Description and Immediate Impacts of a Preventive Intervention for Conduct Problems

Oregon Prevention Research Center, Oregon Social Learning Center
American Journal of Community Psychology (Impact Factor: 1.74). 07/1999; 27(4):483-518. DOI: 10.1023/A:1022181111368
Source: PubMed


A population-based randomized intervention trial for the prevention of conduct problems (i.e., oppositional defiant disorder and conduct disorder) is described. The LIFT (Linking the Interests of Families and Teachers) intervention was designed for all first- and fifth-grade elementary school boys and girls and their families living in at-risk neighborhoods characterized by high rates of juvenile delinquency. The 10-week intervention strategy was carefully targeted at proximal and malleable antecedents in three social domains that were identified by a developmental model of conduct problems. From 12 elementary schools, 671 first and fifth graders and their families participated either in the theory-based universal preventive intervention or in a control condition. The intervention consisted of parent training, a classroom-based social skills program, a playground behavioral program, and systematic communication between teachers and parents. A multiple measure assessment strategy was used to evaluate participant satisfaction and participation, fidelity of implementation, and the immediate impacts of the program on targeted antecedents.

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    • "Overall, evidence for the effectiveness of universal preventions is mixed – there were several positive findings, but also some null effects, as well as evidence that the universal prevention programs did not yield more beneficial effects compared with control conditions.53,54 Some evidence indicated that universal preventions may only be effective26,56 or may be especially effective50,51,58 for reducing mental and behavioral health problems among children displaying the highest levels of mental health issues. This interaction effect suggests that targeting interventions for youth who are at risk for mental and behavioral health problems may be a more efficient and productive strategy.60 "
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    • ") situated in neighborhoods with high levels of juvenile arrests relative to the local area (Reid et al., 1999). Six schools participated in the universal prevention condition (10 weeks), and six schools served as controls. "
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    • "Participants The trial recruited first and fifth graders and their families from 12 local elementary schools to participate in the study. Children and families in the study reflected the local demographics which consisted of residents who were primarily Caucasian and from lower to middle classes (for more information, see Reid et al., 1999 "
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    ABSTRACT: Over the past two decades, the number of children with parents in prison has increased substantially. Using structural equation modeling with prospective longitudinal data gathered as part of the ongoing Linking the Interests of Families and Teachers (LIFT) trial, the study tests a theoretical model which examines the direct and indirect relationships of four specific domains (parental incarceration, social advantage, parent mental and physical health, effective parenting) as they relate to youth antisocial behavior in the 5th, 8th, and 10th grades. Across all three grades, the relationship between parental incarceration and youth antisocial behaviors was mediated through a complex set of both direct and indirect pathways involving social advantage, parent health, and effective parenting. The total amount of variation explained by the models for youth externalizing ranged from .60 (in 5th grade) to .21 (in 10th grade). The total effects in all the refined models were small.
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