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Both/and: Tier 2 Interventions with Transdiagnostic Utility in Addressing Emotional and Behavioral Disorders in Youth 两者/和:在解决青少年情绪和行为障碍的跨诊断效用的第2级干预
IF 1 Q2 Social Sciences Pub Date : 2020-01-29 DOI: 10.1080/15377903.2020.1714859
Meghan E. Clifford, A. Nguyen, Catherine P. Bradshaw
Abstract The extant literature suggests that a shared set of deficits (e.g., emotion dysregulation) underlies both internalizing and externalizing emotional and behavioral disorders (EBDs) among youth. As such, many Tier 2 interventions contain a similar set of core components, which in turn are associated with global symptom reductions. This conceptual and narrative review of the literature focuses on the potential to optimize transdiagnostic utility and expand the range of targeted domains within a Tier 2 intervention framework; such an approach may maximize the positive effects of interventions across EBD symptoms while simultaneously reducing the burden on schools to implement multiple programs with different targets. Drawing upon this evidence base, we conclude by making recommendations for adapting the content of Tier 2 interventions to achieve transdiagnostic utility in an efficient and sustainable manner.
现有文献表明,一组共同的缺陷(如情绪失调)是青少年内化和外化情绪和行为障碍(EBDs)的基础。因此,许多二级干预措施包含一组类似的核心成分,这些成分反过来又与全球症状减少有关。本文对文献进行了概念性和叙述性的回顾,重点关注在二级干预框架内优化跨诊断效用和扩大目标领域范围的潜力;这种方法可以最大限度地发挥跨EBD症状干预措施的积极作用,同时减轻学校针对不同目标实施多个方案的负担。根据这一证据基础,我们最后提出建议,调整第2级干预措施的内容,以有效和可持续的方式实现跨诊断效用。
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引用次数: 8
Identifying Factors Associated with Patterns of Student Attendance and Participation in a Group Tier 2 Preventive Intervention: Implications for Adaptation 识别与学生出勤和参与团体二级预防干预模式相关的因素:对适应的影响
IF 1 Q2 Social Sciences Pub Date : 2020-01-29 DOI: 10.1080/15377903.2020.1714860
Elise T. Pas, L. Kaiser, J. Rabinowitz, J. Lochman, Catherine P. Bradshaw
Abstract The extent to which youth attend Tier 2 evidence-based intervention is an important dimension of implementation. This study examined attendance patterns of 369 middle schoolers involved in a randomized trial testing the impact of Coping Power, an evidence-based Tier 2 preventive intervention. We conducted latent profile analysis to examine student attendance at the 25 Coping Power sessions and found three attendance patterns: 69.9% of youth had high and stable attendance, 19.5% of youth had moderate and modestly declining attendance, and 10.6% had poor and sharply declining attendance. We then examined whether students of a particular gender and race or in single-gender/race intervention groups were more likely to demonstrate certain attendance patterns and whether there were mean differences across attendance patterns on student behavioral risk, affect, and group engagement, group characteristics (e.g., group behavioral norms), and individual contacts with the group leader. Analyses indicated students demonstrating the poor and sharply declining attendance pattern had higher early-session negative affect than students with the other two attendance patterns and were less likely to be in gender-balanced groups than students with moderate and modestly declining attendance. Students with moderate and modestly declining attendance spent more time in contacts with group leaders than students with high and stable attendance. Students with high attendance were in groups with the highest early-session group attendance rates. Implications of these findings for adaptation and tailoring of the Tier 2 Coping Power program are discussed.
