Effectiveness of Behavioral Preschool Teacher Training for Externalizing

NCT03967509 | Completed DMC

• 2 other identifiers: SSA: DNR 3.2-0665/200900-86/2009-36
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

A cluster randomized controlled pre-post effectiveness trial of behavioral preschool teacher training (BPTT) delivered in a practitioner assisted group format for children with externalizing behavior problems. Preschools were randomized to either intervention in 25 preschools or as 22 waiting list control preschools, where teachers in preschool classes with the target child or children were program receivers. Participants were 100 target children 3-5 years old together with 72 enrolled preschool teachers and 83 parents as informants of behavioral outcomes after a five months period of implementation (at six months). The intervention was part of the Swedish evidence-based parent and teacher training programs (Comet) for children and youth with elevated externalizing behavior, and here an adapted version was tried in preschool for the first time. Also investigated was eventual generalized effects to the children's homes and improved social competence as an intermediate mechanism for reduced problem behavior. Effects of implementation fidelity in addition to social acceptability and relevance, such as reliable change, was investigated as well.

Conditions

Attention Deficit and Disruptive Behavior Disorders; Problem Behavior; Attention Deficit Disorder With Hyperactivity

Keywords

Externalizing behavior problems; Social competence; School readiness; Teacher management training; Cluster randomized effectiveness trial

Outcome Measures

Primary Outcomes (3)

• Sutter-Eyberg Student Behavior Inventory (SESBI)

  A rating scale for teachers measuring child externalizing behaviors. The two subscales Intensity (range 38-266) representing frequency, severity, or level of problem behaviors occurring from never (1) to always (7) and Problem (range 0-38) reflecting behaviors that are perceived as problems or not are reported independently. Higher values indicate more externalizing behaviors or more problems.

  Change measures: baseline (pre) and after 6 months (post).

• Eyberg Child Behavior Inventory (ECBI)

  A rating scale for parents measuring child externalizing behaviors. The two subscales Intensity (range 36-252) representing frequency, severity, or level of problem behaviors occurring from never (1) to always (7) and Problem (range 0-36) reflecting behaviors that are perceived as problems or not are reported independently. Higher values indicate more externalizing behaviors or more problems.

  Change measures: baseline (pre) and after 6 months (post).

• Social Competence Scale (SCS)

  A rating scale for teachers and parents estimating child prosocial behavior, communicative skills, and self-control containing two 5-point subscales with six items each; Prosocial (e.g., solve conflicts, share, helpful, listen, not bossy) and Emotional regulation (e.g., can accept a failure, calm down, think before acting, control temper). The total score may vary between 12 and 60. Higher values indicate better social competence.

  Change measures: baseline (pre) and after 6 months (post).

Secondary Outcomes (1)

• Strengths and Difficulties Questionnaire (SDQ) Supplement - Impact and Burden

  Change measures: baseline (pre) and after 6 months (post).

Other Outcomes (6)

• Credibility/Expectancy Questionnaire

  At baseline (pre).

• Program fidelity, teacher

  Reported per 9 biweekly sessions after intervention at 5 months.

• Program fidelity and teacher reliability check, supervisor

  After intervention at 5 months.

Study Arms (2)

Behavioral teacher training

EXPERIMENTAL

Behavioral preschool teacher training (BPTT) delivered in an educational group format during nine 2,5-hour biweekly sessions with training at sessions and in between followed by supervisor's feedback on the practice and two optional coaching occasions on the spot.

Behavioral: Comet

Waiting list control group

NO INTERVENTION

Preschool teachers worked with children as usual.

Interventions

Comet BEHAVIORAL

Also known as: Comet in group format

Behavioral teacher training

Eligibility Criteria

• Age: 3 Years - 5 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Elevated level of externalizing behavior
• Exceeding cutoff value 11 on the Strengths and Difficulties Questionnaire, total scale

Sponsors & Collaborators

• Uppsala University: lead
• The Social Services Administration: collaborator
• Ministry of Health and Social Affairs, Sweden: collaborator

Study Sites (1)

Komet [Comet] Programs

Stockholm, Johanneshov, 121 62, Sweden

Location

Related Publications (15)

• Eyberg, S., Pincus, D. Eyberg Child behavior Inventory (ECBI) and Sutter-Eyberg Student Behavior Inventory-Revised (SESBI-R). Professional manual. Odessa, Florida: PAR, 1999.

  BACKGROUND

• Conduct Problems Prevention Research Group. Social Competence Scale (Parent), 1995. Retrieved from the Fast Track Project: http://www.fasttrackproject.org

  BACKGROUND

• Kling A, Forster M, Sundell K, Melin L. A randomized controlled effectiveness trial of parent management training with varying degrees of therapist support. Behav Ther. 2010 Dec;41(4):530-42. doi: 10.1016/j.beth.2010.02.004. Epub 2010 Oct 1.

  PMID: 21035616 RESULT

• Enebrink P, Hogstrom J, Forster M, Ghaderi A. Internet-based parent management training: a randomized controlled study. Behav Res Ther. 2012 Apr;50(4):240-9. doi: 10.1016/j.brat.2012.01.006. Epub 2012 Jan 30.

  PMID: 22398153 RESULT

• Forster, M., Sundell, K., Morris, R, Karlberg, M., Melin, L. A randomized controlled trial of a standardized behavior management intervention for students with externalizing behavior. Journal of Emotional and Behavioral Disorders, 20(3): 169-183, 2012

  RESULT

• Forster, M., Kling, Å., Sundell, K. Clinical significance of parent training for children with conduct problems. International Journal of Conflict and Violence, 6(2): 187-200, 2012.

  RESULT

• Ghaderi A, Kadesjo C, Bjornsdotter A, Enebrink P. Randomized effectiveness Trial of the Family Check-Up versus Internet-delivered Parent Training (iComet) for Families of Children with Conduct Problems. Sci Rep. 2018 Jul 31;8(1):11486. doi: 10.1038/s41598-018-29550-z.

  PMID: 30065246 RESULT

• Hogstrom J, Olofsson V, Ozdemir M, Enebrink P, Stattin H. Two-Year Findings from a National Effectiveness Trial: Effectiveness of Behavioral and Non-Behavioral Parenting Programs. J Abnorm Child Psychol. 2017 Apr;45(3):527-542. doi: 10.1007/s10802-016-0178-0.

  PMID: 27334706 RESULT

• Stattin H, Enebrink P, Ozdemir M, Giannotta F. A national evaluation of parenting programs in Sweden: The short-term effects using an RCT effectiveness design. J Consult Clin Psychol. 2015 Dec;83(6):1069-1084. doi: 10.1037/a0039328. Epub 2015 May 25.

  PMID: 26009784 RESULT

• Goodman R. The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry. 1997 Jul;38(5):581-6. doi: 10.1111/j.1469-7610.1997.tb01545.x.

  PMID: 9255702 RESULT

• Goodman R. The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burden. J Child Psychol Psychiatry. 1999 Jul;40(5):791-9.

  PMID: 10433412 RESULT

• Goodman R. Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry. 2001 Nov;40(11):1337-45. doi: 10.1097/00004583-200111000-00015.

  PMID: 11699809 RESULT

• Malmberg M, Rydell AM, Smedje H. Validity of the Swedish version of the Strengths and Difficulties Questionnaire (SDQ-Swe). Nord J Psychiatry. 2003;57(5):357-63. doi: 10.1080/08039480310002697.

  PMID: 14522609 RESULT

• Axberg U, Johansson Hanse J, Broberg AG. Parents' description of conduct problems in their children - a test of the Eyberg Child Behavior Inventory (ECBI) in a Swedish sample aged 3-10. Scand J Psychol. 2008 Dec;49(6):497-505. doi: 10.1111/j.1467-9450.2008.00670.x. Epub 2008 Aug 12.

  PMID: 18705675 RESULT

• Conduct Problems Prevention Research Group. Social Competence Scale (Parent) - Technical reports, 1995-2002. Retrieved from: http://www.fasttrackproject.org

  RESULT

MeSH Terms

Conditions

Attention Deficit and Disruptive Behavior Disorders; Problem Behavior; Attention Deficit Disorder with Hyperactivity; Social Skills

Interventions

Comet Assay

Condition Hierarchy (Ancestors)

Neurodevelopmental Disorders; Mental Disorders; Behavioral Symptoms; Behavior; Child Behavior; Social Behavior

Intervention Hierarchy (Ancestors)

Electrophoresis, Agar Gel; Electrophoresis; Chemistry Techniques, Analytical; Investigative Techniques; Electrochemical Techniques; Mutagenicity Tests; Genetic Techniques; Toxicity Tests

Study Officials

• Åsa K Kling, PhD student

  Uppsala University

  PRINCIPAL INVESTIGATOR

• Mats Fredrikson, Professor

  Uppsala University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Preschools randomized to either behavioral teacher training or as waiting list control preschools.

Study Record Dates

• First Submitted: May 24, 2019
• First Posted: May 30, 2019
• Study Start: August 18, 2008
• Primary Completion: February 3, 2011
• Study Completion: February 3, 2011
• Last Updated: June 20, 2019

Record last verified: 2019-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, CSR
• Time Frame: Three months after publication and five years hereafter.
• Access Criteria: If similar type of data including measures (all IPD) are available elsewhere, and it is possible to aggregate data, then a data collaboration project might be a possibility.

Locations

SE (1)