Initial development and evaluation of the student intervention matching (SIM) form

There is currently a large gap in both research and practice between student identification practices for those at-risk (i.e., universal screening, teacher referral, or extant data as early identification methods) and the selection of appropriate Tier 2 interventions for social, emotional, and behavioral concerns. The purpose of this study was to develop and test the treatment validity of the Student Intervention Matching (SIM) Form, an intervention matching protocol designed for use at Tier 2. To this end, single-case design methodology was employed to systematically evaluate outcomes associated with use of the SIM Form in the intervention selection process. Participants included eight elementary-age students arranged in sets of four student dyads. A multiple baseline design was used in order to examine the relative effectiveness of matched interventions according to the SIM Form, and mismatched interventions according to the SIM Form. Results indicated that interventions matched using the SIM Form were functionally related to improved student outcomes across a variety of dependent variables when compared to mismatched phases. Implications for practice and future research are discussed.     

Breaks are Better: A Tier II Social Behavior Intervention

Multi-tiered systems of social behavioral support in schools provide varying levels of intervention matched to student need. Tier I (primary or universal) systems are for all students and are designed to promote pro-social behavior. Tier III (tertiary or intensive) supports are for students who engage in serious challenging behavior that has not responded to other efforts. In between Tier I and Tier III are Tier II (secondary or targeted interventions), for students at risk for developing more serious problematic behavior. The purpose of this study was to evaluate Breaks are Better, a Tier II intervention designed for students who engage in problem behavior maintained by avoidance of instructional activities. Breaks are Better builds on an evidence-based Tier II intervention, Check-in/Check-out, but includes key components to enhance its effectiveness for students who avoid instruction. Working with three typically developing elementary school students, we documented changes in problem behavior during academic instruction following the implementation of Breaks are Better. Further, students and teachers rated the intervention as both feasible and valuable.     

School-Based Cognitive Mindfulness Intervention for Internalizing Problems: Pilot Study with Hong Kong Elementary Students

Childhood internalizing problems such as anxiety and depression can have serious personal, familial and societal repercussions, including drug and alcohol abuse, delinquency, unplanned pregnancy, and even suicide. There is little research on mindfulness interventions for children with clinical levels of internalizing problems, and school-based mindfulness research with children has focused on non-clinical groups. We employed a two-stage screening and intervention procedure to evaluate an in-school mindfulness-based cognitive intervention for Hong Kong children with subclinical internalizing difficulties. Ninety-three fourth to sixth graders were screened, and twenty students (age 9–13, median age 10) highest among their peers on internalizing problems, but lowest on externalizing problems, participated in a 9-week group mindfulness-based intervention. We employed a two-phase open trial design, with random assignment to an immediate intervention group or wait-list control group. In single-trial analysis, one-tailed dependent sample t-tests showed significant decreases in both worry and in symptoms of panic disorder, obsessive compulsive disorder, generalized anxiety and overall internalizing problems. In a randomized controlled trial analysis, the immediate intervention group evidenced larger but nonsignificant reductions on almost all measures. Eighty-five percent of the participants rated the program as helpful, and 65–80 % reported improvement in handling emotions and interpersonal relationships at post-treatment, with some treatment gains maintained at 3-month follow-up. These preliminary findings have encouraging implications for implementing time-limited school-based mindfulness interventions targeting elevated childhood internalizing difficulties.     

Efficacy of Two Mathematics Interventions for Enhancing Fluency with Elementary Students

An alternating treatments design was used to evaluate two curriculum-based mathematics interventions designed to enhance fluency with three elementary school students. Results indicate that both the Math to Mastery (MTM) intervention and the Cover, Copy, Compare (CCC) intervention were effective at increasing mathematics fluency, as measured by digits correct per min, for all students. However, MTM was more effective than CCC for two of the three students. Follow-up data taken 6 and 18 days following termination of the intervention phase indicated that all participants achieving mastery performance maintained mastery levels across both interventions.     

Using Small-Group Instruction to Improve Students' Reading Fluency: An Evaluation of the Existing Research

Reading fluency is necessary for reading comprehension, but approximately 40% of U.S. fourth-grade students have inadequate reading fluency skills. Because small-group (SG) instruction is often used as a first line of intervention for struggling readers, SG instruction targeting deficiencies in text reading fluency ought to be part of every school's intervention toolbox. The authors summarize the existing research on instruction and interventions that specifically targets reading fluency and is implemented by an adult with 3 or more students at once. Key findings revealed that most studies used a single-case design, nearly all studies were rated positively in terms of methodological quality, and the majority of participants significantly improved as a result of receiving SG intervention. Furthermore, of the five studies examining comparable SG and 1-on-1 interventions, 79% of the students performed equally well from both interventions. Implications and several recommendations for future research are discussed.     

Say something nice: A meta-analytic review of peer reporting interventions

Peer reporting interventions (i.e., Positive Peer Reporting and tootling) are commonly used peer-mediated interventions in schools. These interventions involve training students to make reports about peers' prosocial behaviors, whether in oral or written form. Although peer reporting interventions have been included in meta-analyses of group contingencies, this study is the first meta-analytic review of single-case research focusing exclusively on peer reporting interventions. The literature search and application of inclusion criteria yielded 21 studies examining the impact of a peer reporting intervention on student behavior compared to baseline conditions. All studies used single-case experimental designs including at least three demonstrations of an effect and at least three data points per phase. Several aspects of studies, participants, and interventions were coded. Log response ratios and Tau were calculated as effect size estimates. Effect size estimates were synthesized in a multi-level meta-analysis with random effects for (a) studies and (b) cases within studies. Overall results indicated peer reporting interventions had a non-zero and positive impact on student outcomes. This was also true when data were subset by outcome (i.e., disruptive behavior, academically engaged behavior, and social behavior). Results were suggestive of more between- than within-study variability. Moderator analyses were conducted to identify aspects of studies, participants, or peer reporting interventions associated with differential effectiveness. Moderator analyses suggested published studies were associated with higher effect sizes than unpublished studies (i.e., theses/dissertations). This meta-analysis suggests peer reporting interventions are effective in improving student behavior compared to baseline conditions. Implications and directions for future investigation are discussed.     

Effects of Brief Interventions on Internalizing Symptoms and Substance Use in Youth: A Systematic Review

Internalizing problems (e.g., depression, anxiety) and substance use are common among young people and often co-occur. However, youths face myriad barriers to access needed treatment, and existing evidence-based interventions tend to focus on internalizing problems or substance use, rather than both simultaneously. Brief interventions that target both problems may, therefore, be an efficient and accessible resource for alleviating youth difficulties; however, this possibility has been insufficiently evaluated. This systematic review evaluated the intervention characteristics and quality of six studies spanning 2015 to 2019 that examined intervention effects on internalizing and substance use outcomes. Based on independent calculations and author reports (respectively), 3–4 interventions significantly reduced youth internalizing symptoms; 3–5 reduced youth substance use; and 2–3 reduced symptoms in both domains. All six interventions identified substance use as a primary target. Four interventions were administered by interventionists to youths in inpatient, outpatient, primary care, or school settings. The remaining two studies delivered content through voicemail messages or an online design. Interventions ranged from?~?15 to 240 min. Results highlight the sparsity and heterogeneity of youth-focused brief interventions that have evaluated program effects on both internalizing problems and substance use outcomes, suggesting a clear need for integrated supports that are also designed for accessibility. Future investigations of brief youth-focused interventions should assess program effects on both internalizing and substance use outcomes; examine mechanisms driving the varied efficacy of identified interventions; and create, refine, and test interventions with potential to address co-occurring internalizing problems and substance use in young people.

     

The Effectiveness of Psychosocial Interventions Delivered by Teachers in Schools: A Systematic Review and Meta-Analysis

The growing mental health needs of students within schools have resulted in teachers increasing their involvement in the delivery of school-based, psychosocial interventions. Current research reports mixed findings concerning the effectiveness of psychosocial interventions delivered by teachers for mental health outcomes. This article presents a systematic review and meta-analysis that examined the effectiveness of school-based psychosocial interventions delivered by teachers on internalizing and externalizing outcomes and the moderating factors that influence treatment effects on these outcomes. Nine electronic databases, major journals, and gray literature (e.g., websites, conference abstract) were searched and field experts were contacted to locate additional studies. Twenty-four studies that met the study inclusion criteria were coded into internalizing or externalizing outcomes and further analyzed using robust variance estimation in meta-regression. Both publication and risk of bias of studies were further assessed. The results showed statistically significant reductions in students’ internalizing outcomes (d = .133, 95% CI [.002, .263]) and no statistical significant effect for externalizing outcomes (d = .15, 95% CI [?.037, .066]). Moderator analysis with meta-regression revealed that gender (%male, b = ?.017, p < .05), race (% Caucasian, b = .002, p < .05), and the tier of intervention (b = .299, p = .06) affected intervention effectiveness. This study builds on existing literature that shows that teacher-delivered Tier 1 interventions are effective interventions but also adds to this literature by showing that interventions are more effective with internalizing outcomes than on the externalizing outcomes. Moderator analysis also revealed treatments were more effective with female students for internalizing outcomes and more effective with Caucasian students for externalizing outcomes.     

