Skip to main content

Advertisement

Log in

The Impact of the Good Behavior Game, a Universal Classroom-Based Preventive Intervention in First and Second Grades, on High-Risk Sexual Behaviors and Drug Abuse and Dependence Disorders into Young Adulthood

  • Published:
Prevention Science Aims and scope Submit manuscript

Abstract

The Good Behavior Game (GBG), a method of teacher classroom behavior management, was tested in first- and second-grade classrooms in 19 Baltimore City Public Schools beginning in the 1985–1986 school year. The intervention was directed at the classroom as a whole to socialize children to the student role and reduce aggressive, disruptive behaviors, confirmed antecedents of a profile of externalizing problem outcomes. This article reports on the GBG impact on the courses and interrelationships among aggressive, disruptive behavior through middle school, risky sexual behaviors, and drug abuse and dependence disorders through ages 19–21. In five poor to lower-middle class, mainly African American urban areas, classrooms within matched schools were assigned randomly to either the GBG intervention or the control condition. Balanced assignment of children to classrooms was made, and teachers were randomly assigned to intervention or control. Analyses involved multilevel growth mixture modeling. By young adulthood, significant GBG impact was found in terms of reduced high-risk sexual behaviors and drug abuse and dependence disorders among males who in first grade and through middle school were more aggressive, disruptive. A replication with the next cohort of first-grade children with the same teachers occurred during the following school year, but with minimal teacher mentoring and monitoring. Findings were not significant but generally in the predicted direction. A universal classroom-based prevention intervention in first- and second-grade classrooms can reduce drug abuse and dependence disorders and risky sexual behaviors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Notes

  1. Given the same intervention, population and similar methods, much of the text describing measures and shared background in this paper is drawn strongly from the Drug and Alcohol Dependence supplemental issue, especially from Kellam et al. 2008 and Petras et al. 2008. For more details see the supplementary material available online.

References

  • Drug and Alcohol Dependence (2008). 95, S1–S104.

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders: DSM-IV (4th ed.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Barrish, H. H., Saunders, M., & Wolf, M. M. (1969). Good Behavior Game: effects of individual contingencies for group consequences on disruptive behavior in a classroom. Journal of Applied Behavior Analysis, 2, 119–124.

    Google Scholar 

  • Brown, C. H., Wang, W., Kellam, S. G., Muthen, B. O., Petras, H., Toyinbo, P., et al. (2008). Methods for testing theory and evaluating impact in randomized field trials: Intent-to-treat analyses for integrating the perspectives of person, place, and time. Drug and Alcohol Dependence, 95, S74–S104. doi:10.1016/j.drugalcdep.2007.11.013.

  • Brown, L. K., Hadley, W., Stewart, A., Lescano, C., Whiteley, L., Donenberg, G., et al. (2010). Psychiatric disorders and sexual risk among adolescents in mental health treatment. Journal of Consulting and Clinical Psychology, 78, 590–597. doi:10.1037/a0019632.

    Article  PubMed Central  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention (2010). Sexually Transmitted Disease Surveillance 2009. Atlanta, GA: U.S. Department of Health and Human Services.

  • Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Ross, J., Hawkins, J., et al. (2008). Youth risk behavior surveillance--United States, 2007. Morbidity and Mortality Weekly Report Surveillance Summary, 57, 1–131.

    Google Scholar 

  • Ellen, J. M., Gurvey, J. E., Pasch, L., Tschann, J., Nanda, J. P., & Catania, J. (2002). A randomized comparison of A-CASI and phone interviews to assess STD/HIV-related risk behaviors in teens. Journal of Adolescent Health, 31, 26–30. doi:10.1016/S1054-139X(01)00404-9.

    Article  PubMed  Google Scholar 

  • Elliott, D. S., & Mihalic, S. (2004). Issues in disseminating and replicating effective prevention programs. Prevention Science, 5, 47–53. doi:10.1023/B:PREV.0000013981.28071.52.

    Article  PubMed  Google Scholar 

  • Embry, D. D. (2002). The Good Behavior Game: A best practice candidate as a universal behavioral vaccine. Clinical Child and Family Psychology Review, 5, 273–297. doi:10.1023/A:1020977107086.

  • Hallfors, D., & Godette, D. (2002). Will the 'principles of effectiveness’ improve prevention practice? Early findings from a diffusion study. Health Education Research, 17, 461–470. doi:10.1093/her/17.4.461.

    Article  CAS  PubMed  Google Scholar 

  • Ialongo, N. S., Werthamer, L., Kellam, S. G., Brown, C. H., Wang, S., & Lin, Y. (1999). Proximal impact of two first-grade preventive interventions on the early risk behaviors for later substance abuse, depression, and antisocial behavior. American Journal of Community Psychology, 27, 599–641.

