Evidence-based parent and family interventions in school psychology: A commentary.

Do the authors provide us with convincing evidence that parent and family interventions change children's behavior and learning at school? The answer is not a simple or straightforward one. First off, there appears to be more support for interventions that are part of a multi-component program, that are highly focused in scope, and that entail active collaboration between parents, students, and the schools; hence, more support appears to be available for family/parent consultation and family-school collaboration/partnership programs than for the more unidirectional and limited parent education and parent involvement programs. Second, although 100 studies are examined, it is readily apparent that the studies reported on in the various reviews are characterized by numerous methodological shortcomings that compromise their scientific integrity and the conclusions we can safely draw from them. Third, it is evident that nearly all of the efficacious treatments are behavior or cognitive-behavioral ones. Fourth and finally, it will be important to begin to identify the students, families, and schools that are most likely to benefit from the various interventions and to examine the specific mechanisms of change in each of the proposed interventions. In sum, it seems safe to conclude that evidentiary support for the effectiveness of parent and family interventions in school psychology is mixed at best. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Evidence-based parent and family interventions in school psychology: State of scientifically based practice.

The purpose of this special issue was to examine the scientific base that supports the use of parent and family interventions that are implemented in schools or coordinated with school settings, and to demonstrate a change in the school-related behaviors and learning problems of children and youth. Reviews have been conducted in the six sub-domains: parent education, parent involvement, parent consultation, family-school collaboration/partnership, family systems therapy and parent training, and early childhood family-focused interventions. To our knowledge this is the first time standard criteria have been applied across these subdomains to examine the empirical base for the broader family and parent intervention domain. From this review, it would be erroneous to conclude that there is no evidence for the use of parent and family interventions as methods for changing the school-related behavior and learning problems of children and youth. From this review, it is evident that parent and family interventions are multidimensional. In this review, we asked the question, "Do we find evidence that parent and family interventions change children's behavior and learning at school?" Our answer is "yes, but." (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Evidence-based parent and family interventions in school psychology: Overview and procedures.

This special issue, entitled "Evidence-Based Parent and Family Interventions in School Psychology," examines the data that support the use of interventions as methods for changing children's school-related behavior and learning problems. Taken together, the articles reflect the work of the Parent and Family Intervention domain of the Evidence-Based Interventions in School Psychology Task Force. Across the articles in this special issue, the categories of coding criteria in the Manual were used to organize the presentation of results. Six review articles on the evidence base for parent and family intervention appear next; these are followed by commentary from distinguished scholars and a brief reflective comment from the special issue editors. Parent intervention is the exclusive focus of the reviews of parent education and parent consultation. Two reviews focus on the home-school relationship including the articles on parent involvement and home-school collaboration. Two reviews include both parent and family treatments: early childhood family-focused interventions and parent training and family systems interventions. Commentary was sought from the current co-chairs of the Task Force, an expert in evidence-based practice in child clinical psychology, a researcher in family-school linkages and parent consultation, and a methodologist. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Evidence-based parent and family interventions in school psychology: Conceptual and methodological considerations in advancing best practices.

Major national, state, and local systems reform efforts are under way to close the gap between science and service through implementation of a range of evidence-based practices (EBPs). A set of rhetorical distinctions and ensuing debates about the relevance of science versus service and efficacy versus effectiveness threatens to widen rather than close the gap. However, methodological and conceptual approaches, drawing upon strong theory-driven models, offer considerable promise for an integrated science on implementation effectiveness. This paper outlines some of the major scientific and policy challenges in strengthening the link between science and service in school psychology within the context of the papers in this series. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Evidence-based parent involvement interventions with school-aged children.

This paper reviewed 24 studies of parent involvement for school-aged children conducted between 1980 and 2002 and evaluated them according to the criteria developed by the Task Force on Evidence-Based Interventions in School Psychology. The parent involvement component of all studies had parents helping children learn at home, with most targeting a change in academic performance, including reading skills, mathematics skills, spelling, and homework completion. Results yielded a wide range of treatment effectiveness. The strongest evidence for parent involvement was provided for programs that implemented parent tutoring in the home and targeted a single academic problem of the elementary school-aged child, primarily reading and mathematics skills. Despite promising evidence for the effectiveness of parent home tutoring, it was concluded that the evidence base for the effectiveness of parent involvement as an intervention for children's academic problems is inconclusive due to methodological weaknesses in the studies reviewed. Recommendations for future empirical research are provided. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Evidence-based parent consultation with school-related outcomes.

