减少课堂上的干扰和分心行为:评估证据基础。

IF 3.3 3区 医学 Q1 HEALTH POLICY & SERVICES Psychiatric services Pub Date : 2024-09-01 Epub Date: 2024-05-13 DOI:10.1176/appi.ps.20230543
Tina Marshall, Tabitha Hoey, Neha Rao, Jeffrey Taylor, Preethy George, Sushmita Shoma Ghose, John Cosgrove, Nikhil A Patel
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引用次数: 0

摘要

目的:课堂上的干扰和分心行为,从偏离任务到攻击性行为,都会对学生的学业参与度和成绩产生负面影响,并可能导致更严重的问题,包括心理健康问题和药物使用障碍。本系统性综述的目标是采用既定的评级标准,评估旨在预防或减少课堂破坏性行为和分散注意力行为的干预措施的证据水平;确定多种干预措施的共同方案组成部分;综合不同种族-族裔群体学生的证据;并对这些干预措施进行经济分析:方法:对主要数据库、灰色文献和证据基础登记处进行了检索,以确定 2008 年至 2022 年间发表的研究。作者根据取得积极成果的研究数量和严谨性,将干预措施的有效性证据水平分为高、中、低三个等级:在 65 项研究(N=73 篇文章)中确定的 27 项干预措施中,有 6 项干预措施获得了高度或中度证据评级。良好行为游戏 "是最常被研究的干预措施。许多干预措施都有类似的计划内容,包括行为管理、课堂管理、情绪认知过程和技能学习。大多数文章(86%)的研究对象是小学生。在种族-民族多元化的学校环境中进行的研究中,被评为高度有效的四项干预措施也显示出普遍积极的效果。没有研究符合纳入经济分析的标准:随着更多的使用和更多的研究,以减少破坏性行为和分心行为为重点的干预措施有可能促进学生的健康和预防心理健康问题。
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Reducing Disruptive and Distracting Behaviors in the Classroom: Assessing the Evidence Base.

Objective: Disruptive and distracting behaviors in the classroom, from off-task to aggressive behaviors, negatively affect academic engagement and achievement and can lead to more serious problems, including mental health conditions and substance use disorders. The goals of this systematic review were to assess the level of evidence, using established rating criteria, for interventions aimed at preventing or reducing disruptive and distracting classroom behaviors; identify program components common to multiple interventions; synthesize the evidence in regard to students from different racial-ethnic groups; and conduct an economic analysis of these interventions.

Methods: A search of major databases, gray literature, and evidence base registries was conducted to identify studies published between 2008 and 2022. The authors rated interventions as having high, moderate, or low levels of evidence of effectiveness on the basis of the number and rigor of studies with positive outcomes.

Results: Of the 27 interventions identified across 65 studies (N=73 articles), six interventions received a high or moderate evidence rating. The Good Behavior Game was the most frequently studied intervention. Many interventions shared similar program components, including behavioral management, classroom management, emotional-cognitive processes, and skills acquisition. Most articles (86%) were focused on elementary school students. The four interventions rated as having high evidence of effectiveness also showed generally positive outcomes in studies conducted in school settings with racial-ethnic diversity. No studies met the criteria for inclusion in an economic analysis.

Conclusions: With greater use and more research, interventions focusing on reducing disruptive and distracting behaviors have the potential to promote student well-being and prevent mental health conditions.

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来源期刊
Psychiatric services
Psychiatric services 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.80
自引率
7.90%
发文量
295
审稿时长
3-8 weeks
期刊介绍: Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.
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