Clinical trial NCT05137327: Classroom Behavior Support (CBS) Project
Official title: Examining Outcomes of a Multi-Component, Individually-Tailored Consultation Process Focused on Classroom Management for Teachers
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: ADHD
Keywords: inattention
disruptive behavior
Lead sponsor: Ohio University
Sponsor class: OTHER
First posted: 2021-11-30
Enrollment: 125
Sex: ALL
Minimum age (years): 5
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Within a given school building, teachers will be stratified on three characteristics prior to randomization: (1) grade bands (K-2 and 3-5), (2) Global Classroom Management Competencies based on baseline observations and (3) teacher beliefs based on baseline ratings. This will ensure that similar numbers of teachers with these characteristics are in each condition.
Primary purpose: TREATMENT

Brief summary: The goal of the study is to conduct a randomized clinical trial to evaluate the impact of the Classroom Behavior Support Program (CBS; a multi-component, individually-tailored teacher consultation program) on teachers' classroom management practices (universal and targeted) and resulting student behavioral and educational outcomes relative to a best practices comparison consultation condition.

Detailed description: Participants will be 165 general education teachers (teaching Kindergarten through 6th grade) who have room for growth in classroom management skills, along with their classroom of students and one target student with inattentive and/or disruptive behavior problems. Teachers will be recruited over 3 cohorts (1 cohort per year). Teachers will be randomly assigned to one of two consultation conditions and participate for an entire academic year. Teachers in both conditions will be scheduled to receive consultation every other week between August and December and one time per month between January and March. The focus of the consultation will be teacher implementation of universal classroom management practices (Tier 1) and the targeted intervention applied with the target student (either a daily report card and organization intervention; Tier 2). Teachers will be observed weekly and data from observation will be incorporated into consultation sessions. Investigators will examine the main effects of consultation on growth in teacher practices (universal and targeted) and change in proximal and distal student outcomes (classwide and in target students), as well as the mediators and moderators of these effects.

Eligibility criteria: Inclusion Criteria:

TEACHER INCLUSION CRITERIA:

Teacher of a general education class in a participating elementary school (teacher grades K-6th grade) with at least one of the following from observation screening data.

* Below 51% response to student rule violations;
* A rate of praise per hour that falls below the 30th percentile for teachers of the same grade;
* A rate of student rule violations that exceeds the 70th percentile for that grade.

STUDENT INCLUSION CRITERIA:

* Student must spend at least 50% of his/her day in the teacher's classroom
* Student must receive at three or more scores that are lower than a 3 on a positive Daily Behavior Rating (DBR) subscale or three or more scores higher than 3 on a negative DBR subscale.
* Parents must provide consent.

Exclusion Criteria:

TEACHER: no exclusionary criteria.

STUDENT: Special education eligibility of cognitive disability, autism, or multiple disability.

Primary outcomes:
measure: Teacher Percent Appropriate Response to Rule Violation (ARRV) - Whole Class (Tier 1 Teacher Outcome)
timeFrame: Growth from baseline through study completion, an average of 8 months
measure: Teacher Percent Appropriate Response to Rule Violation (ARRV) - Target Student (Tier 2 Teacher Outcome)
timeFrame: Growth from baseline through study completion, an average of 6 months
measure: Whole Class Student Rule Violations (Tier 1 Student Outcome)
timeFrame: Change from baseline through study completion, an average of 8 months
measure: Target Student Rule Violations (Tier 2 Student Outcome)
timeFrame: Change from baseline through study completion, an average of 6 months
Secondary outcomes:
measure: Teacher Rate of Praise - Whole Class (Tier 1 Teacher Outcome)
timeFrame: Change from baseline through study completion, an average of 8 months
measure: Teacher Rate of Praise - Target Student (Tier 2 Teacher Outcome)
timeFrame: Change from baseline through study completion, an average of 6 months
measure: Teacher Rate of Opportunities to Respond (OTR) - Whole Class (Tier 1 Teacher Outcome)
timeFrame: Change from baseline through study completion, an average of 8 months
measure: Teacher Ratings of Target Student Academic Performance - (Tier 2 Student Outcome)
timeFrame: Growth from baseline through study completion, an average of 6 months
measure: Teacher Ratings of Target Student Behavior - (Tier 2 Student Outcome)
timeFrame: Change from baseline through study completion, an average of 6 months
measure: Parent Ratings of Target Student Behavior - (Tier 2 Student Outcome)
timeFrame: Change from baseline to study completion, an average of 6 months
measure: Teacher Ratings of Target Student ADHD Symptoms - (Tier 2 Student Outcome)
timeFrame: Change from baseline to study completion, an average of 6 months
measure: Parent Ratings of Target Student ADHD Symptoms - (Tier 2 Student Outcome)
timeFrame: Change from baseline to study completion, an average of 6 months
measure: Teacher Ratings of Positive and Problematic Student Behaviors - (Tier 2 Student Outcome)
timeFrame: Change from baseline to study completion, an average of 6 months
measure: Target Student Grade Point Average (GPA) Intervention Year - (Tier 2 Student Outcome)
timeFrame: Growth from baseline to study completion, an average of 6 months
measure: Target Student Grade Point Average (GPA) Long Term Follow Up - (Tier 2 Student Outcome)
timeFrame: Growth from baseline to one year following study completion, an average of 18 months
Other outcomes:
Locations:
city: Athens
country: United States
facility: Ohio University
state: Ohio
Study officials:
References: