The Effectiveness of a Community-Based Mentoring Program for Children Aged 5–11 Years: Results from a Randomized Controlled Trial
Autor: | Sarah Blower, Obioha C Ukoumunne, Georgina Warner, Zoe Wrigley, Lucy Brook, Rod S Taylor, Angeliki Kallitsoglou, Laura Whybra, Gretchen Bjornstad, Vashti Louise Berry, Nick Axford, Tim Hobbs, Tim Eames, Justin Matthews |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Male
Parents medicine.medical_specialty Randomization Effectiveness research Emotions Child Behavior 050109 social psychology Early intervention Pediatrics Article law.invention Superiority Trial Randomized controlled trial law Intervention (counseling) London Health Sciences medicine Humans 0501 psychology and cognitive sciences Child Applied Psychology Public health 05 social sciences Public Health Environmental and Occupational Health Mentoring Pediatrik Strengths and Difficulties Questionnaire Hälsovetenskaper Tillämpad psykologi Educational attainment Health psychology Mental Health Child Preschool Behavioral and emotional problems Female Psychology 050104 developmental & child psychology Clinical psychology |
Zdroj: | Prevention Science |
ISSN: | 1573-6695 1389-4986 |
Popis: | The study, a two-arm, randomized controlled, parallel group, superiority trial, aimed to evaluate the implementation and effectiveness of a 12-month one-to-one volunteer mentoring program designed to improve behavioral and emotional outcomes in children aged 5 to 11 years who have teacher- and parent/carer-reported behavioral difficulties. Participants were 246 children (123 intervention, 123 control; mean age 8.4 years; 87% boys) in five sites in London, UK, scoring in the “abnormal” range on the teacher-rated Strengths and Difficulties Questionnaire (SDQ) Total Difficulties measure and in the “borderline” or abnormal range on the parent-rated SDQ Total Difficulties measure. Randomization on a 1:1 ratio took place using a computer-generated sequence and stratifying by site. Data collectors and statisticians were blind to participant allocation status. Outcome measures focused on parent- and teacher-rated child behavior and emotions, and child-rated self-perception and hope. Intention-to-treat analysis on all 246 randomized participants (using imputed data where necessary) showed that at post-intervention (16 months after randomization), there were no statistically significant effects on the primary outcome—parent-rated SDQ Total Difficulties (adjusted standardized mean difference = − 0.12; 95% CI: −0.38 to 0.13; p = 0.33)—or any secondary outcomes. Results from complier average causal effect (CACE) analysis using the primary outcome indicated the intervention was not effective for children who received the recommended duration of mentoring. Exploratory analyses found no sub-group effects on the primary outcome. The article concludes that the mentoring program had no effect on children’s behavior or emotional well-being, and that program content needs revising to satisfactorily address key risk and protective factors. Electronic supplementary material The online version of this article (10.1007/s11121-020-01132-4) contains supplementary material, which is available to authorized users. |
Databáze: | OpenAIRE |
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