cars outcomes final copy - lehigh university

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4/27/14 1 Comprehensive intervention for adolescents: CARS outcomes (Kern, Evans, Wills, Lewis) Meeting the needs of adolescents with EBD (Zaheer, Evans, Wachsmuth) Classroombased intervention and implementation (State, Harrison) Selfmanagement with mobile devices (Wills, Mason) Check & Connect (Pohl)

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Page 1: CARS outcomes FINAL copy - Lehigh University

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¡  Comprehensive  intervention  for  adolescents:  CARS  outcomes  (Kern,  Evans,  Wills,  Lewis)  

¡ Meeting  the  needs  of  adolescents  with  EBD  (Zaheer,  Evans,  Wachsmuth)  

¡   Classroom-­‐based  intervention  and  implementation  (State,  Harrison)  

¡  Self-­‐management  with  mobile  devices  (Wills,  Mason)  

¡  Check  &  Connect  (Pohl)    

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Lee  Kern,  Steve  Evans,    Howard  Wills,  Tim  Lewis  ,    and  Beth  Custer  

¡  Describe  CARS  study  and  sample  ¡  Highlight  a  few  findings  

§  Differences  in  students  with  and  without  labels  §  Check  &  Connect  mentor-­‐mentee  relationships  

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¡  Funded  for  five  years  by  Institute  of  Education  Sciences  (IES),  U.S.  Department  of  Education  

¡  Focus:  secondary  age  students  with  intensive  social,  emotional,  and  behavioral  problems  

¡  Lee  Kern,  Ph.D.,  Principal  Investigator,  Lehigh  University  ¡  Steve  Evans,  Ph.D.,  Co-­‐Principal  Investigator,  Ohio  

University  ¡  Tim  Lewis,  Ph.D.,  Co-­‐Principal  Investigator,  University  of  

Missouri  ¡  &  Howard  Wills,  Ph.D.,  &  Deborah  Kamps,  Ph.D.,  Juniper  

Gardens  Children’s  Project,  University  of  Kansas  ¡  Mark  Weist,  Ph.D.,  University  of  South  Carolina  ¡  Paras  Mehta,  Ph.D.,  TIMES,  University  of  Houston  (design/

statistical  consultation,  data  analysis)      

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Major  Study  ¡  Years  1-­‐2:  Develop  and  refine  intervention  package  with  small  sample  of  students  (n=30,  3  states)  

¡  Year  3:  Evaluate  and  refine  intervention  package  with  larger  sample  of  students  (n=60,  5  sites/states)  

¡  Years  4-­‐5:  Evaluate  efficacy  of  intervention  in  randomized  controlled  trial  

¡  School  referral:  20+  students  ¡  Screening  

§  Externalizing  (BASC)  §  Internalizing  (MASC,  RADS)  

¡  School  functioning  §  Behavioral  referrals  §  Poor  grades  §  Excessive  absences  §  Suspensions  

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Lehigh  University  

17%  

Ohio  University  35%  

University  of  Missouri  

9%  

University  of  South  Carolina  

29%  

University  of  Kansas  10%  

Gender Frequency Percent

Female 217 33.5

Male 430 66.5

Total 647 100

0  

5  

10  

15  

20  

25  

30  

13   14   15   16   17   18  

8.4  

25.4  

29.4  

18.3  

3.2  0.1  

0  

5  

10  

15  

20  

25  

30  

35  

40  

8   9   10   11  

5.5  

38.3  35.9  

3.9  

Age  

Grade  

Percen

tage

 

Percen

tage

 

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Caucasian  52%  

African  American  

39%  

Hispanic/Latino  5%  

Other  4%  

Rural  37%  

Suburban  39%  

Urban  24%  

General  Educatio

n  51%  

Special  Educatio

n  49%  

Percen

tage

 

0.0  

5.0  

10.0  

15.0  

20.0  

25.0  

Learning  Disability  

Emotional  Disturbance  

Other  Health  Impairment  

Other   Missing  

21.0  

10.3  

8.4  

2.4  

6.5  

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0  

5  

10  

15  

20  

25  

30  

35  

40  

$0  -­‐  $20,000   $20,001  -­‐  $40,000  

$40,001  -­‐  $60,000  

$60,001  -­‐  $80,000  

$80,001  -­‐  $100,000  

$100,001  -­‐  $120,000  

$120,001  -­‐  $140,000  

$140,001  +  

36  32.3  

13.4  

8  

3   2.8  0.4   1.2  

Percen

tage

 

¡  All  students  §  Check  &Connect  §  Interpersonal  Skills  Group  §  Parent  Education  

¡  Class-­‐wide  (as  indicated  by  assessment)  §  Classroom  Structure  (Expectations,  Routines)  §  Student-­‐Teacher  Interactions  §  Opportunities  to  Respond  

