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. 2015 Feb 26;11(Suppl 1 M3):41–57. doi: 10.2174/1745017901511010041

Table 1.

Efficacy of school-based interventions on clinical samples targeting pupils with active participation of teachers and/or parents.

Study Country Diagnosis Type of
program/FU
Sample size
and group
Measures/outcome Result Social outcome
Ostberg
et al.
2012
Sweden Attention deficit hyperactivity disorder
(ADHD)
Parent and teacher manual-based group training
Program
3-month T3
Children Treatment group TG (n=46)
Children control group CG (n=46)
61 par./68 teachers
Age m=10.95
ADHD Rating Scale
ODD symptoms were measured by the eight
DSM-IV criteria
The Strengths and
Difficulties Questionnaire (SDQ)
(Assessed by parents and Teachers) ADHD
Rating Scale
TG ↓ p <0.01 at T3
ODD
symptoms
TG ↓ p <0.05 at T3
SDQ
TG ↓ p <0.05. at T3
Stronger efficacy assessed by parents
SDQ :
Peer relationship problems
(5 items)
Prosocial behaviour
(5 items)
Sayal et al.
2010
United KingdomUni Attention deficit hyperactivity disorder 
(ADHD)
Early school-based screening and educational intervention
5-year follow-up
Children group book only
TG (n=81)
Children group identification only
CI (n=114)
Children group book and identification
TGI (n=99)
Children group no intervention
CG (n=84)
Age m=7.5
The Strengths and
Difficulties Questionnaire (SDQ)
(Assessed by parents and Teachers) SDQ «
Stronger efficacy assessed by Teachers
SDQ:
Peer relationship problems
(5 items)
Prosocial behaviour
(5 items)
Murray
et al.
2011
United States Attention deficit hyperactivity disorder (ADHD) Teacher Management Practices for children with ADHD
No follow-up
Teachers (n=36)
Children intervention group
TG (n=46)
Attention training control group CG (n=46)
Age m=6.5
Teacher Management Questionnaire
(TMQ)
(Assessed by Teacher)
TMQ subscales:
Environmental modification
TG ↑ p < 0.001
Behavior modification
TG ↑ p < 0.05
Assignment modi-fication
TG ↑ p <0 .001
Structure and organization «
Instructional modifications «
Drugli
et al.
2006
Norway
Oppositional defiant disorder
(ODD)
Parent training combined with child therapy on positive discipline strategies, coping and social skills, conflict resolution, playing and cooperation with peers.
1-year follow-up
Children parent training group PT (n=47)
Children parent training and therapy group PT+CT
(n=52)
Waiting-list group WLC (n=28 families)
Age m=6
Teacher Report Form (TRF)
Preschool Behavior Questionnaire
(PBQ)
Social Competence and Behavior Evaluation
(SCBE)
The Wally Child Social Problem-Solving Detective Game (WALLY)
Student–Teacher Relationship Scale
(STRS)
(Assessed by parents and Teachers)
TRF
Aggression problems at post-treatment
PT+CT vs PT ↓ p<0.05
PT+CT vs t WLC ↓ p<0.01
Aggression problems across post-treatment and follow-up
PT+CT ↑ p<0.01
PBQ
clinical level at post-treatment
PT+CT ↓ p<0.05
clinical level at follow-up
PT+CT ↑ p<0.05
WALLY
social strategies at post-treatment PT+CT ↑ p<0.001
social strategies at follow-up PT ↑ p<0.05
SCBE «
STRS «
WALLY
SCBE
STRS
Drugli
et al.
2007
Norway
Conduct disorders
(CD)
Oppositional defiant disorder
(ODD)
Parent training combined with child therapy on positive discipline strategies, coping and social skills, conflict resolution, playing and cooperation with peers.
