The Early Risers Preventive Intervention: Testing for Six-year Outcomes and Mediational Processes |
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Authors: | Debra H Bernat Gerald J August Joel M Hektner Michael L Bloomquist |
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Institution: | (1) Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA;(2) Department of Psychiatry, University of Minnesota, Minneapolis, MN, USA;(3) Department of Child Development and Family Science, North Dakota State University, Fargo, ND, USA |
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Abstract: | We examined effects of the Early Risers “Skills for Success” early-age-targeted prevention program on serious conduct problems
following 5 years of continuous intervention and one year of follow-up. We also examined if intervention effects on proximally-targeted
variables found after 3 years mediated intervention effects on conduct problems found after 6 years. Participants included
151 at-risk children (106 males and 45 females) followed from first through sixth-grade, from 23 semi-rural schools in Minnesota.
After 6 years, program children showed fewer oppositional defiant disorder (ODD) symptoms than control children. Program children
did not significantly differ from controls on number of conduct disorder (CD) symptoms, DSM-IV diagnoses of ODD and CD, or
drug use involvement. Results of the mediation analysis indicated that fewer ODD symptoms among program youth after 6 years
were partially mediated by social skills and effective discipline. The study provides support for the early-starter model
of conduct problems development that provides the framework for the Early Risers intervention. The study’s implications for
prevention and limitations are discussed. |
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Keywords: | Prevention Mediation Aggression Oppositional defiant disorder Conduct problems |
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