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

Substance Abuse Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04711681
• Other study ID #: 1R01DA019037-01A1
• Status: Completed
• Phase: N/A
• Start date: August 2006
• Est. completion date: March 24, 2015

Study information

• Verified date: January 2021
• Source: University of Oregon
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Description:

The specific aims for the project are as follows:

1. 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).

1. The PBS intervention group is expected to improve school behavior management practices compared to the control group.

2. School climate is expected to improve in the PBS intervention group compared to the control group.

3. 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.

4. 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.

2. 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:

1. Assess the degree of fidelity of implementation of all PBS intervention aspects.

2. 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.

3. Provide further information about the specific facets of PBS associated with particular outcomes.

4. 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.

3. 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:

1. Inadequate behavior management practices in middle schools contribute to aggressive and disruptive behavior among students in those schools.

2. Schools with high levels of aggression and harassment make the formation of deviant peer groups more likely.

3. 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).

4. 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.

5. 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:

1. Assess the validity of the ODR by examining both the concurrent and longitudinal relationships of the ODR with student self-report measures of problems.

2. Examine the significance of reductions in ODR's for PBS intervention schools and students.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 13498
• Est. completion date: March 24, 2015
• Est. primary completion date: March 24, 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 11 Years to 15 Years

Eligibility

Inclusion Criteria:

• All students and teachers in the school

Exclusion Criteria:

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

Related Conditions & MeSH terms

• Mental Health
• Substance Abuse
• Substance-Related Disorders

Intervention

Behavioral:
• Positive Behavior Supports in Middle Schools
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)
• Positive Behavior Supports in Middle Schools
1 days PBS training for school team and informational presentation to whole staff Attend 2-3 PBS team meetings (coaching) Data-based feedback (limited)

Locations

Country	Name	City	State
United States	University of Oregon	Eugene	Oregon

Sponsors (3)

Lead Sponsor	Collaborator
University of Oregon	National Institute on Drug Abuse (NIDA), Oregon Research Institute

Country where clinical trial is conducted

United States, 

References & Publications (3)

Biglan, A., Ross, S., & Sprague, J. (2009). The role of Experiential Avoidance in the wellbeing of middle school teachers. Manuscript in preparation.

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). doi: 10.1002/pits.20562. — View 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.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Antisocial behavior Depression Disruptive behavior Deviant peer association Student feelings of safety		Four years
Primary	Peer to Peer Harassment		Four Years
Primary	Direct observation of rates of problem behavior, teacher-student interactions in common areas and classrooms. Ratings of climate in randomly selected classrooms.		Four Years
Secondary	Office Discipline Referrals		Four Years
Secondary	School demographics (size, racial makeup, academic achievement scores, attendance)		Four years
Secondary	Suspensions and expulsions		Four years