher report version.
Child School Problems, Teacher Report, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in children's norm-referenced t-scores on the School Problems subscale of the Behavior Assessment System for Children, Third Edition, teacher report version.
Child Social Skills, Teacher Report, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in children's norm-referenced t-scores on the Social Skills subscale of the Social Skills Improvement System Rating Scales, teacher report version.
Child Problem Behaviors, Parent Report, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in children's norm-referenced t-scores on the Problem Behaviors subscale of the Social Skills Improvement System Rating Scales, parent report version.
Child Problem Behaviors, Teacher Report, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in children's norm-referenced t-scores on the Problem Behaviors subscale of the Social Skills Improvement System Rating Scales, teacher report version.
Child Problem Behaviors, Parent Report, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in children's norm-referenced t-scores on the Problem Behaviors subscale of the Social Skills Improvement System Rating Scales, parent report version.
Child Problem Behaviors, Teacher Report, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in children's norm-referenced t-scores on the Problem Behaviors subscale of the Social Skills Improvement System Rating Scales, teacher report version.
Child Social Skills, Parent Report, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in children's norm-referenced t-scores on the Social Skills subscale of the Social Skills Improvement System Rating Scales, parent report version.
Child Social Skills, Teacher Report, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in children's norm-referenced t-scores on the Social Skills subscale of the Social Skills Improvement System Rating Scales, teacher report version.
Child Social Skills, Parent Report, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in children's norm-referenced t-scores on the Social Skills subscale of the Social Skills Improvement System Rating Scales, parent report version.
Child Autism Behaviors, Parent Report, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in children's norm-referenced t-scores on the Autism Behaviors subscale of the Social Skills Improvement System Rating Scales, parent report version.
Child Autism Behaviors, Teacher Report, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in children's norm-referenced t-scores on the Autism Behaviors subscale of the Social Skills Improvement System Rating Scales, teacher report version.
Child Autism Behaviors, Parent Report, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in children's norm-referenced t-scores on the Autism Behaviors subscale of the Social Skills Improvement System Rating Scales, parent report version.
Child Autism Behaviors, Teacher Report, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in children's norm-referenced t-scores on the Autism Behaviors subscale of the Social Skills Improvement System Rating Scales, teacher report version.
Parenting Strategies: Consistent Discipline, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for the Consistent Discipline subscale of the Parenting Strategies instrument. Scores are calculated based on the mean rating across 11 items, with possible mean scores ranging from 1-5.
Parenting Strategies: Consistent Discipline, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in score for the Consistent Discipline subscale of the Parenting Strategies instrument. Scores are calculated based on the mean rating across 11 items, with possible mean scores ranging from 1-5.
Parenting Strategies: Parental Acceptance, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for the Parental Acceptance subscale of the Parenting Strategies instrument. Scores are calculated based on the mean rating across 8 items, with possible mean scores ranging from 1-5.
Parenting Strategies: Parental Acceptance, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in score for the Parental Acceptance subscale of the Parenting Strategies instrument. Scores are calculated based on the mean rating across 8 items, with possible mean scores ranging from 1-5.
Parenting Strategies: Positive Reinforcement, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for the Positive Reinforcement subscale of the Parenting Strategies instrument. Scores are calculated based on the mean rating across 12 items, with possible mean scores ranging from 1-5.
Parenting Strategies: Positive Reinforcement, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in score for the Positive Reinforcement subscale of the Parenting Strategies instrument. Scores are calculated based on the mean rating across 12 items, with possible mean scores ranging from 1-5.
Teacher Strategies: Positive Strategies, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for the Positive Strategies subscale of the Teacher Strategies instrument. Scores are calculated based on the mean rating across 22 items, with possible mean scores ranging from 1-5.
Teacher Strategies: Inappropriate Strategies, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for the Inappropriate Strategies subscale of the Teacher Strategies instrument. Scores are calculated based on the mean rating across 9 items, with possible mean scores ranging from 1-5.
Parent-Teacher Relationship: Parent Perspective on Joining, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for the Joining subscale of the Parent-Teacher Relationship Scale II, parent version. Scores are calculated based on the mean rating across 19 items, with possible mean scores ranging from 1-5.
