Clinical trial NCT05794893: Effects of Good Behavior Game in a Swedish Sample
Official title: Good Behavior Game - a Randomized Controlled Study Among Young Children in Swedish Primary Schools.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Problem Behavior
Keywords: Problem Behavior
School
Prevention
Lead sponsor: Region Skane
Sponsor class: OTHER
Collaborators: name: Lund University
First posted: 2023-04-03
Enrollment: 44
Sex: ALL
Minimum age (years): 5
Maximum age (years): 10
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: All participants in the intervention group receive the same GBG intervention. The control condition consists of service-as-usual (SAU).
Primary purpose: PREVENTION

Brief summary: This project seeks to study the impact of Good Behavior Game (GBG), a behavior management program, on classroom environment and problem behavior in K-3 classrooms.

The goal of this randomized trial is to study the impact of Good Behavior Game (GBG), a behavior management program, on classroom environment and problem behavior in K-3 classrooms in Sweden. The main question it aims to answer is:

• Does GBG decrease problem behaviors in K-3 classrooms?

Teachers in the intervention group will be trained in GBG and asked to implement it in their respective classrooms. Teachers in the comparison group will provide usual practice.

Detailed description: Background: Early conduct problems are prevalent and a prominent risk factor for several adverse health-related and psychosocial outcomes in later life. Good Behavior Game (GBG) is a promising school-based behavior management program with the potential of reaching many children in their formative years.

Primary objective: To study the effectiveness of Good Behavior Game in reducing problem behaviors in Swedish K-3 classrooms under real-world conditions.

Secondary objectives: To investigate changes in problem behaviors in common school areas, classroom climate, teacher collective efficacy, on-task behavior, and behavioral management practices as a result of teacher training in GBG. The study also seeks to investigate implementation as a moderator, as well as potential barriers and facilitators in regards to implementation.

Type of trial: Cluster-randomized controlled trial

Trial design and methods: Recruitment of schools in a Swedish municipality started early 2021. In May 2021, 5 schools were randomized to either intervention group or wait-list (service-as-usual). Data collection started in August 2021 and ended in June 2022. The intervention group received training in GBG from September 2021 to May 2022 by certified trainers who also collected fidelity data through observations throughout the school year. Teacher ratings and observer data was collected at baseline (August 2021), along with a first (November 2021) and second follow-up (May 2022, primary endpoint) throughout the first school year of implementation.

Statistical methodology and analysis: Statistical analysis will primarily include frequentist intent-to-treat analysis, and comparisons of estimates with a corresponding Bayesian model using weakly informative priors.

Eligibility criteria: Inclusion Criteria:

* Eligibility is based on school or classroom level factors. Schools must have at least one classroom with a group of students enrolled in grades K, 1, 2, or 3.

Exclusion Criteria:

* Special education classrooms are not eligible, though inclusive classrooms with a minority of students needing special education can be included.

Primary outcomes:
measure: Teacher-rated problem behavior in the classroom
timeFrame: Baseline
measure: Teacher-rated problem behavior in the classroom
timeFrame: 3 months
measure: Teacher-rated problem behavior in the classroom
timeFrame: 9 months (primary endpoint)
Secondary outcomes:
measure: Classroom Atmosphere Measure
timeFrame: Baseline
measure: Classroom Atmosphere Measure
timeFrame: 3 months
measure: Classroom Atmosphere Measure
timeFrame: 9 months
measure: Classroom Environment Scale
timeFrame: Baseline
measure: Classroom Environment Scale
timeFrame: 9 months
measure: On-task behavior: Planned activity check/PLACHECK
timeFrame: Baseline
measure: On-task behavior: Planned activity check/PLACHECK
timeFrame: 3 months
measure: On-task behavior: Planned activity check/PLACHECK
timeFrame: 9 months
measure: Teacher-rated problem behavior in school
timeFrame: Baseline
measure: Teacher-rated problem behavior in school
timeFrame: 3 months
measure: Teacher-rated problem behavior in school
timeFrame: 9 months
measure: Collective teacher efficacy
timeFrame: Baseline
measure: Collective teacher efficacy
timeFrame: 9 months
measure: Positive behavior support
timeFrame: Baseline
measure: Positive behavior support
timeFrame: 9 months
measure: Behavioral correction
timeFrame: Baseline
measure: Behavioral correction
timeFrame: 9 months
measure: Observed general praise
timeFrame: Baseline
measure: Observed general praise
timeFrame: 3 months
measure: Observed general praise
timeFrame: 9 months
measure: Observed specific praise
timeFrame: Baseline
measure: Observed specific praise
timeFrame: 3 months
measure: Observed specific praise
timeFrame: 9 months
measure: Observed reprimands
timeFrame: Baseline
measure: Observed reprimands
timeFrame: 3 months
measure: Observed reprimands
timeFrame: 9 months
Other outcomes:
measure: Implementation barriers and facilitators
timeFrame: Baseline
measure: Implementation barriers and facilitators
timeFrame: 3 months
measure: Implementation barriers and facilitators
timeFrame: 9 months
measure: Average fidelity of implementation
timeFrame: Monthly observations from baseline to 9 months
measure: Certification in GBG
timeFrame: 9 months
Locations:
city: Malmö
country: Sweden
facility: Johannesskolan
city: Malmö
country: Sweden
facility: Klagshamnsskolan
city: Malmö
country: Sweden
facility: Malmö friskola
city: Malmö
country: Sweden
facility: Monbijouskolan
city: Malmö
country: Sweden
facility: Ängsdals skola
Study officials:
affiliation: Lund University
name: Björn Hofvander
role: PRINCIPAL_INVESTIGATOR
References: