Fast track randomized controlled trial to prevent externalizing psychiatric disorders: Findings from grades 3 to 9

Karen L. Bierman, John D. Coie, Kenneth A. Dodge, E. Michael Foster, Mark T. Greenberg, John E. Lochman, Robert J. McMahon, Ellen E. Pinderhughes

Research output: Contribution to journalArticlepeer-review

119 Scopus citations

Abstract

OBJECTIVE: This study tests the efficacy of the Fast Track Program in preventing antisocial behavior and psychiatric disorders among groups varying in initial risk. METHOD: Schools within four sites (Durham, NC; Nashville, TN; Seattle, WA; and rural central Pennsylvania) were selected as high-risk institutions based on neighborhood crime and poverty levels. After screening 9,594 kindergarteners in these schools, 891 highest risk and moderate-risk children (69% male and 51% African American) were randomly assigned by matched sets of schools to intervention or control conditions. The 10-year intervention (begun in 1991 with three yearly cohorts) included parent behavior-management training, child social-cognitive skills training, reading tutoring, home visiting, mentoring, and a universal classroom curriculum. Outcomes included criterion counts and psychiatric diagnoses after grades 3, 6, and 9 for conduct disorder, oppositional defiant disorder, attention-deficit/hyperactivity disorder, any externalizing disorder, and self-reported antisocial behavior. Grade 9 outcomes were assessed between 2000 and 2003, depending upon cohort. RESULTS: Significant interaction effects between intervention and initial risk level were found at each age but most strongly after grade 9. Assignment to intervention had a significant positive effect in lowering criterion count scores and diagnoses for conduct disorder, attention-deficit/hyperactivity disorder, and any externalizing disorder, and lowering antisocial behavior scores, but only among those at highest risk initially. CONCLUSIONS: Prevention of serious antisocial behavior can be efficacious across sex, ethnicity, and urban/rural residence, but screening is essential. Copyright 2007

Original languageEnglish (US)
Pages (from-to)1250-1262
Number of pages13
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume46
Issue number10
DOIs
StatePublished - Oct 2007

All Science Journal Classification (ASJC) codes

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'Fast track randomized controlled trial to prevent externalizing psychiatric disorders: Findings from grades 3 to 9'. Together they form a unique fingerprint.

Cite this