The Effectiveness of a Community-Based Mentoring Program for Children Aged 5–11 Years: Results from a Randomized Controlled Trial

被引:0
作者
Nick Axford
Gretchen Bjornstad
Justin Matthews
Laura Whybra
Vashti Berry
Obioha C. Ukoumunne
Tim Hobbs
Zoe Wrigley
Lucy Brook
Rod Taylor
Tim Eames
Angeliki Kallitsoglou
Sarah Blower
Georgina Warner
机构
[1] University of Plymouth,NIHR ARC South West Peninsula (PenARC)
[2] University of Exeter Medical School,PenARC
[3] University of Exeter,NIHR ARC Yorkshire and Humber
[4] Dartington Service Design Lab,undefined
[5] Cardiff University,undefined
[6] Devon Partnership NHS Trust,undefined
[7] University of Roehampton,undefined
[8] University of York,undefined
[9] Uppsala University,undefined
来源
Prevention Science | 2021年 / 22卷
关键词
Mentoring; Behavioral and emotional problems; Randomized controlled trial; Effectiveness research; Early intervention;
D O I
暂无
中图分类号
学科分类号
摘要
The study, a two-arm, randomized controlled, parallel group, superiority trial, aimed to evaluate the implementation and effectiveness of a 12-month one-to-one volunteer mentoring program designed to improve behavioral and emotional outcomes in children aged 5 to 11 years who have teacher- and parent/carer-reported behavioral difficulties. Participants were 246 children (123 intervention, 123 control; mean age 8.4 years; 87% boys) in five sites in London, UK, scoring in the “abnormal” range on the teacher-rated Strengths and Difficulties Questionnaire (SDQ) Total Difficulties measure and in the “borderline” or abnormal range on the parent-rated SDQ Total Difficulties measure. Randomization on a 1:1 ratio took place using a computer-generated sequence and stratifying by site. Data collectors and statisticians were blind to participant allocation status. Outcome measures focused on parent- and teacher-rated child behavior and emotions, and child-rated self-perception and hope. Intention-to-treat analysis on all 246 randomized participants (using imputed data where necessary) showed that at post-intervention (16 months after randomization), there were no statistically significant effects on the primary outcome—parent-rated SDQ Total Difficulties (adjusted standardized mean difference = − 0.12; 95% CI: −0.38 to 0.13; p = 0.33)—or any secondary outcomes. Results from complier average causal effect (CACE) analysis using the primary outcome indicated the intervention was not effective for children who received the recommended duration of mentoring. Exploratory analyses found no sub-group effects on the primary outcome. The article concludes that the mentoring program had no effect on children’s behavior or emotional well-being, and that program content needs revising to satisfactorily address key risk and protective factors.
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页码:100 / 112
页数:12
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