A Comparison of Two Flashcard Interventions for Teaching Sight Words to Early Readers

Strategic Incremental Rehearsal (SIR) is a recently developed flashcard intervention that blends Traditional Drill with Incremental Rehearsal (IR) for teaching sight words. The initial study evaluating SIR found it was more effective than IR for teaching sight words to first-grade students. However, that study failed to assess efficiency, which is important to consider when evaluating and selecting interventions. Therefore, the current study evaluated both the efficiency and effectiveness of SIR compared with IR for teaching sight words to 4 general education students (3 in second grade and 1 in first grade) who were enrolled in 1 of 2 schools. An alternating treatments single-case design was used to compare the effects of SIR and IR interventions implemented 4 days per week across 4 or 5 weeks. Students’ accuracy with words that were introduced during the week was assessed on Fridays, and maintenance of these words was assessed the following Friday. Results indicated that both interventions were effective for teaching students sight words, but that SIR was slightly more effective and efficient than IR for 3 of the 4 students. Findings have implications for the selection of flashcard interventions for teaching sight word vocabulary to early elementary students.     

Effects of an iPad-Supported Phonics Intervention on Decoding Performance and Time On-Task

Despite their recent popularity in schools, there is minimal consensus in the educational literature regarding the use of mobile devices for reading intervention. The word box intervention (Joseph Read Teach 52:348–356, 1998) has been consistently associated with improvements in student decoding performance. This early efficacy study examined an iPad-supported approach to the word box intervention. The participants were three students from the same first grade classroom, all of whom lacked basic decoding skills and two of which were English language learners. The research question was evaluated with a multielement single-case experimental design that compared the standard materials to an equivalent iPad application. Results did not reveal a clear pattern on measures of decoding across the participants. Time on-task was high for both conditions for all three participants. Results indicated a need for future study of mobile-supported reading interventions in similar contexts.     

The relationship between Turkish children's perceptions of marital conflict and their internalizing and externalizing problems

The present study investigated the relationship between children's perceptions of marital conflict and children's internalizing and externalizing problems. Additionally, investigating gender and age differences in children's perceptions and the type of problems they exhibited were the other purposes of the study. The sample consisted of 9‐ to 12‐year‐old, nonclinical children from intact families (N = 232), one of their parents, and teachers. The data were gathered by administering the Child Behavior Checklist for Ages 4–18 and the Teacher's Report Form to adult participants and the Children's Perception of Interparental Conflict Scale and the Children's Depression Inventory to the child participants. Findings indicated that there was a significant relationship between children's perceptions of marital conflict and their internalizing and externalizing problems. More specifically, children's perceptions of conflict properties were associated with their internalizing problems in parents', teachers', and children's reports. Children's perceptions of threat were associated with child‐reported depression. Children's perceptions of self‐blame were associated with child‐reported depression, parent‐reported internalizing and externalizing problems, and teacher‐reported externalizing problems. Furthermore, it was found that there were gender and age differences in children's perceptions of marital conflict and their internalizing and externalizing problems. Findings indicated that boys have higher self‐blame scores and teacher‐reported externalizing problems than girls and that girls have more parent‐ and teacher‐reported internalizing problems than boys. Additionally, it was found that 9‐year‐old children have more teacher‐reported internalizing and externalizing problems than 12‐year‐old children. Also, 9‐year‐old boys have higher parent‐reported externalizing problems than 9‐year‐old girls and 9‐year‐old boys have higher parent‐reported externalizing problems than 12‐year‐old boys.     

