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Implementing School Wide PBS in Middle Schools: The Foundation for Effective Prevention

Primary Purpose

Substance Abuse, Mental Health

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Positive Behavior Supports in Middle Schools
Positive Behavior Supports in Middle Schools
Sponsored by
University of Oregon
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Substance Abuse focused on measuring Randomized Controlled Trials, Behavioral Research

Eligibility Criteria

11 Years - 15 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • All students and teachers in the school

Exclusion Criteria:

  • Any students or teachers who decline consent (passive or active)

Sites / Locations

  • University of Oregon

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

PBS1

PBS 2

Arm Description

This group will recieve an "enhanced" PBS intervention.

This group will receive "standard" PBS with fewer training and coaching sessions than PBS 1.

Outcomes

Primary Outcome Measures

Antisocial behavior Depression Disruptive behavior Deviant peer association Student feelings of safety
Peer to Peer Harassment
Direct observation of rates of problem behavior, teacher-student interactions in common areas and classrooms. Ratings of climate in randomly selected classrooms.

Secondary Outcome Measures

Office Discipline Referrals
School demographics (size, racial makeup, academic achievement scores, attendance)
Suspensions and expulsions

Full Information

First Posted
March 24, 2014
Last Updated
January 12, 2021
Sponsor
University of Oregon
Collaborators
National Institute on Drug Abuse (NIDA), Oregon Research Institute
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1. Study Identification

Unique Protocol Identification Number
NCT04711681
Brief Title
Implementing School Wide PBS in Middle Schools: The Foundation for Effective Prevention
Official Title
Implementing School Wide PBS in Middle Schools: The Foundation for Effective Prevention
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Completed
Study Start Date
August 2006 (Actual)
Primary Completion Date
March 24, 2015 (Actual)
Study Completion Date
March 24, 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Oregon
Collaborators
National Institute on Drug Abuse (NIDA), Oregon Research Institute

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The research study will experimentally evaluate the impact of PBS on early adolescent development through a randomized control trial involving 36 middle schools. The impact of PBS on school staff discipline practices and student behavior will be evaluated. The study will examine whether the likely reductions in negative behavior in school are accompanied by reductions in peer harassment and victimization, peer rejection, deviant peer formation, and the development of antisocial behavior, substance use, high risk sexual behavior, and depression.
Detailed Description
The specific aims for the project are as follows: Evaluate the effects of the PBS intervention in a group-randomized trial in which middle schools are assigned to receive systematic training and consultation in the implementation of PBS or a one-day workshop on PBS (the control group). The PBS intervention group is expected to improve school behavior management practices compared to the control group. School climate is expected to improve in the PBS intervention group compared to the control group. Problem behaviors and deviant peer group formation are expected to decrease for students in the PBS intervention group compared to those in the control group. The development of problem behavior in later adolescence is expected to be lessened for the PBS intervention students compared to those in the control group. The effects of the intervention will be assessed through staff, student, and observer reports of discipline practices in schools. The investigators will assess changes in the frequency of in-school problem behaviors as measured by student reports, office discipline referrals, and out-of-school suspensions. Measures of student and teacher perception of the quality of school climate will include student reports of harassment and teacher reports of burnout. Formation of deviant peer groups will be assessed through student reports of their peer affiliation. Finally, adolescents' development of problems will be assessed over as many as five years through annual surveys of antisocial behavior, substance use, high risk sexual behavior, and depression. Assess the differential impact of intervention fidelity on targeted outcomes. No real-world implementation of a preventive intervention can be expected to be implemented with perfect fidelity in every school. The study will: Assess the degree of fidelity of implementation of all PBS intervention aspects. Examine the relationship of fidelity to changes in each of the targeted outcomes: discipline practices, in-school problem behavior, peer relations, deviant peer group formation, and adolescent problems. Provide further information about the specific facets of PBS associated with particular outcomes. To the extent that fidelity is related to outcome, above the simple relationship between condition assignment and outcome, it will strengthen the investigators confidence in the efficacy of PBS practices. Test a model of the influence of middle school discipline practices on the development of adolescent problems. The model, which is specified in Figure 1 and the following pages, posits that: Inadequate behavior management practices in middle schools contribute to aggressive and disruptive behavior among students in those schools. Schools with high levels of aggression and harassment make the formation of deviant peer groups more likely. Escalating aggressive behavior, harassment, and deviant peer group formation then contribute to the development of a range of problems in both school and non-school settings including antisocial behavior, substance use, depression, and high risk sexual behavior. The model will be tested using state of the art hierarchical linear modeling (e.g., Singer & Willett, 2003). Assess the maintenance of the PBS intervention after termination of training and technical assistance. It is unlikely that effective behavior management will be implemented and maintained, unless the school-as an organization-has adopted a system that is supported by all staff and used in every setting (Gottfredson, Gottfredson & Czeh, 2000; Sprague, Walker, Golly et al., 2001). Research is needed, however, on the extent to which the PBS system, once implemented is maintained. The present project will provide evidence about the degree to which PBS is maintained and identify the school characteristics that are associated with its maintenance. Assess the relationship of Office Discipline Referral data to adolescents' reports of their engagement in diverse problems. Office Discipline Referrals (ODR) have been widely used to evaluate PBS interventions. PBS typically produces substantial reductions in ODR's (e.g., Metzler, Biglan, et al. 2001; Taylor-Green et al., 1997; Sprague, Walker, Golly, White & Myers, 2001). However, little is known about the relationship between the ODR measure and other measures of adolescent problems (Irvin, Tobin, Sprague, Sugai, & Vincent, 2004). The proposed project will: Assess the validity of the ODR by examining both the concurrent and longitudinal relationships of the ODR with student self-report measures of problems. Examine the significance of reductions in ODR's for PBS intervention schools and students.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Substance Abuse, Mental Health
Keywords
Randomized Controlled Trials, Behavioral Research