摘要青年参加二级循证干预的程度是实施的一个重要方面。这项研究调查了369名中学生的出勤模式,他们参与了一项随机试验,测试应对能力的影响,这是一种基于证据的二级预防干预措施。我们进行了潜在概况分析,以检查学生在25次应对能力课程中的出勤率,发现了三种出勤模式:69.9%的年轻人出勤率高且稳定,19.5%的年轻人的出勤率中等且适度下降,10.6%的学生出勤率低且急剧下降。然后,我们研究了特定性别和种族的学生或单一性别/种族干预组的学生是否更有可能表现出特定的出勤模式,以及在学生行为风险、影响和群体参与、群体特征(例如,群体行为规范)以及个人与组长的接触方面,出勤模式之间是否存在平均差异。分析表明,表现出出勤率低且急剧下降的学生比表现出其他两种出勤率模式的学生有更高的早期负面影响,并且与出勤率中等或适度下降的学生相比,不太可能处于性别平衡的群体中。出勤率中等和适度下降的学生比出勤率高和稳定的学生花更多的时间与组长联系。出勤率高的学生属于早课出勤率最高的组。讨论了这些发现对二级应对能力计划的适应和调整的影响。
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引用次数: 9
School Psychologists’ Knowledge of Traumatic Brain Injuries and Willingness to Lead a Concussion Team 学校心理学家对创伤性脑损伤的认识和领导脑震荡小组的意愿
IF 1 Q2 Social Sciences Pub Date : 2020-01-02 DOI: 10.1080/15377903.2019.1669094
Danielle M. Eftaxas, Angela I. Canto
Abstract Within a school there is not typically one person assigned to aid students who have experienced a traumatic brain injury (TBI). Symptoms following a TBI may hinder a students’ academic performance suggesting a need for “return-to-learn” protocols to be implemented as students return to the rigors of school. Previous literature suggests school psychologists are the most appropriate school personnel to aid these students. The purpose of this study was to examine school psychologists’ knowledge regarding TBIs and gauge their interest in aiding with school reintegration. Results implied knowledge of TBI is not a significant predictor of willingness to be a ‘concussion team leader’. Qualitative analyses revealed school psychologists perceived school nurses to be the most qualified. Implications for practice, including changes in training programs, are discussed.
摘要在一所学校里,通常没有一个人被指派帮助经历过创伤性脑损伤(TBI)的学生。TBI后的症状可能会阻碍学生的学习成绩,这表明随着学生重返严格的学校,需要实施“重返学习”协议。先前的文献表明,学校心理学家是帮助这些学生的最合适的学校人员。本研究的目的是检验学校心理学家对TBI的了解,并评估他们对帮助学校重新融入社会的兴趣。结果表明,对TBI的了解并不是成为“脑震荡团队领导者”意愿的重要预测因素。定性分析显示,学校心理学家认为学校护士是最合格的。讨论了对实践的影响,包括培训计划的变化。
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引用次数: 1
Implementation Fidelity of Culturally Responsive School-Wide Positive Behavior Interventions and Supports in a Spanish-Language Magnet School: A Case Study Emphasizing Context 一所西班牙语磁石学校文化响应性全校积极行为干预与支持的实施保真度:强调情境的个案研究
IF 1 Q2 Social Sciences Pub Date : 2020-01-02 DOI: 10.1080/15377903.2019.1665607
Hallie Fetterman, Chelsea Ritter, Julie Q. Morrison, Daniel S. Newman
Abstract School-Wide Positive Behavioral Interventions and Supports (SWPBIS) is a broad set of evidence-based strategies designed to create school environments that promote and support appropriate behavior of all students. The PBIS Cultural Responsiveness Field Guide provides a foundation for designing a SWPBIS program that meets the needs of culturally and linguistically students in schools. The purpose of this case study is to describe the development and implementation of a SWPBIS program in a newly formed, urban, Spanish-language magnet elementary school. Data from the culturally-responsive SWPBIS Spanish-Language School Program during the first year of implementation indicated increases in implementation fidelity, as well as equitable student knowledge of behavioral expectations across both native Spanish speakers and native English Speakers when culturally responsive materials and procedures were used to teach and reinforce behavior expectations. Teachers also reported positive perceptions of the Program’s goals, procedures, and outcomes. Implications for practice are discussed.