In this article, 18 studies using parent consultation to effect a change in children's school-related behavior were evaluated according to guidelines set forth by the APA's Task Force on Evidence-Based Interventions in School Psychology. Results indicate that parent consultation is an effective method of intervention delivery for a variety of school-related behavioral and emotional concerns with Caucasian students. The majority of studies yielded moderate to large treatment effects. Though a variety of parent consultation models were effective, the Conjoint Behavioral Consultation (CBC) model provided the strongest evidence for producing significant school-related outcomes. Noteworthy limitations of the evidence base for parent consultation are the lack of between-group designs and use of diverse populations. It is therefore recommended that the investigation of parent consultation effectiveness be expanded to include minority populations and between-group designs. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Commentary on evidence-based parent and family interventions: Will what we know now influence what we do in the future?

As has been demonstrated in this exceptional review of the empirical literature, much has been written about models, programs, and services for working with families. Indeed, the Task Force of the Family and Parent Intervention domain can be commended for its diligent and thorough approach to uncovering and dissecting research in this domain. Speaking through the lens of a researcher in this area, the purpose of the present commentary is to highlight some of the findings of the task force, recommend research priorities, and call for the identification of means to increase the utility of the Task Force findings in the future. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Evidence-based family-school interventions with preschool children.

Fifteen studies of family-school interventions with preschool children conducted between 1980 and 2002, and published in peer-reviewed journals, were reviewed and evaluated according to the criteria developed by the Task Force on Evidence-Based Intervention in School Psychology (Division 16 and Society for the Study of School Psychology Task Force, 2003). Results indicate that family-school interventions with preschool children have taken many forms, have targeted a variety of problems and behaviors, and have generally shown positive effects. Efficacious interventions included parent and teacher training, parent education, and behavioral family therapy. Recommendations for future research include increased methodological rigor, replication and extension of current studies, and the completion of longer-term, follow-up investigations to determine whether gains that are made post-treatment are maintained over time. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Evidence-based interventions using home-school collaboration.

Home-school collaboration refers to the relationship between families and schools where parents and educators work together to promote the academic and social development of children. Eighteen empirical studies of home-school collaboration interventions that also measured a school-based outcome were identified and evaluated according to guidelines outlined by the American Psychological Association's Division 16 Task Force on Evidence-Based Interventions in School Psychology. Based on the results of coding, it is concluded that home-school collaboration interventions are effective in helping achieve desired school outcomes for children, including changes in academic performance and school-related behavior. The most effective interventions are those where parents and school personnel work together to implement interventions utilizing a two-way exchange of information (e.g., parent-teacher action research teams), and those involving communication between school and home (e.g., daily report cards, school-to-home notes). Methodological strengths and limitations of home-school collaboration studies, as well as recommendations for future research, are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Evidence-based interventions in school psychology: Opportunities, challenges, and cautions.

Describes opportunities, challenges, and cautions in response to T. R. Kratochwill and K. C. Stoiber's vision and other critical issues for the evidence-based intervention (EBI) movement in school psychology. The authors' position can be summarized as follows: (1) the EBI Task Force in School Psychology presents the field with an unparalleled opportunity to influence school psychology training and practice; (2) the challenges presented by the actual coding of existing studies will spur improvements in the research methodology training of school psychology students and improvements in the design of future school-based research; and (3) the field is cautioned to consider carefully the unique context presented by the schools when evaluating intervention effectiveness. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Information-motivation-behavioral skills model-based HIV risk behavior change intervention for inner-city high school youth.

