Using Machine Learning Methodology to Identify Predictors of Non-Response to MTSS-B: a Focus on Discipline Problems and Juvenile Justice Involvement.

IF 2.5 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Prevention Science Pub Date : 2026-10-01 Epub Date: 2026-05-22 DOI:10.1007/s11121-026-01932-0
Kate Somerville, Ali Ünlü, Angela K Henneberger, Bess A Rose, Elise T Pas, Catherine P Bradshaw
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引用次数: 0

Abstract

Multi-tiered systems of support for behavior (MTSS-B) is a widely-used tiered preventive intervention currently used in over 25,000 schools across the USA. This study leveraged data from 16,907 elementary students across 42 schools that participated in a prior randomized controlled trial (RCT) of MTSS-B, where schools were randomly assigned to implement Tier 1 + 2 (intervention) supports or Tier 1 only (comparison). The RCT data, collected between 2008 and 2012, were linked to administrative records of behavior in grades 6-12 collected between 2008 and 2024. We used machine learning methods to identify elementary school predictors of three long-term outcomes (i.e., in-school suspension (ISS), out-of-school suspension (OSS), and arrest) signifying Tier 1 non-response. For ISS, the strongest predictors were family involvement, being female, and internalizing problems, which serve as protective factors. For OSS, they were family involvement, internalizing problems, and academic performance, all of which were protective. For arrest, key predictors included family problems, where lower problems were protective against arrest, and prosocial behavior and family involvement, which were both protective. The top predictors were similar for students in the Tier 1 + 2 and Tier 1 only conditions. These findings can inform early screening for possible non-response to MTSS-B and highlight the need for family engagement practices.

使用机器学习方法识别对MTSS-B无反应的预测因素:对纪律问题和少年司法参与的关注。
多层行为支持系统(MTSS-B)是一种广泛使用的分层预防干预措施,目前在美国超过25,000所学校使用。本研究利用了来自42所学校的16,907名小学生的数据,这些学生参加了MTSS-B的随机对照试验(RCT),其中学校被随机分配实施一级+二级(干预)支持或一级(比较)。2008年至2012年间收集的随机对照试验数据与2008年至2024年间收集的6-12年级学生的行为管理记录相关联。我们使用机器学习方法来识别三种长期结果的小学预测因子(即,校内停学(ISS),校外停学(OSS)和逮捕),表示一级无反应。对于ISS,最强的预测因子是家庭参与、女性和内化问题,这是保护因素。对于OSS来说,它们是家庭参与、内化问题和学术表现,所有这些都是保护性的。对于逮捕,关键的预测因素包括家庭问题,其中较低的问题对逮捕有保护作用,亲社会行为和家庭参与,两者都有保护作用。对于Tier 1 + 2和Tier 1的学生来说,预测指标是相似的。这些发现可以为可能对MTSS-B无反应的早期筛查提供信息,并强调家庭参与实践的必要性。
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来源期刊
Prevention Science
Prevention Science PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.50
自引率
11.40%
发文量
128
期刊介绍: Prevention Science is the official publication of the Society for Prevention Research. The Journal serves as an interdisciplinary forum designed to disseminate new developments in the theory, research and practice of prevention. Prevention sciences encompassing etiology, epidemiology and intervention are represented through peer-reviewed original research articles on a variety of health and social problems, including but not limited to substance abuse, mental health, HIV/AIDS, violence, accidents, teenage pregnancy, suicide, delinquency, STD''s, obesity, diet/nutrition, exercise, and chronic illness. The journal also publishes literature reviews, theoretical articles, meta-analyses, systematic reviews, brief reports, replication studies, and papers concerning new developments in methodology.
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