Evaluating Check-In Check-Out With Peer Tutors for Children With Attention Maintained Problem Behaviors

School Wide Positive Behavior Support provides schools with three tiers of support to address both academic and behavior challenges. The purpose of this study was to evaluate the use of peer tutors with three elementary students when applied to a Tier 2 intervention known as Check-In Check-Out (CICO). Peer tutors performed the morning check-in with the tutees by setting the expectations for the day and giving the tutees their Daily Progress Report (DPR) form. Throughout the day, the tutees took the DPR form to each class where they received a score from the teacher. At the end of the class period, the peer tutors provided the tutees with feedback on the scores received on the DPR form. Once the school day finished, the peer tutees checked-out with the tutors and received a reward if they met their percentage goal. The results of this study showed that CICO implemented by peers improved classroom behavior for all three participants.     

Preschool Executive Control and Internalizing Symptoms in Elementary School

Depression and anxiety are prevalent and impairing forms of psychopathology in children and adolescents. Deficits in early executive control (EC) may contribute to the development of these problems, but longitudinal studies with rigorous measurement across key developmental periods are limited. The current study examines EC in preschool as a predictor of subsequent depression and anxiety symptoms in elementary school in a community sample (N?=?280). Child participants completed a battery of nine developmentally-appropriate tasks designed to measure major aspects of EC at age 5 years, 3 months. Children later participated in an elementary school follow-up phase, during which they completed validated norm-referenced self-report questionnaires of depression and anxiety symptoms in fourth grade. Results indicate that poorer preschool EC was significantly associated with both greater depression and anxiety symptoms in elementary school, controlling for baseline depression and anxiety symptoms in preschool and other relevant variables. These findings suggest that poor EC may be an important risk factor for the development of internalizing psychopathology in childhood. Given emerging evidence for the modifiability of EC, particularly in preschool, EC promotion interventions may hold promise as a potential target in psychopathology prevention.     

Do Mothers and Fathers Assess their Children's Behavioral Problems in the Same Way as do their Children? An IRT Investigation on the Strengths and Difficulties Questionnaire

This study investigated the equivalence of different types of informants, such as children (or early adolescents) and parents, in evaluating child externalizing and internalizing problems. We applied a polytomous item response theory (IRT) model for the Strengths and Difficulties Questionnaire (SDQ). We obtained responses to three subscales—Conduct Problems, Hyperactivity/Inattention, and Emotional Symptoms—from 541 elementary school students aged 10–12 years, fathers for 233 students, mothers for 275 students, and the homeroom teachers for 524 students. Expected values on the individual item calculated by the discrimination and threshold parameters were compared among students, fathers, and mothers as an investigation of differential item functioning (DIF) or differential informant functioning. Assessing either externalizing or internalizing problems were mostly equivalent between fathers and mothers, and most items for externalizing problems functioned equally between students and parents, whereas items for internalizing problems showed DIF between them. IRT also yielded that the intervals of response categories varied across items, particularly for the conduct problems items “fight” and “steal,” and positively worded items showed an extremely low threshold.     

The Effects of Two Taped-Words Interventions on Sight-Word Reading in Students with Mental Retardation

Multiple-baseline and alternating treatments design elements were combined to evaluate the effects of two taped-words (TW) interventions (rapid-paced and slow-paced) on sight-word reading accuracy levels in elementary students with mental retardation. During rapid TW, one word was presented every second via tape recorder and students were instructed to read aloud along with the tape. During slow TW, words were presented every 5s. Both TW interventions increased word reading accuracy but differences in learning rates between the two TW interventions were inconsistent across participants. Although no firm conclusions can be drawn regarding which pace is more effective, results show that regardless of pace, this efficient, self-managed intervention can be used to increase sight-word reading in students with mental retardation.     

Bullying and Victimization in Adolescence: Concurrent and Stable Roles and Psychological Health Symptoms

From an initial sample of 1,278 Italian students, the authors selected 537 on the basis of their responses to a self-report bully and victim questionnaire. Participants' ages ranged from 13 to 20 years (M = 15.12 years, SD = 1.08 years). The authors compared the concurrent psychological symptoms of 4 participant groups (bullies, victims, bully/victims [i.e., bullies who were also victims of bullying], and uninvolved students). Of participants, 157 were in the bullies group, 140 were in the victims group, 81 were in the bully/victims group, and 159 were in the uninvolved students group. The results show that bullies reported a higher level of externalizing problems, victims reported more internalizing symptoms, and bully/victims reported both a higher level of externalizing problems and more internalizing symptoms. The authors divided the sample into 8 groups on the basis of the students' recollection of their earlier school experiences and of their present role. The authors classified the participants as stable versus late bullies, victims, bully/victims, or uninvolved students. The authors compared each stable group with its corresponding late group and found that stable victims and stable bully/victims reported higher degrees of anxiety, depression, and withdrawal than did the other groups. The authors focus their discussion on the role of chronic peer difficulties in relation to adolescents' symptoms and well-being.     

