Effects of a universal classroom behavior management program in first and second grades on young adult behavioral, psychiatric, and social outcomes.

BACKGROUND The Good Behavior Game (GBG), a method of classroom behavior management used by teachers, was tested in first- and second-grade classrooms in 19 Baltimore City Public Schools beginning in the 1985-1986 school year. The intervention was directed at the classroom as a whole to socialize children to the student role and reduce aggressive, disruptive behaviors, confirmed antecedents of later substance abuse and dependence disorders, smoking, and antisocial personality disorder. This article reports on impact to ages 19-21. METHODS In five poor to lower-middle class, mainly African American urban areas, three or four schools were matched and within each set randomly assigned to one of three conditions: (1) GBG, (2) a curriculum-and-instruction program directed at reading achievement, or (3) the standard program. Balanced assignment of children to classrooms was made, and then, within intervention schools, classrooms and teachers were randomly assigned to intervention or control. RESULTS By young adulthood significant impact was found among males, particularly those in first grade who were more aggressive, disruptive, in reduced drug and alcohol abuse/dependence disorders, regular smoking, and antisocial personality disorder. These results underline the value of a first-grade universal prevention intervention. REPLICATION: A replication was implemented with the next cohort of first-grade children with the same teachers during the following school year, but with diminished mentoring and monitoring of teachers. The results showed significant GBG impact for males on drug abuse/dependence disorders with some variation. For other outcomes the effects were generally smaller but in the predicted direction.

[1]  George W. Rebok,et al.  Building developmental and etiological theory through epidemiologically based preventive intervention trials. , 1992 .

[2]  S. Kellam,et al.  A Framework for Understanding “Evidence” in Prevention Research and Programs , 2003, Prevention Science.

[3]  D. Stram,et al.  Variance components testing in the longitudinal mixed effects model. , 1994, Biometrics.

[4]  C. Webster-Stratton.  Parent Training with Low-Income Families , 1998 .

[5]  C. Brown,et al.  Principles for Designing Randomized Preventive Trials in Mental Health: An Emerging Developmental Epidemiology Paradigm , 1999, American journal of community psychology.

[6]  C. Brown,et al.  The effect of the level of aggression in the first grade classroom on the course and malleability of aggressive behavior into middle school , 1998, Development and Psychopathology.

[7]  S. Kellam,et al.  School and Family Origins of Delinquency:Comparisons by Sex , 1983 .

[8]  D. Olds,et al.  Taking preventive intervention to scale: The nurse-family partnership * , 2003 .

[9]  Scott Naftel,et al.  No Child Left Behind Act of 2001 , 2010 .

[10]  James H. Block,et al.  1: Mastery Learning , 1976 .

[11]  A. Crijnen,et al.  Understanding Mechanisms of Change in the Development of Antisocial Behavior: The Impact of a Universal Intervention , 2005, Journal of abnormal child psychology.

[12]  D. Tingstrom,et al.  The Good Behavior Game: 1969-2002 , 2006, Behavior modification.

[13]  N. Breslow,et al.  Approximate inference in generalized linear mixed models , 1993 .

[14]  S. Kellam.  Paths Leading to Teenage Psychiatric Symptoms and Substance Use: Developmental Epidemiological Studies in Woodlawn. , 1982 .

[15]  H. Wittchen.  Reliability and validity studies of the WHO--Composite International Diagnostic Interview (CIDI): a critical review. , 1994, Journal of psychiatric research.

[16]  A Munoz,et al.  The Alive Study: A Longitudinal Study of HIV-1 Infection in Intravenous Drug Users: Description of Methods , 1991, NIDA research monograph.

[17]  B. Dohrenwend,et al.  Adversity, stress, and psychopathology , 1998 .

[18]  Dennis D. Embry,et al.  The Good Behavior Game: A Best Practice Candidate as a Universal Behavioral Vaccine , 2002, Clinical child and family psychology review.

[19]  J. Anthony,et al.  Developmental epidemiologically based preventive trials: Baseline modeling of early target behaviors and depressive symptoms , 1991, American journal of community psychology.

[20]  M. Wolf,et al.  Good behavior game: effects of individual contingencies for group consequences on disruptive behavior in a classroom. , 1969, Journal of applied behavior analysis.

[21]  A. Schwartzman,et al.  Identification of children at risk for adult schizophrenia: a longitudinal study , 1985 .

[22]  T. Kershaw.  The Effects of Educational Tracking on the Social Mobility of African Americans , 1992 .