¡  Individual  (as  indicated  by  assessment)  §  Student-­‐Teacher  Interactions  §  Organizational  Skills  §  Study  Skills  §  De-­‐escalation  §  Accommodations  

¡  Mental  Health  (as  indicated  by  assessment)  §  Mood  §  Anxiety  §  Self-­‐management  

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PARENT  MEASURES    ¡  Demographic  Questionnaire    ¡  Behavior  Assessment  System  for  Children-­‐II  (  BASC  2)*  

¡  Index  of  Family  Relations*  ¡  Impairment  Rating  Scale  (IRS)  ¡  Disruptive  Behavior  Disorders  Scale  (DBD)    ¡  Stress  Index  for  Parents  of  Adolescents  (SIPA)  ¡  Alabama  Parenting  Questionnaire  

TEACHER  MEASURES  ¡  Behavior  Assessment  System  for  Children-­‐II    (BASC  2)*  

¡  Impairment  Rating  Scale  (IRS)  ¡  Classroom  Performance  Survey  (CPS)  

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STUDENT  COMPLETED  MEASURES  ¡  Behavior  Assessment  System  for  Children-­‐II  (BASC  2)*  

¡  WJIII  (Letter-­‐Word  Identification,  Reading  Fluency,  Passage  Comprehension,  Calculation,  Math  Fluency,  Applied  Problems  

¡  Reynolds  Adolescent  Depression  Scale  (RADS)  *  ¡  Multi-­‐Dimensional  Anxiety  Scale  for  Children  (MASC)  *  

¡  Student  Engagement  Instrument  ¡  Youth  Risk  Behavior  Survey  (YRBS)  Also:  direct  observation    

¡  Modified  Service  Assessment  for  Children  and  Adolescents  (SACA)/Services  for  Children  and  Adolescents-­‐Parent  Interview  (SCA-­‐PI)  

¡  Developed  Teacher  Interview  ¡  Examined  

§  School-­‐based  services  §  Medication  use  §  Inpatient  services  §  Outpatient  services  §  After  school/weekend/summer  programs  §  Other  community  services  §  Family  services  

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¡  Do  students  with  SPED  labels  differ  from  students  with  no  labels  on  measures  of  academic,  behavioral  and  mental  health  problems?  §  Do  students  with  specific  SPED  labels  (ED,  LD,  &  OHI)  differ  on  

measures  of  academic,  behavioral  and  mental  health  problems?    

¡  Do  students  with  SPED  labels  differ  from  students  with  no  labels  in  types/amount  of  services  received  in  school?  §  Do  students  with  specific  SPED  labels  (ED,  LD,  &  OHI)  differ  in  types  

of  services  received  in  schools?  

¡   What  variables  predict  receipt  of  a  SPED  label?    §  Demographics,  academic  achievement  and  level  of  behavioral/

mental  health  functioning  

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¡  MANOVA  §  Group  comparison  of  special  education  students  versus  general  

education  students  §  Group  comparisons  between  labels  (ED,  LD,  OHI).  

¡  Dependent  Variables  §  Academic  achievement  (WJ-­‐3)  ▪  Broad  Reading  ▪  Broad  Math  

§  Behavioral  and  Mental  Health  ▪  Externalizing  problems  (Parent  BASC-­‐2)  ▪  Internalizing  problems  (Parent  BASC-­‐2)  ▪  Depression  (RADS-­‐2)  ▪  Anxiety  (MASC-­‐2)  

¡  Special  education  v.  General  education  students  §  Overall,  there  was  a  significant  difference  (p<.001)  §  MASC-­‐2,  RADS-­‐2,  &  BASC-­‐2  scores  were  not  found  to  be  significantly  

different  between  these  groups  §  Academic  achievement  was  significantly  different  with  Special  

Education  student  scoring  lower  ▪  Broad  reading  (p<.001)  ▪  Broad  math  (p<.001)  

¡  ED  v.  LD  v.  OHI  §  Overall,  there  was  a  significant  difference  (p<.001)  §  Similar  to  the  above  analysis,  only  broad  reading  (p<.001)  and  broad  

math  (p<.001)  were  found  to  be  significantly  different  ▪  Broad  reading:  LD  <  OHI  <  ED  ▪  Broad  math:  LD  <  OHI  <  ED  

 

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¡  Do  students  with  SPED  labels  differ  from  students  with  no  labels  in  types/amount  of  services  received  in  school?  §  Do  students  with  specific  SPED  labels  (ED,  LD,  &  

OHI)  differ  in  types  of  services  received  in  schools?  

