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A Precision-Based Approach to Implement Evidence-Based Interventions for Students with Externalizing Behaviors in Developing Countries: A Single Case Experimental Study in China
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A Precision-Based Approach to Implement Evidence-Based Interventions for Students with Externalizing Behaviors in Developing Countries: A Single Case Experimental Study in China

PsyArXiv
08/16/2022
DOI: 10.31234/osf.io/bjkxw
url
https://doi.org/10.1037/spq0000560View
Published (Version of record)This article has now been published in a journal and has been peer-reviewed by subject experts. This version may differ significantly from the preprint version.
url
https://doi.org/10.31234/osf.io/bjkxwView
Preprint (Author's original)This preprint has not been evaluated by subject experts through peer review. Preprints may undergo extensive changes and/or become peer-reviewed journal articles Open Access

Abstract

The prevalence of externalizing behaviors imposes a far-reaching negative impact on students' social, behavioral, and academic outcomes, which constitute a public health issue in low-resource and populous developing countries (e.g., China). Compared to the “One-Size-Fits-All” approach (OSFA; forcing a single evidence-based interventions (EBIs) on any struggling students) that is prevalent in many countries, a precision-based approach (PBA, e.g., Student Intervention Matching System; SIMS) to intervention programming can better meet students' heterogeneous needs by matching individual characteristics to active components of EBIs. But a PBA cannot fulfill its potential in developing countries unless the contextual implementation barriers (e.g., high student-teacher ratio) are remedied with attention to feasibility, acceptability, and cultural compatibility. This collaborative pilot study with Chinese school stakeholders examined the efficacy, feasibility, acceptability, and cultural compatibility of SIMS to match behavioral EBIs to students with externalizing behaviors. A concurrent multiple-baseline across-participant design was used with six students (three dyads). Visual and quantitative analyses evidenced the superior efficacy of SIMS in improving externalizing behaviors compared to the OSFA approach. Social validity data endorsed the feasibility, acceptability, and cultural compatibility of SIMS and the matched EBIs perceived by school stakeholders (educators, students, and parents). Implications, limitations, and future directions for adapting PBAs in low-resource and populous countries are discussed
Chinese schools single case experimental design externalizing behaviors individualized intervention Precision-based approach to intervention programming

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