1-year follow-up
Children in parent training and therapy group PT+CT
 (n=52)
Children in parent training group PT (control) (n= 47)
Waiting-list group WLC (n=28)
Age m=6
The Child Behaviour Checklist (CBCL)
The Wally Child Social Problem-Solving Detective Game (WALLY)
The Child Loneliness and Social Dissatisfaction Questionnaire (LSC)
Social Competence and Behaviour Evaluation (SCBE)
(Assessed by parents and Teachers)
CBCL (father reports)
from post-treatment and maintained across follow-up
PT + CT ↑ p < 0.01
PT ↑ p < 0.05
CBCL (mother ratings)
from post-treatment and maintained across follow-up
PT + CT ↑ p < 0.05
WALLY
Number of pro-social strategies used and maintained across follow-up
PT+CT ↑p < 0.01
SCBE «
LSC «
CBCL
Social competence
WALLY
LSC
SCBE
Hand, et al.
2013
Ireland
ID
Intellectual Disability
Evidence-based parenting programs based on social learning models
No follow-up
Treatment group participants
TG
(n = 16)
Control group participants CG
(n = 13)
42 parents
Age m=9
The Strengths and Difficulties Questionnaire (SDQ)
The Parenting
Stress Index (PSI)
The Kansas Parent Satisfaction Scale (KPS)
Parent identified personal and child-related
goals.
(Assessed by parents)
SDQ: (Time × Group)
Total difficulties subscales
TG ↓ p<0.007
Conduct problems subscales
TG ↓ p < 0.027
 Hyperactivity «
 Emotional problems «
 Peer problems «
 Pro-social behaviour «
Time factor
Total difficulties
TG ↓ p =0.003
Conduct problems
TG ↓ p = 0.009
PSI stress Index (Time × Group)
total score
TG ↓ p <0. 01
Total
TG ↓ p< 0.01).
(Time factor)
 PSI Total score
TG ↓ p < 0.001
Parent Distress
TG ↓ p= 0.002
Parent–child relationship difficulties
TG ↓p= 0.004
 Difficult child measure «
KPS Satisfaction Scale «
Parent defined child-related goals
(Time × Group)
child-related goals
TG↑ p < 0.001.
(Time effect)
TG v sCG ↑ p < 0.001
SDQ :
Peer relationship problems
(5 items)
Prosocial behaviour
(5 items)
Jorm, et al.
2010
Australia
Mental disorders (Depression,Anxiety Psychosis, Behavioural disorders
Teachers educational programs on common mental disorders in
Adolescents and student welfare
6 months follow-up
Teachers Intervention group TIG (n=221)
Teachers Control group
TCG (n=106)
Students in intervention group SIG (n= 982)
Students Control group
SCG (n= 651)
Age m=9
Teacher outcomes:
mental health knowledge
Personal stigma items: %
strongly disagree
Perceived stigma items: % ≥ agree
Help given towards students: % ≥ occasionally
Confidence in helping students and staff with mental health problems % ≥ quite a bit
School policies on student mental health
Interacting with colleagues: % ≥
occasionally
Seeking Additional Mental health information: % ≥ occasionally
Teacher mental health
Student outcome:
Mental health knowledge
Beliefs and intentions about where to seek help for depression
Personal stigma: % strongly disagree
Perceived stigma: % ≥ agree
Help received from teacher
Student Mental Health
(Assessed by Clinicians) (Teacher)
knowledge
TIG ↑ p <0.001 and maintained at follow-up P < 0.001.
Perceived stigma (OR)
TIG ↑ p = 0.031 and maintained at follow -up
See other people as reluctant to disclose
TIG ↑ p= 0.041 and maintained at follow -up
Intentions towards helping students (OR)
Teachers more likely to discuss their concerns with another teacher
TIG ↑ p = 0.013 and maintained at follow -up
Discuss their concerns with a counsellor (OR)
TIG ↑ p = 0.023 and maintained at follow -up
Have a conversation with the student (OR)
TIG ↑ p = 0.162 and maintained at follow -up
School policy of mental health (OR)
TIG ↑ p=0.019 and maintained at follow -up
Policy had been implemented in the previous month (OR) TIG ↑ p= 0.070 and maintained at follow-up (Student) Mental health knowledge
Report that they received information about mental health problems
SIG ↑ P < 0.001 Beliefs and intentions about where to seek help for depression (Student outcome) «
Personal stigma: % strongly disagree (Student outcome) «
Perceived stigma: % ≥ agree
Stigma perceived in others (OR)
SIG ↑ p= 0.006.
