TY - JOUR
T1 - Study protocol for a group randomized controlled trial of a classroom-based intervention aimed at preventing early risk factors for drug abuse
T2 - Integrating effectiveness and implementation research
AU - Poduska, Jeanne
AU - Kellam, Sheppard
AU - Brown, C. Hendricks
AU - Ford, Carla
AU - Windham, Amy
AU - Keegan, Natalie
AU - Wang, Wei
N1 - Funding Information:
The WD trial has been funded by the NIDA through R01DA15409 and R01DA19984. Additional support for the design of the trial is funded by NIMH and NIDA through R01MH040859. Initial planning for the WD trial took place under a NICHD grant to develop preventive interventions aimed at reducing violence (R21HD40051).
PY - 2009
Y1 - 2009
N2 - Background. While a number of preventive interventions delivered within schools have shown both short-term and long-term impact in epidemiologically based randomized field trials, programs are not often sustained with high-quality implementation over time. This study was designed to support two purposes. The first purpose was to test the effectiveness of a universal classroom-based intervention, the Whole Day First Grade Program (WD), aimed at two early antecedents to drug abuse and other problem behaviors, namely, aggressive, disruptive behavior and poor academic achievement. The second purpose - the focus of this paper - was to examine the utility of a multilevel structure to support high levels of implementation during the effectiveness trial, to sustain WD practices across additional years, and to train additional teachers in WD practices. Methods. The WD intervention integrated three components, each previously tested separately: classroom behavior management; instruction, specifically reading; and family-classroom partnerships around behavior and learning. Teachers and students in 12 schools were randomly assigned to receive either the WD intervention or the standard first-grade program of the school system (SC). Three consecutive cohorts of first graders were randomized within schools to WD or SC classrooms and followed through the end of third grade to test the effectiveness of the WD intervention. Teacher practices were assessed over three years to examine the utility of the multilevel structure to support sustainability and scaling-up. Discussion. The design employed in this trial appears to have considerable utility to provide data on WD effectiveness and to inform the field with regard to structures required to move evidence-based programs into practice. Trial Registration. Clinical Trials Registration Number: NCT00257088.
AB - Background. While a number of preventive interventions delivered within schools have shown both short-term and long-term impact in epidemiologically based randomized field trials, programs are not often sustained with high-quality implementation over time. This study was designed to support two purposes. The first purpose was to test the effectiveness of a universal classroom-based intervention, the Whole Day First Grade Program (WD), aimed at two early antecedents to drug abuse and other problem behaviors, namely, aggressive, disruptive behavior and poor academic achievement. The second purpose - the focus of this paper - was to examine the utility of a multilevel structure to support high levels of implementation during the effectiveness trial, to sustain WD practices across additional years, and to train additional teachers in WD practices. Methods. The WD intervention integrated three components, each previously tested separately: classroom behavior management; instruction, specifically reading; and family-classroom partnerships around behavior and learning. Teachers and students in 12 schools were randomly assigned to receive either the WD intervention or the standard first-grade program of the school system (SC). Three consecutive cohorts of first graders were randomized within schools to WD or SC classrooms and followed through the end of third grade to test the effectiveness of the WD intervention. Teacher practices were assessed over three years to examine the utility of the multilevel structure to support sustainability and scaling-up. Discussion. The design employed in this trial appears to have considerable utility to provide data on WD effectiveness and to inform the field with regard to structures required to move evidence-based programs into practice. Trial Registration. Clinical Trials Registration Number: NCT00257088.
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U2 - 10.1186/1748-5908-4-56
DO - 10.1186/1748-5908-4-56
M3 - Article
C2 - 19725979
AN - SCOPUS:70349811341
SN - 1748-5908
VL - 4
JO - Implementation Science
JF - Implementation Science
IS - 1
M1 - 56
ER -