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首页> 外文期刊>BMC Public Health >Supporting teachers and children in schools: the effectiveness and cost-effectiveness of the incredible years teacher classroom management programme in primary school children: a cluster randomised controlled trial, with parallel economic and process evaluations
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Supporting teachers and children in schools: the effectiveness and cost-effectiveness of the incredible years teacher classroom management programme in primary school children: a cluster randomised controlled trial, with parallel economic and process evaluations

机译：支持学校中的教师和儿童：小学儿童不可思议的多年教师课堂管理计划的有效性和成本效益：随机对照试验组，同时进行经济和过程评估

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Background Childhood antisocial behaviour has high immediate and long-term costs for society and the individual, particularly in relation to mental health and behaviours that jeopardise health. Managing challenging behaviour is a commonly reported source of stress and burn out among teachers, ultimately resulting in a substantial number leaving the profession. Interventions to improve parenting do not transfer easily to classroom-based problems and the most vulnerable parents may not be easily able to access them. Honing teachers’ skills in proactive behaviour management and the promotion of socio-emotional regulation, therefore, has the potential to improve both child and teacher mental health and well-being and the advantage that it might potentially benefit all the children subsequently taught by any teacher that accesses the training. Methods/Design Cluster randomised controlled trial (RCT) of the Incredible Years teacher classroom management (TCM) course with combined economic and process evaluations. One teacher of children aged 4–9?years, from 80 schools in the South West Peninsula will be randomised to attend the TCM (intervention arm) or to “teach as normal” (control arm). The primary outcome measure will be the total difficulties score from the Strengths and Difficulties Questionnaire (SDQ) completed by the current class teachers prior to randomisation, and at 9, 18 and 30?months follow-up, supplemented by parent SDQs. Secondary measures include academic attainment (teacher report supplemented by direct measurement in a sub-sample), children’s enjoyment of school, and teacher reports of their professional self-efficacy, and levels of burn out and stress, supplemented by structured observations of teachers classroom management skills in a subsample. Cost data for the economic evaluation will be based on parental reports of services accessed. Cost-effectiveness, using the SDQ as the measure of effect, will be examined over the period of the RCT and over the longer term using decision analytic modelling. The process evaluation will use quantitative and qualitative approaches to assess fidelity to model, as well as explore Head teacher and teachers’ experiences of TCM and investigate school factors that influence the translation of skills learnt to practice. Discussion This study will provide important information about whether the Teacher Classroom Management course influences child and teacher mental health and well-being in both the short and long term. It will also provide valuable insights into factors that may facilitate or impede any impact. The trial has been registered with ISCTRN (Controlled Trials Ltd) and assigned an ISRCTN number ISRCTN84130388. ( http://www.controlled-trials.com/isrctn/search.html?srch=ISRCTN84130388&sort=3&dir=desc&max=10 webcite )
机译：背景技术童年时期的反社会行为给社会和个人带来了高昂的近期和长期成本，特别是在心理健康和危害健康的行为方面。应对挑战性行为的管理是普遍报道的压力源，并在教师中逐渐精疲力尽，最终导致大量人离开该行业。改善育儿的干预措施不容易转移到课堂上的问题上，最弱势的父母可能无法轻易获得这些问题。因此，磨练教师在主动行为管理和促进社会情绪调节方面的技能，有可能改善儿童和教师的心理健康和福祉，其优点是可以使随后由任何教师教过的所有儿童受益参加培训。方法/设计《不可思议的几年》教师课堂管理（TCM）课程的整群随机对照试验（RCT），结合经济和过程评估。来自西南半岛80所学校的一名4-9岁儿童的老师将被随机分配到中医（干预组）或“正常教育”（对照组）。主要结局指标是在随机分组之前，9、18和30个月的随访中，由当前班级​​教师完成的“强项和困难问卷”（SDQ）中的总困难评分，并辅以父级SDQ。次要衡量指标包括学业成绩（通过子样本中的直接测量结果补充教师报告），儿童对学校的享受程度以及教师关于其职业自我效能，倦怠和压力水平的教师报告，并通过对教师课堂管理的结构化观察加以补充子样本中的技能。经济评估的费用数据将基于所获得服务的家长报告。将使用SDQ作为效果的度量标准的成本效益将在RCT期间和长期使用决策分析模型进行检查。过程评估将使用定量和定性方法来评估保真度模型，并探索校长和中医的经验，并调查影响学习技能转化的学校因素。讨论本研究将提供有关“教师课堂管理”课程在短期和长期内是否影响儿童和教师心理健康及福祉的重要信息。它还将对可能促进或阻碍任何影响的因素提供有价值的见解。该试验已在ISCTRN（受控试验公司）注册，并指定了ISRCTN编号ISRCTN84130388。 （http://www.control-trials.com/isrctn/search.html?srch=ISRCTN84130388&sort=3&dir=desc&max=10网站）

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