 

¡  MANOVA  §  Compared  special  education  students  and  general  education  students  on  types  of  services  received  in  school  

§  Compared  ED,  LD  and  OHI  students  on  types  of  services  received  in  schools  

¡  Service  types  included  §  Special  school  for  emotional  or  behavioral  support  §  Retained  grade  §  Daily  or  weekly  reports  cards  sent  home  §  Counseling  

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¡  Special  education  v.  General  education  students  §  Overall  significant  group  difference  was  found  (p=.02)  §  Follow  up  analysis:  “Special  school  for  emotional  and  behavioral  

support”  only  category  significantly  different  (p=.004)  between  the  two  groups,  with  special  education  students  significantly  more  likely  to  have  used  this  service  

¡  ED  v.  LD  v.  OHI  ▪  Overall  significant  group  difference  was  found  (p=.008)  ▪  Follow  up  analysis:  “Special  schools  for  emotional  and  

behavioral  support”  as  the  only  significantly  different  type  of  service  used  (p=.003),  with  students  OHI  most  likely  to  use  this  service,  followed  by  ED  and  LD.  

 ¡   What  variables  predict  receipt  of  a  SPED  label?    §  Demographics,  academic  achievement  and  level  

of  behavioral/mental  health  functioning  

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¡  Predictors  of  special  education  labels    ¡  Hierarchical  Regression  

¡  Predictors  §  Demographics    

▪  Geographic  area    (urban,  rural,  suburban)  ▪  Ethnicity  ▪  Gender  

§  Academic  Achievement    ▪  WJ3-­‐  Broad  Reading  ▪  WJ3-­‐  Broad  math  

§  Behavioral  and  Mental  health  ▪  Externalizing  problems  (Parent  BASC-­‐2)  ▪  Internalizing  problems  (Parent  BASC-­‐2)  ▪  Depression  (RADS-­‐2)  ▪  Anxiety  (MASC-­‐2)  

¡  What  predicts  special  education  labels?  §  Model  1:  Demographics  (Geographic  area,  Ethnicity  &  Gender)  ▪  p=.018;  R2=.025;  2%  of  variance  explained  ▪  Change  R2  =  .025,  p  =  .018  

§  Model  2:  Academic  Achievement  (Reading  &  Math)  ▪  p<.001;  R2  =.169;  17%  of  the  variance  explained  ▪  Change  R2  =  .114,  p  <  .001  

§  Model  3:  Behavioral  and  Mental  health  (internalizing/externalizing,  anxiety  and  depression)  ▪  p<.001;  R2  =.179;  18  %  of  variance  explained  ▪  Change  R2  =  .01,  p  =  .301  

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¡  Little  difference  in  measures  of  behavior  and  emotions  between  high  school  students  with  and  without  labels  §  Academic  functioning  only  significant  difference  

¡  Only  difference  in  services  was  in  educational  services  was  segregated  schools  

¡  Academic  performance  only  predictor  of  SpEd  label  

¡  Need  to  provide  emotional  and  behavioral  support  to  all  students,  regardless  of  label  

¡  Need  to  determine  whether  academic  performance  are  different  at  point  of  identification  or  whether  differences  are  the  result  of  instructional  differences  

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¡  To  what  extent  are  mentors  and  mentees  perceptions  of  their  relationship  similar?  

 ¡  To  what  extent  was  the  student’s  perception  of  the  relationship  predicted  by  their  own  gender,  the  age  of  their  mentor,  the  gender  match  between  the  mentors  and  mentees  and/or  ethnicity  match  between  mentors  and  mentees?    

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¡  180  students  in  intervention  group  Year  5  

¡  Each  student  paired  with  one  mentor  ¡ Mentors  recruited,  asked  to  commit  for  one  year  (some  stayed  for  2)  

¡ Met  with  students  1  time  per  week  for  15-­‐20  minutes  

¡ Monitored  student  risk  indicators  

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¡ Mentors  tracked  indicators  of  dropout  §  Attendance  §  Tardies  §  Grades/failing  classing  § Missing  assignments  §  Skip  classes  §  Behavioral  Referrals  §  Detention  §  In-­‐school  and  out-­‐of-­‐school  suspension  

¡  Developed  by  the  University  of  Minnesota  ¡  Students  and  Mentors  both  completed  survey  

¡  Students  reported  their  perceptions  of  the  mentoring  experience  

¡ Mentors  indicated  what  students  would  report  

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5.6%  

12.8%  

47.8%  

25.6%  

7.8%  

0%  

6.1%  

53.6%  

31.8%  

8.4%  

strongly  disagree   disagree   agree   strongly  agree   Not  reported  

I  look  forward  to  meeting/The  student  looks  forward  to  meeting.  

