Cluster Randomized Trial of a Multicomponent School-Based Program in Mexico to Prevent Behavioral Problems and Develop Social Skills in Children
Por:
Amador Buenabad N.G., Sánchez Ramos R., Schwartz S., Gutiérrez López M.L., Díaz Juárez A.D., Ortiz Gallegos A.B., González Ortega T.G., Vázquez Pérez L., Medina-Mora Icaza M.E., Domenech Rodríguez M.M., Villatoro Velázquez J.A.
Publicada:
1 ene 2020
Resumen:
Background: There is a significant gap between the prevalence of child and adolescent mental illness in Mexico and access to mental health services, especially those that are evidence-based. School-based interventions can significantly narrow this gap. Objective: The study evaluated the effectiveness of the interventions Dejando Huellitas en tu Vida (Leaving Traces on Your Life [Huellitas]) and Criando con Amor, Promoviendo Armonía y Superación en México (Raising Children with Love, Promoting Harmony and Self-Improvement [CAPAS-Mx]). Methods: Participants were 215 caregivers (Mage = 38.4 years, SD = 8.9, 82.9% women) and 202 children (Mage = 8.6 years, SD = 1.3, 44.06% girls) from four public schools randomly assigned to four experimental conditions (Huellitas, CAPAS-Mx, Huellitas-CAPAS-Mx, and Control) with pre-test and post-test assessments. Results: Caregivers in the multicomponent condition reported significantly lower scores in child externalizing problems and higher scores in discipline, skills encouragement, social adaptation, emotional control and prosocial behavior than caregivers in the control group. There were also improvements in parents’ use of effective discipline and skills encouragement in the CAPAS-Mx group over the control group. Among the children, only those in the Huellitas condition showed a decrease in mediation. Conclusions: Findings support the implementation of the multicomponent intervention in public school settings. Registry ID: ISRCTN11345846, at https://www.isrctn.com/. © 2019, Springer Science+Business Media, LLC, part of Springer Nature.
Filiaciones:
Amador Buenabad N.G.:
Directorate of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, 14370, Mexico
Sánchez Ramos R.:
Directorate of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, 14370, Mexico
Schwartz S.:
Utah State University, Logan, UT, United States
Gutiérrez López M.L.:
Directorate of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, 14370, Mexico
Díaz Juárez A.D.:
Directorate of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, 14370, Mexico
Ortiz Gallegos A.B.:
Directorate of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, 14370, Mexico
González Ortega T.G.:
Directorate of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, 14370, Mexico
Vázquez Pérez L.:
Directorate of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, 14370, Mexico
Medina-Mora Icaza M.E.:
Directorate of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, 14370, Mexico
Domenech Rodríguez M.M.:
Utah State University, Logan, UT, United States
Villatoro Velázquez J.A.:
Directorate of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, 14370, Mexico
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