This study assessed the effects of 3 theoretically grounded, school-based HIV prevention interventions on inner-city minority high school students' levels of HIV prevention information, motivation, behavioral skills, and behavior. It involved a quasi-experimental controlled trial comparing classroom-based, peer-based, and combined classroom- and peer-based-HIV prevention interventions with a standard-of-care control condition in 4 urban high schools (N=1,532, primarily 9th-grade students). At 12 months postintervention, the classroom-based intervention resulted in sustained changes in HIV prevention behavior. This article discusses why both of the interventions involving peers were less effective than the classroom-based intervention at the 12-month follow-up and, more generally, suggests a set of possible limiting conditions for the efficacy of peer-based interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

School-based prevention of depression and anxiety symptoms in early adolescence: A pilot of a parent intervention component.

Previous studies suggest that school-based cognitive-behavioral interventions can reduce and prevent depressive symptoms in youth. This pilot study investigated the effectiveness of a cognitive-behavioral depression prevention program, the Penn Resiliency Program for Children and Adolescents (the PRP-CA), when combined with a parent intervention component. Forty-four middle school students and their parents were randomly assigned to the enhanced PRP (the PRP-CA plus parent program) or control conditions. Students completed measures of depression and anxiety symptoms at baseline and 2 weeks, 6 months, and 1 year after the intervention ended. The combined version of the PRP significantly reduced symptoms of depression and anxiety during the follow-up period. Children assigned to the intervention condition were less likely than controls to report clinical levels of anxiety symptoms. Findings suggest that school-based cognitive-behavioral interventions that include parents may prevent depression and anxiety symptoms in early adolescence. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Evidence-based interventions in school psychology: State of the art and directions for the future.

Introduces articles in this special issue of School Psychology Quarterly which is designed to provide a current snapshot of the accomplishments and controversies pertaining to evidence-based intervention in school psychology. It is argued that evidence-based intervention guidelines will prove to be akin to professional codes of ethics in that they are both works that will always be unfinished rather than being completed in any ultimate sense. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Preventing problems with boys' noncompliance: Effects of a parent training intervention for divorcing mothers.

This study provided a randomized, experimental test of the efficacy of a parent training intervention on coercive discipline, positive parenting practices, and child noncompliance in a sample of 238 divorcing mothers and their sons in Grades 1–3. Intervention effects were evaluated 5 times from baseline to 30 months. The intervention produced enduring benefits to coercive discipline, positive parenting, and boys' noncompliance. These benefits followed a classic prevention effect: Mothers and sons in the experimental group maintained stable outcome trajectories, whereas those in the control group deteriorated. The intervention's impact on boys' noncompliance was mediated independently by its impact on coercive discipline and positive parenting. Change in positive parenting was more strongly associated with change in noncompliance than was change in coercive discipline, although each explained unique variance in change in noncompliance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Systematic review of maintenance of behavior change following physical activity and dietary interventions.

Objective: In the past decade, there has been no systematic review of the evidence for maintenance of physical activity and/or dietary behavior change following intervention (follow-up). This systematic review addressed three questions: 1) How frequently do trials report on maintenance of behavior change? 2) How frequently do interventions achieve maintenance of behavior change? 3) What sample, methodologic, or intervention characteristics are common to trials achieving maintenance? Design: Systematic review of trials that evaluated a physical activity and/or dietary behavior change intervention among adults, with measurement at preintervention, postintervention, and at least 3 months following intervention completion (follow-up). Main Outcome Measures: Maintenance of behavior change was defined as a significant between-groups difference at postintervention and at follow-up, for one or more physical activity and/or dietary outcome. Results: Maintenance outcomes were reported in 35% of the 157 intervention trials initially considered for review. Of the 29 trials that met all inclusion criteria, 21 (72%) achieved maintenance. Characteristics common to trials achieving maintenance included those related to sample characteristics (targeting women), study methods (higher attrition and pretrial behavioral screening), and intervention characteristics (longer duration [>24 weeks], face-to-face contact, use of more intervention strategies [>6], and use of follow-up prompts). Conclusions: Maintenance of physical activity and dietary behavior change is not often reported; when it is, it is often achieved. To advance the evidence, the field needs consensus on reporting of maintenance outcomes, controlled evaluations of intervention strategies to promote maintenance, and more detailed reporting of interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Evidence-based interventions in school psychology: Thoughts on thoughtful commentary.