Mentor  Perceptions   Student  Perceptions  

Combined  Answer  Categories  

Students’  Perceptions   Mentors’  Perceptions  

Agree  or  Strongly  Agree   85.4%   73.4%  

Disagree  or  Strongly  Disagree  

6.1%   18.4  

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2.8%   2.8%  

40.2%  

46.4%  

7.8%  

0.6%  

4.5%  

43.6%   43.0%  

8.4%  

Strongly  Disagree   Disagree   Agree   Strongly  Agree   Not  reported  

I  feel  comfortable  meeting  with  my  mentor/The  student  is  comfortable  meeting  with  me.  

Mentor  Perceptions   Student  Perceptions  

Combined  Answer  Categories  

Students’  Perceptions   Mentors’  Perceptions  

Agree  or  Strongly  Agree   86.6%   86.8%  

Disagree  or  Strongly  Disagree  

5.1%   5.6%  

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2.8%  

9.5%  

39.1%   39.7%  

8.9%  

0.6%  2.8%  

45.8%  42.5%  

8.4%  

Strongly  Disagree   Disagree   Agree   Strongly  Agree   Not  reported  

I  am  willing  to  share  information  about  my  school  experiences  with  my  mentor/The  student  easily  and  readily  shares  information  

with  me  about  their  school  experiences.  

Mentor  Perceptions   Student  Perceptions  

Combined  Answer  Categories  

Students’  Perceptions  

Mentors’  Perceptions  

Agree  or  Strongly  Agree  

88.3%   78.8%  

Disagree  or  Strongly  Disagree  

3.4%   12.3%  

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3.9%  

14.5%  

33.0%  

39.1%  

9.5%  

3.9%  

11.7%  

46.4%  

29.6%  

8.4%  

Strongly  Disagree   Disagree   Agree   Strongly  Agree   Not  reported  

I  am  willing  to  share  information  about  my  personal  life  with  my  mentor/The  student  easily  and  readily  shares  information  about  

their  personal  life.  

Mentor  Perceptions   Student  Perceptions  

Combined  Answer  Categories  

Students’  Perceptions  

Mentors’  Perceptions  

Agree  or  Strongly  Agree  

76%   72.1%  

Disagree  or  Strongly  Disagree  

15.6%   18.4%  

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4.5%  

16.2%  

44.1%  

26.8%  

8.4%  

0.0%  

5.0%  

42.5%   43.6%  

8.9%  

Strongly  Disagree   Disagree   Agree   Strongly  Agree   Not  reported  

I  could  ask  my  mentor  for  help  if  I  have  a  problem/The  student  has  asked  for  or  been  receptive  to  an  offer  of  help.  

Mentor  Perceptions   Student  Perceptions  

Combined  Answer  Categories  

Students’  Perceptions  

Mentors’  Perceptions  

Agree  or  Strongly  Agree  

86.1%   70.9%  

Disagree  or  Strongly  Disagree  

5.0%   20.7%  

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36.3%  

32.4%  

6.7%  4.5%  

2.2%  

9.5%  7.8%  

26.8%  

44.1%  

14.0%  

5.0%  

1.7%  0%  

8.4%  

More  than  once  a  week  

Once  a  week   Once  every  two  weeks  

About  once  a  month   less  than  once  a  month  

Other   Not  reported  

How  often  do  you  get  to  meet?  

Mentor  Perceptions   Student  Perceptions  

Combined  Answer  Categories    

Students’  Perceptions   Mentors’  Perceptions  

Once  a  week  or  More   70.9%   68.7%  

Less  than  once  a  week   20.7%   22.9%  

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27.4%  

62.6%  

1.7%  

7.6%  

17.6%  

65.9%  

5%  

12.3%  

More  often   About  the  same   Less  often   Not  reported  

How  often  would  you  like  to  meet?  

Mentor  Perceptions   Student  Perceptions  

Combined  Answer  Categories    

Students’  Perceptions   Mentors’  Perceptions  

More  Often   17.6%   27.4%  

Same   65.9%   62.6%  

Less  Often   5.0%   1.7%  

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Method  ¡  Hierarchical  Linear  Regression    Variables  Examined    ¡  Gender  of  mentees  ¡  Age  of  mentors  ¡  Gender  match  ¡  Ethnicity  match    Results  Holding  constant  all  other  variables  (mentor  age,  mentor/student  gender  match,  and  mentor/student  ethnicity  match)  ¡  Male  gender  was  only  variable  that  predicted  a  quality  

relationship      

¡  Overall,  C  &  C  appears  to  be  a  very  positive  experience  for  both  mentees  and  mentors  

§  The  majority  of  students  agreed  or  strongly  agreed  that  they:  ▪  Like  meeting  with  their  mentors    ▪  Feel  comfortable  talking  about  school  and  personal  life  ▪  Could  ask  mentors  for  help  

¡  Matching  mentee  characteristics  (gender,  ethnicity)  with  mentor  characteristics  did  not  predict  a  quality  relationship  

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 ¡  CARS  Website  

§  http://www.lehigh.edu/~incars/overview.html