School-based organizational skills training for students in grades 3-5: A cluster randomized trial.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL Journal of consulting and clinical psychology Pub Date : 2024-10-01 DOI:10.1037/ccp0000909

Jenelle Nissley-Tsiopinis, Thomas J Power, Phylicia F Fleming, Katie L Tremont, Bridget Poznanski, Shannon Ryan, Jaclyn Cacia, Theresa Egan, Cristin Montalbano, Alex Holdaway, Ami Patel, Richard Gallagher, Howard Abikoff, A Russell Localio, Jennifer A Mautone

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Abstract

Objective: Research has demonstrated the effectiveness of interventions to reduce organizational skills deficits and homework problems, including the clinic-based Organizational Skills Training (OST-C) program (Abikoff et al., 2013). In this study, OST-C was adapted for schools as a small-group (Tier 2) intervention delivered by school partners (OST-T2).

Method: The study was conducted in 22 schools serving students from diverse backgrounds. Students (n = 186; 122 male) in Grades 3-5, ages 8-12 (M = 9.7 years; SD = 0.88) with organizational skills deficits referred by teachers were enrolled. Schools were randomly assigned to OST-T2 or treatment as usual with waitlist. OST-T2 consisted of sixteen 35-min child sessions, two caregivers, and two teacher consultations. Outcomes were evaluated with longitudinal mixed effects modeling at posttreatment, 5-month and 12-month follow-up using caregiver and teacher reports of organizational skills, homework, and academic performance.

Results: OST-T2 resulted in reductions in organizational skills deficits on caregiver and teacher report (p < .001) at posttreatment and 5-month follow-up (effect sizes [ES], Cohen's d = 0.96, 1.20). Findings also revealed a reduction in caregiver-reported homework problems at posttreatment and 5-month follow-up (p < .001, ES = 0.60, 0.72), and an improvement in teacher-rated homework at posttreatment (p = .007, ES = 0.64). Effects were attenuated at 12-month follow-up. The effects of OST-T2 on academic measures were not significant.

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针对 3-5 年级学生的校本组织能力培训：分组随机试验。

目的：研究表明，减少组织能力缺陷和家庭作业问题的干预措施非常有效，其中包括基于诊所的组织能力训练（OST-C）项目（Abikoff 等人，2013 年）。在本研究中，OST-C 被改编为由学校合作伙伴提供的小组（第二级）干预（OST-T2）：研究在 22 所学校进行，这些学校为来自不同背景的学生提供服务。参加研究的学生（n = 186；122 名男生）来自 3-5 年级，年龄在 8-12 岁之间（M = 9.7 岁；SD = 0.88），他们都是由教师推荐的组织能力有缺陷的学生。学校被随机分配到 OST-T2 或照常治疗和候补名单中。OST-T2包括16节35分钟的儿童课程、2名保育员和2名教师咨询。在治疗后、5 个月和 12 个月的随访中，利用照顾者和教师对组织技能、家庭作业和学习成绩的报告，采用纵向混合效应模型对结果进行评估：在治疗后和 5 个月的随访中，OST-T2 导致护理人员和教师报告的组织能力缺陷减少（p < .001）（效应大小 [ES]，Cohen's d = 0.96，1.20）。研究结果还显示，在治疗后和 5 个月的随访中，护理人员报告的家庭作业问题有所减少（p < .001, ES = 0.60, 0.72），在治疗后，教师评定的家庭作业有所改善（p = .007, ES = 0.64）。随访 12 个月后，效果有所减弱。OST-T2对学习成绩的影响不显著：研究结果为学校专业人员提供的 OST-T2 的直接和短期有效性提供了证据。(PsycInfo Database Record (c) 2024 APA, 版权所有）。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.