Parent-Teacher Relationship: Teacher Perspective on Joining, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for the Joining subscale of the Parent-Teacher Relationship Scale II, teacher version. Scores are calculated based on the mean rating across 19 items, with possible mean scores ranging from 1-5.
Parent-Teacher Relationship: Parent Perspective on Communication, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for the Communication subscale of the Parent-Teacher Relationship Scale, parent version. Scores are calculated based on the mean rating across 5 items, with possible mean scores ranging from 1-5.
Parent-Teacher Relationship: Teacher Perspective on Communication, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for the Communication subscale of the Parent-Teacher Relationship Scale, teacher version. Scores are calculated based on the mean rating across 5 items, with possible mean scores ranging from 1-5.
Parent Competence in Problem Solving, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for the Parent Competence in Problem Solving Scale. Scores are calculated based on the mean rating across 8 items, with possible mean scores ranging from 1-6.
Teacher Competence in Problem Solving, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for the Teacher Competence in Problem Solving Scale. Scores are calculated based on the mean rating across 8 items, with possible mean scores ranging from 1-6.
Parent Competence in Problem Solving, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in score for the Parent Competence in Problem Solving Scale. Scores are calculated based on the mean rating across 8 items, with possible mean scores ranging from 1-6.
Behavior Watch Student: Inappropriate Motor Activity, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for Inappropriate Motor Activity on the Behavior Watch observation tool, student version. Scores are calculated based on the rate observed for intervals recorded, with a possible score of 0.0-1.0.
Behavior Watch Student: Inappropriate Motor Activity, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in score for Inappropriate Motor Activity on the Behavior Watch observation tool, student version. Scores are calculated based on the rate observed for intervals recorded, with a possible score of 0.0-1.0.
Behavior Watch Student: Off Task, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for Off Task on the Behavior Watch observation tool, student version. Scores are calculated based on the rate observed for intervals recorded, with a possible score of 0.0-1.0.
Behavior Watch Student: Off Task, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in score for Off Task on the Behavior Watch observation tool, student version. Scores are calculated based on the rate observed for intervals recorded, with a possible score of 0.0-1.0.
Behavior Watch Student: On Task, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for On Task on the Behavior Watch observation tool, student version. Scores are calculated based on the rate observed for intervals recorded, with a possible score of 0.0-1.0.
Behavior Watch Student: On Task, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in score for On Task on the Behavior Watch observation tool, student version. Scores are calculated based on the rate observed for intervals recorded, with a possible score of 0.0-1.0.
Behavior Watch Student: Appropriate Interactions, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for Appropriate Interactions on the Behavior Watch observation tool, student version. Scores are calculated based on the rate observed for intervals recorded, with a possible score of 0.0-1.0.
Behavior Watch Student: Appropriate Interactions, Outcome 2
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 2 (approximately 19 months)
Change in score for Appropriate Interactions on the Behavior Watch observation tool, student version. Scores are calculated based on the rate observed for intervals recorded, with a possible score of 0.0-1.0.
Behavior Watch Teacher: Positive Tangible Consequences, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for Positive Tangible Consequences on the Behavior Watch observation tool, teacher version. Scores are calculated based on the rate observed for intervals recorded, with a possible score of 0.0-1.0.
Behavior Watch Teacher: Effective Command, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for Effective Command on the Behavior Watch observation tool, teacher version. Scores are calculated based on the rate observed for intervals recorded, with a possible score of 0.0-1.0.
Behavior Watch Teacher: Positive Attention, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for Positive Attention on the Behavior Watch observation tool, teacher version. Scores are calculated based on the rate observed for intervals recorded, with a possible score of 0.0-1.0.
Behavior Watch Teacher: Use of Reductive Techniques, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for Use of Reductive Techniques on the Behavior Watch observation tool, teacher version. Scores are calculated based on the rate observed for intervals recorded, with a possible score of 0.0-1.0.
Behavior Watch Teacher: Negative Attention, Outcome 1
时间窗: Baseline/pre-intervention (beginning of school year 1) to end of school year 1 (approximately 7 months)
Change in score for Use of Negative Attention on the Behavior Watch observation tool, teacher version. Scores are calculated based on the rate observed for intervals recorded, with a possible score of 0.0-1.0.
次要结局
未报告次要终点
研究者
Elizabeth Spier
Principal Researcher
American Institutes for Research