    Article  CAS  PubMed  Google Scholar 

  • Jeannin, A., Konings, E., Dubois-Arber, F., Landert, C., & Van Melle, G. (1998). Validity and reliability in reporting sexual partners and condom use in a Swiss population survey. European Journal of Epidemiology, 14, 139–146.

    Article  CAS  PubMed  Google Scholar 

  • Kellam, S. G. (2000). Community and institutional partnerships for school violence prevention. Preventing School Violence: Plenary Papers of the 1999 Conference on Criminal Justice Research and Evaluation—Enhancing Policy and Practice through Research (Vol. 2, pp. 1–22). Washington, D.C.: U.S. Department of Justice, Office of Justice Programs, National Institute of Justice.

  • Kellam, S. G. (2012). Developing and maintaining partnerships as the foundation of implementation and implementation science: reflections over a half century. Administration and Policy in Mental Health and Mental Health Services Research, 28, Published online: 12 January 2012. doi:10.1007/s10488-011-0402-8

  • Kellam, S. G., Branch, J. D., Agrawal, K. C., & Ensminger, M. E. (1975). Mental health and going to school: The Woodlawn program of assessment, early intervention, and evaluation. Chicago, IL: University of Chicago Press.

  • Kellam, S. G., Ling, X., Merisca, R., Brown, C. H., & Ialongo, N. (1998). The effect of the level of aggression in the first grade classroom on the course and malleability of aggressive behavior into middle school. Development and Psychopathology, 10, 165–185.

    Article  CAS  PubMed  Google Scholar 

  • Kellam, S. G., Brown, C. H., Poduska, J. M., Ialongo, N. S., Wang, W., Toyinbo, P., et al. (2008). Effects of a universal classroom behavior management program in first and second grades on young adult behavioral, psychiatric, and social outcomes. Drug and Alcohol Dependence, 95, S5–S28. doi:10.1016/j.drugalcdep.2008.01.004.

  • Kellam, S. G., Mackenzie, A., Brown, C. H., Poduska, J. M., Wang, W., Petras, H., et al. (2011). The Good Behavior Game and the future of prevention and treatment. Addiction Science & Clinical Practice, 6, 73–84.

    Google Scholar 

  • Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8–19.

    Article  CAS  PubMed  Google Scholar 

  • Mackenzie, A., Lurye, I., & Kellam, S. (2008). History and evoluation of the Good Behavior Game. Supplementary paper in Drug and Alcohol Dependence, 95, S5–S28.

  • Martinez, G., Abma, J., & Copen, C. (2010). Educating teenagers about sex in the United States. National Center for Health Statistics Data Brief, 44, 1–8.

  • Miller, S., Malone, P. S., Dodge, K. A., & Conduct Problems Prevention Research Group (2010). Developmental trajectories of boys’ and girls’ delinquency: Sex differences and links to later adolescent outcomes. Journal of Abnormal Child Psychology, 38, 1021–1032. doi:10.1007/s10802-010-9430-1.

    Google Scholar 

  • Muthen, B. (2006). Should substance use disorders be considered as categorical or dimensional? Addiction, 101, 6–16. doi:10.1111/j.1360-0443.2006.01583.x.

    Article  PubMed  Google Scholar 

  • Muthén, B., & Asparouhov, T. (2006). Growth mixture analysis: models with non-gaussian random effects. In G. Fitzmaurice, M. Davidian, G. Verbeke & G. Molenberghs (Eds.), Advances in longitudinal data analysis, pp 143–165. London, UK: Chapman & Hall/CRC Press.

  • Muthén, L. K., & Muthén, B. O. (1998–2010). Mplus user’s guide (6th ed.). Los Angeles, CA: Muthén & Muthén.

    Google Scholar 

  • Muthén, B., Brown, C. H., Masyn, K., Jo, B., Khoo, S. T., Yang, C. C., et al. (2002). General growth mixture modeling for randomized preventive interventions. Biostatistics, 3, 459–475. doi:10.1093/biostatistics/3.4.459.

    Article  PubMed  Google Scholar 

  • Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Modeling, 14, 535–563.

    Article  Google Scholar 

  • Ompad, D. C., Strathdee, S. A., Celentano, D. D., Latkin, C., Poduska, J. M., Kellam, S. G., et al. (2006). Predictors of early initiation of vaginal and oral sex among urban young adults in Baltimore, Maryland. Archives of Sexual Behavior, 35, 53–65. doi:10.1007/s10508-006-8994-x.

