Table 8Summary GRADE table (Kids in Transition to School (KITS) programme vs care as usual)

OutcomeSample sizeEffect size (95% CI)QualityInterpretation of effecta
Initial sound fluency score following intervention before school (subtest of the Dynamic Indicators of Basic Early Literacy Skills)192MD 0.81 (−1.22 to 2.84)Very LowNo meaningful difference
Letter naming fluency following intervention before school (subtest of the Dynamic Indicators of Basic Early Literacy Skills)192MD 0.23 (−2.81 to 3.27)Very LowNo meaningful difference
Concepts about print score following intervention before school (Concepts About Print test)192MD 0.65 (−0.37 to 1.67)Very LowNo meaningful difference
Caregiver rating of pre-reading skills following intervention before school (recognition letters of the alphabet and write first name)192MD −0.13 (−0.37 to 0.11)Very LowNo meaningful difference
Association between being in the intervention group and early literacy skills following intervention before starting school (composite of indicators of early literacy skills, above)192β 0.10 P<0.05Very LowIntervention was associated with a more favourable outcome
Prosocial skills score following intervention before school (Preschool Penn Interactive Peer Play Scale score)192MD −0.05 (−0.17 to 0.07)Very LowNo meaningful difference
Social competence score following intervention before school (Child Behaviour Checklist)192MD −0.10 (−0.67 to 0.47)Very LowNo meaningful difference
Emotional understanding score following intervention before school (matching vignettes to correct emotional state)192MD −0.21 (−1.01 to 0.59)Very LowNo meaningful difference
Association between being in the intervention group and prosocial skills following intervention before starting school (composite of indicators of prosocial skills, above)192β 0.4 P>0.05Very LowNo association was observed between intervention and outcome
Inhibitory control score following intervention before school (composite score: Inhibitory Control subscale; the Attentional Focusing subscale (of the Children’s Behavior Questionnaire); the Inhibit subscale from the Brief Rating Inventory of Executive Function–Preschool Version; and two computer-administered tasks)192MD 0.03 (−0.18 to 0.24)Very LowNo meaningful difference
Behavioural regulation score following intervention before school (composite score: the Activity Level subscale and Impulsivity subscale (of the Childrens Behaviour Questionnaire); the Externalizing subscale (of the Child Behaviour Checklist); the Lability subscale of the Emotion Regulation Checklist)192MD 0.14 (−0.11 to 0.39)Very LowNo meaningful difference
Emotional regulation score following intervention before school (Composite score: the anger subscale and the reactivity/soothability subscale of the Children’s Behaviour Questionnaire; the Emotion Regulation scale of the Emotion Regulation Checklist; and the Emotion Control subscale of the BRIEF–P)192MD 0.00 (−0.22 to 0.22)Very LowNo meaningful difference
Association between being in the intervention group and self-regulatory skills following intervention before starting school (assessed by composite of indicators of self-regulation, above)192β 0.11 P<0.05Very LowIntervention was associated with a more favourable outcome
Teacher-reported aggressive behaviour at the end of kindergarten year (the aggressive behavior subscales of the Teacher Report Form)192MD −1.84 (−4.81 to 1.13)Very LowNo meaningful difference
Teacher-reported delinquent behaviour at the end of kindergarten year (the delinquent behavior subscales of the Teacher Report Form)192MD −0.58 (−1.21 to 0.05)Very LowNo meaningful difference
Teacher-reported oppositional behaviour at the end of kindergarten year (the oppositional subscale of the Conners’ Teacher Ratings Scales-Revised: Short version)192MD −0.81 (−1.78 to 0.16)Very LowNo meaningful difference
Days free from internalising symptoms over 12 months of kindergarten (symptom reports from caregivers on the Child Behavior Checklist)192MD 26.00 (0.05 to 51.95)Very LowEffect favours intervention group, but it may be less than the MID
Days free from externalising problems over 12 months of kindergarten (symptom reports from caregivers on the Child Behavior Checklist)192MD 26.60 (−2.76 to 55.96)Very LowCould not differentiate
Association between being in the intervention group and child oppositional and aggressive behaviours at the end of kindergarten year (composite of indicators of oppositional and aggressive behaviours, above)192β −0.17 P<0.05Very LowIntervention was associated with a more favourable outcome
Positive attitudes towards alcohol at 9 years of age (questions adapted from the Monitoring the Future National Survey Questionnaire)192MD −0.30 (−0.50 to −0.10)Very LowEffect favours intervention group, but it may be less than the MID
Positive attitudes towards antisocial behaviours at 9 years of age (based on two questions - “What are some of the things you think teenagers do for fun with their friends?” and “What are some of the things you think teenagers do when their moms or dads are not there?”)192MD −0.09 (−0.27 to 0.09)Very LowCould not differentiate
Involvement with deviant peers at 9 years of age (based on responses to questions about whether “none”, “some”, or “all” of their friends were involved in five rule-breaking or deviant behaviors)192MD −0.19 (−0.44 to 0.06)Very LowNo meaningful difference
Self-competence at 9 years of age (six questions on the Global Self-Worth Scale of the Self-Perception Profile for Children)192MD 1.91 (0.82 to 3.00)Very LowEffect favours intervention group, but it may be less than the MID
Association between being in the intervention group and positive attitudes towards alcohol at 9 years of age (questions adapted from the Monitoring the Future National Survey Questionnaire)192β −0.34 P<0.05Very LowIntervention was associated with a more favourable outcome
Association between being in the intervention group and positive attitudes towards antisocial behaviour at 9 years of age (based on two questions - “What are some of the things you think teenagers do for fun with their friends?” and “What are some of the things you think teenagers do when their moms or dads are not there?”)192β −0.11 P<0.05Very LowIntervention was associated with a more favourable outcome
Association between being in the intervention group and self-competence at 9 years of age (six questions on the Global Self-Worth Scale of the Self-Perception Profile for Children)192β 1.95 P<0.01Very LowIntervention was associated with a more favourable outcome
(a)

No meaningful difference: crosses line of no effect but not line of MID; Could not differentiate: crosses line of no effect and line of MID; May favour: confidence intervals do not cross line of no effect but cross MID; Favours: confidence intervals do not cross line of no effect or MID

From: Interventions to support readiness for school in looked-after children and young people

Cover of Interventions to support readiness for school in looked-after children and young people
Interventions to support readiness for school in looked-after children and young people: Looked-After Children and Young People: Evidence review H.
NICE Guideline, No. 205.
Copyright © NICE 2021.

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