[23]  N. Ialongo,et al.  Proximal Impact of Two First-Grade Preventive Interventions on the Early Risk Behaviors for Later Substance Abuse, Depression, and Antisocial Behavior , 1999, American journal of community psychology.

[24]  R. Wolfinger,et al.  Generalized linear mixed models a pseudo-likelihood approach , 1993 .

[25]  J. Cairney,et al.  Emergence of gender differences in depression during adolescence: national panel results from three countries. , 2002, Journal of the American Academy of Child and Adolescent Psychiatry.

[26]  P. Lewinsohn,et al.  Major depressive disorder in older adolescents: prevalence, risk factors, and clinical implications. , 1998, Clinical psychology review.

[27]  S. Guze,et al.  Childhood psychopathology and development , 1983 .

[28]  J. Anthony,et al.  Targeting early antecedents to prevent tobacco smoking: findings from an epidemiologically based randomized field trial. , 1998, American journal of public health.

[29]  D. Stoff,et al.  Handbook of antisocial behavior , 1997 .

[30]  Wei Wang,et al.  Methods for testing theory and evaluating impact in randomized field trials: intent-to-treat analyses for integrating the perspectives of person, place, and time. , 2008, Drug and alcohol dependence.

[31]  R. Kessler,et al.  Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. , 1994, Archives of general psychiatry.

[32]  Karen Bandeen-Roche,et al.  Residual Diagnostics for Growth Mixture Models , 2005 .

[33]  J. Block,et al.  Adolescent drug use and psychological health. A longitudinal inquiry. , 1990, The American psychologist.

[34]  Jeannie Oakes,et al.  Tracking and ability grouping: A structural barrier to access and achievement. , 1990 .

[35]  Richard E. Tremblay,et al.  Preventing antisocial behavior: Interventions from birth through adolescence. , 1993 .

[36]  R. Weller,et al.  Depression in children and adolescents: Does gender make a difference? , 2006, Current psychiatry reports.

[37]  R. Tibshirani,et al.  Generalized Additive Models , 1991 .

[38]  R. Parke,et al.  Exploring Family Relationships With Other Social Contexts , 1994 .

[39]  M. Ensminger,et al.  Paths to High School Graduation or Dropout: A Longitudinal Study of a First-Grade Cohort. , 1992 .

[40]  R. Kessler,et al.  Methodological studies of the Composite International Diagnostic Interview (CIDI) in the US national comorbidity survey (NCS) , 1998 .

[41]  D. Farrington,et al.  Are there any successful men from criminogenic backgrounds? , 1988, Psychiatry.

[42]  D. Farrington,et al.  Aggression and dangerousness , 1987 .

[43]  R. Silbereisen,et al.  Adolescence in context: The interplay of family, school, peers, and work in adjustment. , 1994 .

[44]  G W Rebok,et al.  The course and malleability of aggressive behavior from early first grade into middle school: results of a developmental epidemiologically-based preventive trial. , 1994, Journal of child psychology and psychiatry, and allied disciplines.

[45]  J. Eddy,et al.  The prevention of antisocial behavior: Some considerations in the search for effective interventions. , 1997 .

[46]  D. Cicchetti.  Childhood depression: A developmental perspective , 1984 .

[47]  F. Dominici,et al.  On the use of generalized additive models in time-series studies of air pollution and health. , 2002, American journal of epidemiology.

[48]  T. M. Grant.  The legal and psychological implications of tracking in education. , 1991 .

[49]  E. G. Pekarik,et al.  The Pupil Evaluation Inventory. A Sociometric Technique for Assessing Children's Social Behavior. , 1976 .

[50]  P. Chamberlain,et al.  A comparative evaluation of a parent-training program. , 1982 .

[51]  S. Mednick,et al.  Prospective studies of crime and delinquency , 1983 .

[52]  L. Robins.  Sturdy childhood predictors of adult antisocial behaviour: replications from longitudinal studies , 1978, Psychological Medicine.

[53]  Jeanne M. Poduska,et al.  Impact of the Good Behavior Game, a universal classroom-based behavior intervention, on young adult service use for problems with emotions, behavior, or drugs or alcohol. , 2008, Drug and alcohol dependence.

[54]  M. First,et al.  The Structured Clinical Interview for DSM-III-R (SCID). I: History, rationale, and description. , 1992, Archives of general psychiatry.

[55]  S. Wood.  Low‐Rank Scale‐Invariant Tensor Product Smooths for Generalized Additive Mixed Models , 2006, Biometrics.