Responds to comments by S. L. Cristenson, C. Carlson, and C. R. Valdez (see record 2003-01789-008); J. A. Durlak (see record 2003-01789-009); J. R. Levin (see record 2003-01789-010); J. R. Nelson and M. H. Epstein (see record 2003-01789-011); B. E. Wampold (see record 2003-01789-012); and G. E. Waas (see record 2003-01789-013) on the mini-series on evidence-based interventions (EBIs) in school psychology (T. R. Kratochwill and K. C. Stoiber [see record 2003-01789-005]; G. Lewis-Snyder, K. C. Stoiber, and T. R. Kratochwill [see record 2003-01789-007]; and E. S. Shernoff, T. R. Kratochwill, and K. C. Stoiber [see record 2003-01789-006]) . A conceptual framework for future operation of the Task Force on Evidence-Based Interventions in School Psychology (hereafter called the Task Force) is presented within the context of identification, review, coding, analyzing and synthesizing, and disseminating research related to EBIs. Reactions to the mini-series are discussed within the context of this framework. Some general comments on future directions of the Task Force are presented along with challenges and merits of EBIs for the practice of school psychology. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Collateral benefits of the family check-up on early childhood school readiness: Indirect effects of parents' positive behavior support.

The authors examined the longitudinal effects of the Family Check-Up (FCU) on parents' positive behavior support and children's school readiness competencies in early childhood. It was hypothesized that the FCU would promote language skills and inhibitory control in children at risk for behavior problems as an indirect outcome associated with targeted improvements in parents' positive behavior support. High-risk families in the Women, Infants, and Children Nutrition Program participated in a multisite preventive intervention study (N = 731) with 3 yearly assessments beginning at child age 2 years. Positive behavior support was measured using 4 indicators derived from at-home observations of parent-child interaction during semistructured tasks. Longitudinal structural equation models revealed that parents in families randomly assigned to the FCU showed improvements in positive behavior support from child age 2 to 3, which in turn promoted children's inhibitory control and language development from age 3 to 4, accounting for child gender, ethnicity, and parental education. Findings suggest that a brief, ecological preventive intervention supporting positive parenting practices can indirectly foster key facets of school readiness in children at risk. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effectiveness of motivational interviewing interventions for adolescent substance use behavior change: A meta-analytic review.

Objective: This study was designed to quantitatively evaluate the effectiveness of motivational interviewing (MI) interventions for adolescent substance use behavior change. Method: Literature searches of electronic databases were undertaken in addition to manual reference searches of identified review articles. Databases searched include PsycINFO, PUBMED/MEDLINE, and Educational Resources Information Center. Twenty-one independent studies, representing 5,471 participants, were located and analyzed. Results: An omnibus weighted mean effect size for all identified MI interventions revealed a small, but significant, posttreatment effect size (mean d = .173, 95% CI [.094, .252], n = 21). Small, but significant, effect sizes were observed at follow-up suggesting that MI interventions for adolescent substance use retain their effect over time. MI interventions were effective across a variety of substance use behaviors, varying session lengths, and different settings, and for interventions that used clinicians with different levels of education. Conclusions: The effectiveness of MI interventions for adolescent substance use behavior change is supported by this meta-analytic review. In consideration of these results, as well as the larger literature, MI should be considered as a treatment for adolescent substance use. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Teaching evidence-based interventions: Perceptions of influences on use in professional practice in school psychology.

This study examined perceptions of school psychologists regarding their use of evidence-based interventions in school settings after completing a graduate course in school-based psychosocial interventions. Ninety-four individuals who completed the course during the 10 years prior to the study were asked to complete a survey that focused on personal and organizational factors affecting the implementation of evidence-based interventions through assessment of (a) the extent of their use of interventions in professional school psychology practice, (b) perceptions of facilitators to implementation, and (c) perceptions of barriers to implementation. Fifty-four responded (a 57% response rate); analyses were conducted on the responses of 34 individuals who indicated that they were currently school psychologists working in schools. Results indicated that school psychologists’ personal beliefs about the interventions influenced their decisions to implement them. Several evidence-based interventions were less likely to be used in urban practice settings. Training in evidence-based interventions should address the personal and contextual issues that are related to implementation, as well as the procedures of the interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)