Help received from teacher « Student Mental Health «
Students
Personal Stigma Items: %
Strongly Disagree
Perceived Stigma Items: % ≥
Agree
Teachers
Personal Stigma: % Strongly Disagree
Perceived Stigma: % ≥ Agree
Mifsud, et al.
2005
Australia Anxiety Cognitive Behavioral
Therapy Treatment groups (8-10 children)
with parents collaboration
4-Month Follow-up
Treatment group TG (n= 92)
Active intervention waitlist control CG
(num not reported)
Age m=9.5
Spence Children’s Anxiety Scale (SCAS)
Children’s Automatic Thoughts Scale (CATS)
Spence Children’s Anxiety Scale-Parent Version (SCAS-P)
(Sec.) Child Behavior Checklist-(CBCL) Teacher Rep.
(Assessed by Clinicians)
SCAS
TG ↓ p < 0.005 and maintained at follow-up
CATS
TG ↓ p = .001 and maintained at follow-up
SCAS-P↔
CBCL ↔
SCAS:
sub-scale s
Social phobia
CATS:
(9 items)
CBCL:
Social problems
Masia et al.
2005
United States Anxiety Skills training intervention on adolescents and participation of parents and teachers on psychoeducation groups
9-month
follow-up
Intervention group (SASS) TG
( n=21)
Control group WL
(n=17)
Age m=14.8
Self-Report Inventories (ADIS-PC) Severity
Social Phobic Disorders Severity and Change Form (SPDSCF)
Liebowitz Social Anxiety Scale for Children and Adolescents (LSAS-CA)
Children’s Global Assessment Scale(CGAS)
Social Phobia and Anxiety Inventory for Children
(SPAI-C)
Social Anxiety Scale for Adolescents (SAS-A)
Self-Report Inventories
Loneliness Scale
Parent Report:
Social Anxiety Scale for Adolescents (SAS-AP)
(Assessed by Clinicians) ADIS-PC Severity (Group × Time) TG ↓ p < .0001
SPDSCF (Group × Time)
TG ↓ p < .0001
LSAS-CA (Group × Time)
Total score, TG ↓ p = .03,
Total Avoidance subscale TG ↓ p = .03,
Social Avoidance subscale TG ↓ p = .04.
Performance Anxiety TG ↓ , p = .053
Total Anxiety TG ↓ p = .056.
CGAS (Group × Time interaction)
TG ↑ p < .0001
SPAI-C
Social phobia symptoms TG ↓ p = .052.
SAS-A(significance was found in one subscale out of three)
(Group × Time effect)
social anxiety in new situations
TG ↓ p = .03.
SAS-AP(parent reports)
Social anxiety in new situations
TG ↓ p = .02.
FNE ↔
SAD-General subscales. ↔
(CDI) ↔ (interpersonal Problems)
SPDSCF
LSAS-CA
SPAI-C
SAS-A (AP)
CDI:
(interpersonal Problems)
Self-Report Inventories
Loneliness Scale
ADIS-PC:
social phobia items
C-GAS: Children's global assessment scale
(the area of interaction with with friends)
Bernstein, et al.
2005
United States Anxiety Group cognitive-behavioral therapy (CBT) for children Group
6-month follow-up.
Treatment group CBT for children TG (n = 17),
Treatment group CBT for children plus parent
training TPP
(n = 20),
No-treatment control group
(n = 24).
Age m=9.0
Child and Parent Interview Schedules (ADIS)
Multidimensional Anxiety Scale for Children (MASC-C)
Screen for Child Anxiety Related Emotional Disorders (SCARED)
Clinical Global Impressions (CGI)
Services Questionnaire
(developed for use in this study)
(Assessed byParentand Clinicians) ADIS
Composite CSR TG+TPP ↑ p= .03
TPP ↑ p= .06 Child-Interview
TG+TPP ↑ p = .045
CGI
TG+TPP ↑ p = .06
TPP ↑ p= .02).
MASC (group × time)
TG+TPP ↑ p= .006
SCARED(group × time)
TG+TPP↓ p= .001
MASCTotal TPP ↑p= .02.
SCARED indic. TPP ↑ p= .000.
ADIS:
social phobia items
MASC:
The Social Anxiety scale
Humiliation/Rejection subscale