摘要学校范围内的积极行为干预和支持(SWPBIS)是一套广泛的循证策略,旨在创造促进和支持所有学生适当行为的学校环境。PBIS文化响应现场指南为设计SWPBIS项目提供了基础,该项目满足了学校文化和语言学生的需求。本案例研究的目的是描述一所新成立的城市西班牙语磁石小学的SWPBIS项目的开发和实施。在实施的第一年,来自具有文化响应性的SWPBIS西班牙语学校项目的数据表明,以及当使用具有文化响应性的材料和程序来教授和强化行为期望时,以西班牙语为母语和以英语为母语的学生对行为期望的公平认识。教师们还报告了对该计划的目标、程序和结果的积极看法。讨论了对实践的启示。
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引用次数: 2
Ethical Considerations for Using School-Based Motivational Interviewing with Parents, Teachers, and Students 对家长、教师和学生使用校本动机访谈的伦理考虑
IF 1 Q2 Social Sciences Pub Date : 2020-01-02 DOI: 10.1080/15377903.2019.1665606
Gerald G. Strait, J. Strait, Thomas Schanding, Jacqueline R. Anderson, Diana Stinson, Stephanie Schmidt, Samuel Y. Kim
Abstract Recently, an increasing number of researchers and school psychologists have advocated for the use of School-Based Motivational Interviewing (SBMI) for working directly with students and for consulting with teachers and parents. However, little attention has been given to the possible ethical implications of school psychologists’ use of SBMI with various stakeholders in school settings. In this paper, unique ethical challenges are highlighted and recommendations for implementing SBMI techniques in relation to both MI ethical guidelines and the National Association of School Psychologists (NASP) Principles for Professional Ethics are provided.
近年来,越来越多的研究人员和学校心理学家提倡使用基于学校的动机访谈(SBMI)直接与学生合作,并与教师和家长协商。然而,很少有人注意到学校心理学家在学校环境中与各种利益相关者使用SBMI可能产生的伦理影响。在本文中,强调了独特的道德挑战,并提供了与MI道德指南和全国学校心理学家协会(NASP)职业道德原则相关的实施SBMI技术的建议。
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引用次数: 1
Youth mental health first aid: Initial outcomes of a statewide rollout in Ohio 青少年心理健康急救:俄亥俄州全州推广的初步结果
IF 1 Q2 Social Sciences Pub Date : 2020-01-02 DOI: 10.1080/15377903.2019.1619645
Amity Noltemeyer, Haigen Huang, C. Meehan, Emily Jordan, Kristen Morio, Kevin Shaw, Kathleen C. Oberlin
Abstract Although mental health concerns are common among children and adolescents, youth-serving adults often feel underprepared in responding to these challenges. Youth Mental Health First Aid (YMHFA) is a training program designed to teach adults how to assist youths experiencing mental health or addiction challenges. This pilot program evaluation study examined the outcomes of YMHFA associated with adult knowledge, confidence, beliefs, and behaviors. Participants included 2,180 individuals in Ohio who attended a YMHFA training between January 2015 and August 2016; most participants were White women and represented professions in the field of education. Results revealed that YMHFA participants became more confident, willing to help, aware of support and resources, and accepting of individuals with mental health conditions three months posttraining. A high percentage of YMHFA participants also reported applying YMHFA Action Steps at 3, 6, 9, and 12 months after the training. Demographic differences (by race, gender, age, and occupation) in the adult outcomes associated with YMHFA training did not emerge when removing the effects of other participant variables. Limitations, future directions for research, and implications for school psychology practice are discussed in this Service Delivery Brief.
摘要尽管心理健康问题在儿童和青少年中很常见,但为成年人服务的年轻人在应对这些挑战时往往感到准备不足。青少年心理健康急救(YMHFA)是一项培训计划,旨在教成年人如何帮助经历心理健康或成瘾挑战的青少年。这项试点项目评估研究考察了YMHFA与成人知识、信心、信念和行为相关的结果。参与者包括俄亥俄州的2180人,他们在2015年1月至2016年8月期间参加了YMHFA培训;大多数参与者是白人女性,代表教育领域的职业。结果显示,YMHFA参与者在训练三个月后变得更加自信、愿意帮助、意识到支持和资源,并接受有心理健康问题的人。高比例的YMHFA参与者也报告在培训后3、6、9和12个月采用了YMHFA行动步骤。当去除其他参与者变量的影响时,与YMHFA训练相关的成人结果的人口统计学差异(按种族、性别、年龄和职业)没有出现。本服务提供简报讨论了研究的局限性、未来的研究方向以及对学校心理学实践的启示。
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引用次数: 8
Game-Based Self-Management: Addressing Inattention during Independent Reading and Written Response 基于游戏的自我管理:解决独立阅读和书面反应中的注意力不集中问题
IF 1 Q2 Social Sciences Pub Date : 2020-01-02 DOI: 10.1080/15377903.2019.1660748
Judith R. Harrison, C. Kwong, Steven W. Evans, Corey Peltier, Leslie A. Mathews, T. Chatman
Abstract Self-management is a strategy with emerging evidence of effectiveness that has been utilized to address impairment associated with attention deficit hyperactivity disorder (ADHD); however, few studies have been conducted with students with ADHD. The results of the minimal research available suggests that self-management with youth with ADHD is less robust than with students without ADHD. Gamification of self-management tools has the potential to increase positive outcomes with young adolescents with ADHD. The present study utilized a withdrawal design (ABAB) with four 6th and 7th grade students with ADHD to evaluate the effectiveness of a game-based self-management application on task engagement, accuracy, and completion in reading. Results indicated a functional relationship between game-based self-management and task engagement, accuracy, and completion with moderate to large effects overall (Tau-U, NAP, BC-SMD). Implications are discussed.
摘要自我管理是一种有新证据表明有效的策略,已被用于解决与注意力缺陷多动障碍(ADHD)相关的障碍;然而,很少对患有多动症的学生进行研究。现有的最低限度的研究结果表明,患有多动症的青少年的自我管理不如没有多动症的学生强。自我管理工具的游戏化有可能增加患有多动症的青少年的积极结果。本研究利用四名患有多动症的六年级和七年级学生的戒断设计(ABAB)来评估基于游戏的自我管理应用程序在阅读任务参与度、准确性和完成度方面的有效性。结果表明,基于游戏的自我管理与任务投入、准确性和完成度之间存在功能关系,总体上具有中到大的影响(Tau-U、NAP、BC-SMD)。讨论了影响。
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引用次数: 6
Treating Pediatric Chronic Pain in Schools: A Primer for School Psychologists 治疗儿童慢性疼痛在学校:入门学校心理学家
IF 1 Q2 Social Sciences Pub Date : 2020-01-02 DOI: 10.1080/15377903.2019.1619646
Paul C. Jones, K. Salamon
Abstract Limited attention has been devoted in school psychology training programs to students with chronic health conditions. School psychologists are situated to provide behavioral and mental health services to students with chronic health conditions. The focus of this report is on pediatric chronic pain. Pediatric chronic pain is prevalent and can be debilitating, putting students at significant risk for adverse personal, social, and academic outcomes. This primer is designed to educate school psychologists about pediatric chronic pain, within the context of the biopsychosocial model of chronic pain, and to highlight the necessary components of a comprehensive model of intervention for students with pediatric chronic pain. Examples of interventions that can be provided within a school setting are presented in the framework of a multitiered system of support.