Family Intervention Effects on Co-occurring Early Childhood Behavioral and Emotional Problems: A Latent Transition Analysis Approach

This study used latent transition analysis (LTA) to examine changes in early emotional and behavioral problems in children age 2 to 4 years resulting from participation in a family-centered intervention. A sample of 731 economically disadvantaged families was recruited from among participants in a national food supplement and nutrition program. Families with toddlers between age 2 and 3 were randomized either to the Family Check-Up (FCU) or to a nonintervention control group. The FCU’s linked interventions were tailored to each family’s needs. Assessments occurred at age 2, 3, and 4. The FCU followed age 2 and age 3 assessments. Latent class analyses were conducted on mother reports of behavior and emotional problems from age 2 to 4 to study transitions among the following four groups: (a) externalizing only, (b) internalizing only, (c) comorbid internalizing and externalizing, and (d) normative. LTA results revealed that participation in the FCU increased the likelihood of transitioning from either the comorbid or the internalizing class into the normative class by age 4. These results suggest family interventions in early childhood can potentially disrupt the early emergence of both emotional and behavioral problems.     

父母心理控制与ODD症状儿童抑郁、攻击行为的关系

以北京市、山东省和云南省14所小学中的340名有对立违抗障碍(Oppositional Defiant Disorder, ODD)症状的儿童及其158名班主任为被试, 收集了儿童自己填写的父母心理控制、自尊、抑郁量表, 班主任评估的儿童攻击行为量表, 用以考察父亲与母亲心理控制对ODD症状儿童抑郁、攻击行为的不同影响, 以及自尊在其中的中介作用和儿童性别的调节作用。结果发现:(1)与有ODD症状的女孩相比, 具有ODD症状的男孩人数更多, 抑郁、攻击行为问题更为严重, 自尊也更差;(2)父亲对男孩的心理控制显著多于女孩, 而母亲对男孩、女孩的心理控制没有显著差异;(3)父亲和母亲心理控制与ODD症状儿童的抑郁、攻击行为都呈显著正相关且父亲心理控制能显著预测儿童的抑郁和攻击行为, 而母亲心理控制能显著的预测攻击行为;(4)自尊在父亲心理控制与ODD症状儿童的抑郁、母亲心理控制与儿童的攻击行为之间均起部分中介作用, 在父亲心理控制与儿童的攻击行为、母亲心理控制与儿童的抑郁之间均起完全中介作用。     

The Role of Stress Exposure and Family Functioning in Internalizing Outcomes of Urban Families

Although research suggests that stress exposure and family functioning are associated with internalizing problems in adolescents and caregivers, surprisingly few studies have investigated the mechanisms that underlie this association. To determine whether family functioning buffers the development of internalizing problems in stress-exposed families, we assessed the relation between stress exposure, family functioning, and internalizing symptoms among a large sample of inner-city male youth and their caregivers living in poverty across five waves of data collection. We hypothesized that stress exposure and family functioning would predict development of subsequent youth and caregiver internalizing problems and that family functioning would moderate this relation, with higher functioning families demonstrating greater resiliency to stress exposure. We used a longitudinal, prospective design to evaluate whether family functioning (assessed at waves one through four) activated or buffered the effects of stress exposure (assessed at wave one) on subsequent internalizing symptoms (assessed at waves four and five). Stress from Developmental Transitions and family functioning were significant predictors of depressive symptoms and anxiety in youth; however, family functioning did not moderate the relation. Family functioning mediated the relation between stress from Daily Hassles and internalizing outcomes suggesting that poor parenting practices, low structure, and low emotional cohesion activate depression and anxiety in youth exposed to chronic and frequent everyday stressors. Surprisingly, only family functioning predicted depressive symptoms in caregivers. Results validate the use of a comprehensive, multi-informant assessment of stress when investigating internalizing outcomes in youth and support using family-based interventions in the treatment and prevention of internalizing.