Article Text

Download PDFPDF

The Fast Track prevention programme improved some outcomes in high risk schoolchildren

Statistics from

OpenUrlCrossRefPubMedWeb of Science

QUESTION: In children at high risk of developing long term antisocial behaviour, can a multicomponent preventive programme (Fast Track) improve social, emotional, and academic skills?


Randomised (allocation not concealed*), partially blinded (observers of child behaviour),* controlled trial with 1 year of follow up.


Primary schools in neighbourhoods with high rates of delinquency and juvenile arrests in 4 US regions.


891 children (mean age 7 y, 69% boys) who had completed 1 year of kindergarten and were behaviourally disruptive (ie, had high scores on teacher and parent ratings of behaviour problems).


54 schools matched for size, poverty, and ethnic composition were allocated to the intervention (445 children in 191 classrooms) or control (446 children in 210 classrooms) conditions. The intervention consisted of a curriculum (Promoting Alternative Thinking Strategies [PATHS]), parent groups, child social skills training groups, parent child sharing time, home visiting, child peer pairing, and academic tutoring and was given during school and 2 hour extracurricular enrichment programmes and in the home.

Main outcome measures

Child social cognition and reading, child peer relations and social competence, parenting behaviour and social cognition, and child aggressive and disruptive behaviour. These were based on both …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.