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
This study aimed to experimentally evaluate the impact of school wide Positive Behavior Interventions and Supports (SWPBIS) on early adolescent development through a randomized control trial involving 35 middle schools in the Pacific Northwest. The impact of two levels of SWPBIS training and technical assistance on school discipline practices and student behavior was evaluated.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
13498 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PBS1
Arm Type
Experimental
Arm Description
This group will recieve an "enhanced" PBS intervention.
Arm Title
PBS 2
Arm Type
Active Comparator
Arm Description
This group will receive "standard" PBS with fewer training and coaching sessions than PBS 1.
Intervention Type
Behavioral
Intervention Name(s)
Positive Behavior Supports in Middle Schools
Intervention Description
2-4 days SWPBS training for school team and 1-2 days for whole staff training (SW and Classroom Management). Use staff release days for whole staff training. Schedule up to four meetings with the PBS team 1K/School is to fund part or whole day training meeting with PBS team Schedule whole staff training per school year staff release days Enhanced Intervention Family Support Universal -- parent education and invitation Selective -- Family Check up School Intervention ACT for teachers PBS Calendar Kernel Recipes (Treatment) Reminder Emails Brochures Weekly phone contact (Treatment)
Intervention Type
Behavioral
Intervention Name(s)
Positive Behavior Supports in Middle Schools
Intervention Description
1 days PBS training for school team and informational presentation to whole staff Attend 2-3 PBS team meetings (coaching) Data-based feedback (limited)
Primary Outcome Measure Information:
Title
Antisocial behavior Depression Disruptive behavior Deviant peer association Student feelings of safety
Time Frame
Four years
Title
Peer to Peer Harassment
Time Frame
Four Years
Title
Direct observation of rates of problem behavior, teacher-student interactions in common areas and classrooms. Ratings of climate in randomly selected classrooms.
Time Frame
Four Years
Secondary Outcome Measure Information:
Title
Office Discipline Referrals
Time Frame
Four Years
Title
School demographics (size, racial makeup, academic achievement scores, attendance)
Time Frame
Four years
Title
Suspensions and expulsions
Time Frame
Four years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
11 Years
Maximum Age & Unit of Time
15 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: All students and teachers in the school Exclusion Criteria: Any students or teachers who decline consent (passive or active)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jeffrey R Sprague, Ph.D.
Organizational Affiliation
University of Oregon
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Julie C Rusby, Ph.D.
Organizational Affiliation
Oregon Research Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Oregon
City
Eugene
State/Province
Oregon
ZIP/Postal Code
97403
Country
United States

12. IPD Sharing Statement

Citations:
Citation
Biglan, A., Ross, S., & Sprague, J. (2009). The role of Experiential Avoidance in the wellbeing of middle school teachers. Manuscript in preparation.
Results Reference
background
PubMed Identifier
24363461
Citation
Rusby JC, Crowley R, Sprague J, Biglan A. OBSERVATIONS OF THE MIDDLE-SCHOOL ENVIRONMENT: THE CONTEXT FOR STUDENT BEHAVIOR BEYOND THE CLASSROOM. Psychol Sch. 2011 Apr;48(4):10.1002/pits.20562. doi: 10.1002/pits.20562. No abstract available.
Results Reference
background
Citation
Sprague, J., Stieber, S., Smith, S. Rusby, J., & Biglan, A. (in preparation). An analysis of two methods for assessing intervention fidelity of School-Wide PBS. Eugene, OR: University of Oregon.
Results Reference
background

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Implementing School Wide PBS in Middle Schools: The Foundation for Effective Prevention

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