    Article  PubMed  Google Scholar 

  • Parsons, T. (1951). The social system. Glencoe, IL: The Free Press.

    Google Scholar 

  • Petras, H., Kellam, S. G., Brown, C. H., Muthen, B. O., Ialongo, N. S., & Poduska, J. M. (2008). Developmental epidemiological courses leading to antisocial personality disorder and violent and criminal behavior: Effects by young adulthood of a universal preventive intervention in first- and second-grade classrooms. Drug and Alcohol Dependence, 95, S45–59. doi:10.1016/j.drugalcdep.2007.10.015.

  • Pless, I. B., & Miller, J. R. (1979). Apparent validity of alternative survey methods. Journal of Community Health, 5, 22–27.

    Article  CAS  PubMed  Google Scholar 

  • Poduska, J. M., Kellam, S. G., Wang, W., Brown, C. H., Ialongo, N. S., & Toyinbo, P. (2008). Impact of the Good Behavior Game, a universal classroom-based behavior intervention, on young adult service use for problems with emotions, behavior, or drugs or alcohol. Drug and Alcohol Dependence, 95, S29–44. doi:10.1016/j.drugalcdep.2007.10.009.

  • SAMHSA. (2010). SAMHSA awards up to $11 million to economically disadvantaged communities to promote behavioral health in children. Washington, DC: Substance Abuse and Mental Health Services Administration Press Office.

    Google Scholar 

  • Vlahov, D., Anthony, J. C., Munoz, A., Margolick, J., Nelson, K. E., Celentano, D. D., et al. (1991). The ALIVE study, a longitudinal study of HIV-1 infection in intravenous drug users: Description of methods and characteristics of participants. NIDA Research Monographs, 109, 75–100.

    CAS  Google Scholar 

  • Wang, C. P., Brown, C. H., & Bandeen-Roche, K. (2005). Residual diagnostics for growth mixture models: Examining the impact of a preventive intervention on multiple trajectories of aggressive behavior. Journal of the American Statistical Association, 100, 1054–1076. doi:10.1198/016214505000000501.

    Article  CAS  Google Scholar 

  • Weeks, M. F., Kulka, R. A., Lessler, J. T., & Whitmore, R. W. (1983). Personal versus telephone surveys for collecting household health data at the local level. American Journal of Public Health, 73, 1389–1394.

    Article  CAS  PubMed  Google Scholar 

  • Werthamer-Larsson, L., Kellam, S., & Wheeler, L. (1991). Effect of first-grade classroom environment on shy behavior, aggressive behavior, and concentration problems. American Journal of Community Psychology, 19, 585–602.

    Article  CAS  PubMed  Google Scholar 

  • Wilcox, H. C., Kellam, S. G., Brown, C. H., Poduska, J. M., Ialongo, N. S., Wang, W., et al. (2008). The impact of two universal randomized first- and second-grade classroom interventions on young adult suicide ideation and attempts. Drug and Alcohol Dependence, 95, S60–73. doi:10.1016/j.drugalcdep.2008.01.005.

  • Witvliet, M., van Lier, P. A., Cuijpers, P., & Koot, H. M. (2009). Testing links between childhood positive peer relations and externalizing outcomes through a randomized controlled intervention study. Journal of Consulting and Clinical Psychology, 77, 905–915. doi:10.1037/a0014597.

    Article  PubMed  Google Scholar 

  • Wu, J., Witkiewitz, K., McMahon, R. J., Dodge, K. A., & Conduct Problems Prevention Research Group (2010). A parallel process growth mixture model of conduct problems and substance use with risky sexual behavior. Drug and Alcohol Dependence, 111, 207–214. doi:10.1016/j.drugalcdep.2010.04.013.

Download references

Funding sources

During the last 27 or more years this research has been supported by NIMH Grants R01 MH 42968, P50 MH 38725, R01 MH 40859, and T32 MH018834 (with supplements from NIDA for each of the cited research grants), and NIDA grants R01 DA 019984, DA009897 and P30 DA027828.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sheppard G. Kellam.

Electronic supplementary material

Below is the link to the electronic supplementary material.

ESM 1

(PDF 258 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kellam, S.G., Wang, W., Mackenzie, A.C.L. et al. The Impact of the Good Behavior Game, a Universal Classroom-Based Preventive Intervention in First and Second Grades, on High-Risk Sexual Behaviors and Drug Abuse and Dependence Disorders into Young Adulthood. Prev Sci 15 (Suppl 1), 6–18 (2014). https://doi.org/10.1007/s11121-012-0296-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11121-012-0296-z

Keywords

Navigation