[56]  Joseph L Schafer,et al.  Analysis of Incomplete Multivariate Data , 1997 .

[57]  B. Muthén,et al.  Developmental epidemiological courses leading to antisocial personality disorder and violent and criminal behavior: effects by young adulthood of a universal preventive intervention in first- and second-grade classrooms. , 2008, Drug and alcohol dependence.

[58]  Yuedong Wang.  Mixed effects smoothing spline analysis of variance , 1998 .

[59]  John I. Goodlad,et al.  Access to knowledge : an agenda for our nation's schools , 1992 .

[60]  R. Prinz,et al.  Preventing School Violence: Plenary Papers of the 1999 Conference on Criminal Justice Research and Evaluation--Enhancing Policy and Practice through Research, Volume 2. National Institute of Justice Research Forum. , 2000 .

[61]  S. Hans,et al.  Interpersonal behavior of children at risk for schizophrenia. , 1992, Psychiatry.

[62]  D. Koretz,et al.  Core Elements of Developmental Epidemiologically Based Prevention Research , 1999, American journal of community psychology.

[63]  D. Cicchetti,et al.  Toward a transactional model of childhood depression , 1984 .

[64]  J. Mccord.  Parental behavior in the cycle of aggression. , 1988, Psychiatry.

[65]  George W. Rebok,et al.  The short-term impact of two classroom-based preventive interventions on aggressive and shy behaviors and poor achievement , 1993 .

[66]  C. Ramey,et al.  Teacher and Student Behavior in High- and Low-Ability Groups. , 1983 .

[67]  C. H. Brown,et al.  Statistical methods for preventive trials in mental health. , 1993, Statistics in medicine.

[68]  Thomas J. Dishion,et al.  Deviancy training in male adolescent friendships , 1996 .

[69]  J. Neale,et al.  The pupil evaluation inventory , 1976, Journal of abnormal child psychology.

[70]  J. Anthony,et al.  The impact of two universal randomized first- and second-grade classroom interventions on young adult suicide ideation and attempts. , 2008, Drug and alcohol dependence.

[71]  M. Folstein,et al.  The epidemiology of psychiatrist-ascertained depression and DSM-III depressive disorders Results from the Eastern Baltimore Mental Health Survey Clinical , 1992, Psychological Medicine.

[72]  Katherine E. Masyn,et al.  General growth mixture modeling for randomized preventive interventions. , 2001, Biostatistics.

[73]  S. Kellam,et al.  Effect of first-grade classroom environment on shy behavior, aggressive behavior, and concentration problems , 1991, American journal of community psychology.

[74]  Delbert S. Elliott,et al.  Issues in Disseminating and Replicating Effective Prevention Programs , 2004, Prevention Science.

[75]  N. Ialongo,et al.  Depressive symptoms over first grade and their response to a developmental epidemiologically based preventive trial aimed at improving achievement , 1994, Development and Psychopathology.

[76]  David M. Murray,et al.  Design and Analysis of Group- Randomized Trials , 1998 .

[77]  R. Turner,et al.  Psychiatric and substance use disorders in South Florida: racial/ethnic and gender contrasts in a young adult cohort. , 2002, Archives of general psychiatry.

[78]  S. Kellam,et al.  Mental health and going to school : the Woodlawn program of assessment, early intervention, and evaluation , 1975 .

[79]  C. Webster-Stratton.  Systematic comparison of consumer satisfaction of three cost-effective parent training programs for conduct problem children , 1989 .

[80]  J. Matson,et al.  The Good Behavior Game: A Token Reinforcement System for Preschoolers , 1993 .

[81]  D. Hallfors,et al.  Will the 'principles of effectiveness' improve prevention practice? Early findings from a diffusion study. , 2002, Health education research.

[82]  J. Reid.  Prevention of conduct disorder before and after school entry: Relating interventions to developmental findings , 1993, Development and Psychopathology.

[83]  S. Eyberg,et al.  Parent-Child Interaction Therapy With Behavior Problem Children: Generalization of Treatment Effects to the School Setting , 1991 .

[84]  R. Catalano,et al.  Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: implications for substance abuse prevention. , 1992, Psychological bulletin.

[85]  Alan Agresti,et al.  Categorical Data Analysis , 1991, International Encyclopedia of Statistical Science.

[86]  J. Block,et al.  Longitudinally foretelling drug usage in adolescence: early childhood personality and environmental precursors. , 1988, Child development.