在学校心理培训项目中,对慢性健康问题学生的关注有限。学校心理学家为患有慢性疾病的学生提供行为和心理健康服务。本报告的重点是儿科慢性疼痛。儿童慢性疼痛很普遍,可能会使人虚弱,使学生面临不利的个人、社会和学业成绩的重大风险。本入门旨在教育学校心理学家关于儿童慢性疼痛,在慢性疼痛的生物心理社会模型的背景下,并强调对儿童慢性疼痛学生的综合干预模型的必要组成部分。可以在学校环境中提供的干预措施的例子在多层支持系统的框架中提出。
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引用次数: 1
Schema-Based Instruction Implemented under Routine Conditions 在常规条件下实现的基于模式的指令
IF 1 Q2 Social Sciences Pub Date : 2019-11-14 DOI: 10.1080/15377903.2020.1821273
Corey Peltier, Mindy E. Lingo, Faye A. Autry, Malarie E. Deardorff, Maegann Palacios
Abstract Many students identified with a specific learning disability (SLD) experience difficulty with mathematical problem solving. Schema-based instruction (SBI) is identified as a promising practice for students with a SLD. The current projects aimed to tests the efficacy of SBI implemented by a teacher under routine conditions. This extends prior literature by (a) using a teacher as the implementer, (b) allowing flexibility in the intervention protocol, (c) condensing the duration of intervention sessions, and (d) providing instruction in small group settings. In addition, we measured student problem solving performance on word problems requiring two-steps. We used a multiple-probe design across three groups of fifth-grade participants (n = 7) receiving supplemental instruction in a resource room setting. Results indicated a functional relation between SBI and problem-solving performance on one-step word problems. However, the magnitude of change and consistency in performance varied across participants. Student performance on two-step word problems embedded within one structure and combined structures was low. The NAP, Tau, LRRi, and BC-SMD effect sizes were used to quantify effects. Implications are discussed in regard to systematic replication and conditions that may impact fidelity.
许多有特殊学习障碍(SLD)的学生在解决数学问题方面存在困难。基于模式的教学(SBI)被认为是一种很有前途的SLD学生实践。目前的项目旨在测试教师在常规条件下实施SBI的效果。这扩展了先前的文献:(a)使用教师作为实施者,(b)允许干预协议的灵活性,(c)缩短干预会议的持续时间,以及(d)在小组环境中提供指导。此外,我们还测量了学生在需要两个步骤的文字问题上的解决表现。我们在三组五年级参与者(n = 7)中采用了多探针设计,在资源室设置中接受补充指导。结果表明,SBI与单步字题解题成绩之间存在函数关系。然而,参与者在表现上的变化幅度和一致性各不相同。学生在一个结构和组合结构中嵌入的两步字谜问题上的表现较低。使用NAP、Tau、LRRi和BC-SMD效应量来量化效果。讨论了可能影响保真度的系统复制和条件的含义。
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引用次数: 4
Does Reading Standardized Tests Aloud Meet the Scientific Definition of an Accommodation? 大声朗读标准化考试是否符合“适应”的科学定义?
IF 1 Q2 Social Sciences Pub Date : 2019-04-26 DOI: 10.1080/15377903.2019.1601145
Craig F Spiel, Steven W. Evans, Judith R. Harrison
Abstract The purpose of this study was to determine if reading a standardized tests aloud is an effective accommodation to address impairment associated with attention-deficit/hyperactivity disorder (ADHD) as demonstrated by a differential boost to those with ADHD relative to same aged typically developing peers and if the size of the differential boost changed over the duration of the test. Participants were 45 children in Grades 5 and 6 (58% with ADHD), who were randomly assigned to take a standardized test in silence or with a recording of the test questions and answer choices read aloud. Results indicated that reading tests aloud significantly improved the testing performance of children with ADHD and provided a differential boost relative to children without ADHD. Implications for practice and future research are discussed.
摘要:本研究的目的是确定大声朗读标准化测试是否是解决与注意力缺陷/多动障碍(ADHD)相关的障碍的有效调节,因为ADHD患者相对于同龄典型发展同伴有差异促进,以及差异促进的大小是否随着测试的持续时间而变化。参与者是45名五年级和六年级的儿童(58%患有注意力缺陷多动症),他们被随机分配在安静的环境中进行标准化测试,或者大声朗读测试问题和答案的录音。结果表明,大声朗读测试显著提高了ADHD儿童的测试成绩,并提供了相对于非ADHD儿童的差异提升。讨论了对实践和未来研究的启示。
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引用次数: 4
期刊
Journal of Applied School Psychology
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