Preface Chapter 1 The challenge Chapter 2 The nature of the evidence: A synthesis of meta-analyses Chapter 3 The argument: Visible teaching and visible learning Chapter 4: The contributions from the student Chapter 5 The contributions from the home Chapter 6 The contributions from the school Chapter 7 The contributions from the teacher Chapter 8 The contributions from the curricula Chapter 9 The contributions from teaching approaches - I Chapter 10 The contributions from teaching approaches - II Chapter 11: Bringing it all together Appendix A: The 800 meta-analyses Appendix B: The meta-analyses by rank order References

Visible Learning: A Synthesis of Over 800 Meta-Analyses Relating to Achievement

Child and adolescent therapy outcome research findings attest to the efficacy of a variety of treatments. This article illustrates promising treatments for selected internalizing (anxiety and depression), externalizing (oppositional, and antisocial behavior), and other (obesity and autism) conditions, and for other aims (preparation for medical and dental procedures). Studies in these areas illustrate worthwhile characteristics that can help inform the search for empirically supported treatments. These characteristics include randomized controlled trials, well-described and replicable treatments, tests with clinical samples, tests of clinical significance, broad-based outcome assessment including measures of real-world functioning, and others. Continued research progress will depend on greater attention to magnitude and maintenance of therapeutic change, long-term follow-up, moderators and mediators of change, and development and testing of treatment in conditions relevant to clinical practice.

Identifying and developing empirically supported child and adolescent treatments

Meta-analyses of laboratory outcome studies reveal beneficial effects of psychotherapy with children and adolescents. However, the research therapy in most of those lab studies differs from everyday clinic therapy in several ways, and the 9 studies of clinic therapy the authors have found show markedly poorer outcomes than research therapy studies. These findings suggest a need to bridge the long-standing gap between outcome researchers and clinicians. Three kinds of bridging research are proposed and illustrated: (a) enriching the research data base on treatment effects by practitioners in clinical settings—including private practice and health maintenance organizations, (b) identifying features of research therapy that account for positive outcomes and applying those features to clinical practice, and (c) exporting lab-tested treatments to clinics and assessing their effects with referred youths. If these bridging strategies were widely adopted, despite the numerous obstacles described herein, real progress might be made toward more effective treatment in clinical practice. The gulf that divides clinical practice and clinical research is now accepted as a fact of life by many in the mental health professions and in academia. For years, practicing clinicians have maintained that psychotherapy research is of little value to them (see Elliott, 1983; Kupfersmid, 1988; Luborsky, 1972; Orlinsky & Howard, 1978; Parloff, 1980;Strupp, 1989). When clinical psychologists are asked to rank the usefulness to their practice of various sources of information, research articles and books typically fall near the bottom of the scale (see L. Cohen, 1979; Cohen, Sargent, & Sechrest, 1986; Morrow-Bradley & Elliot, 1986). An experienced psychotherapist, S. D. Raw recently noted,

https://scholar.harvard.edu/files/jweisz/files/1995f.pdf

Bridging the Gap Between Laboratory and Clinic in Child and Adolescent Psychotherapy

We conducted a meta-analysis of 99 studies that used interventions to decrease disruptive classroom behavior in public education settings. Due to the predominance of single-subject studies, we used...

A Meta-Analysis of Interventions To Decrease Disruptive Classroom Behavior in Public Education Settings.

Over the past four decades, researchers have produced extensive evidence on psychotherapy for youth mental health problems and disorders. The evidence often has been evaluated through narrative reviews and through meta-analyses assessing the magnitude of treatment effects, but methodological analysis addressing the character and quality of the evidence base itself is an important complement, needed to place treatment effects in perspective and to suggest directions for future research. We carried out such an analysis, focusing on all the methodologically acceptable published randomized trials our search identified involving treatment of anxiety, depression, ADHD and related conditions, and conduct-related problems and disorders. The 236 studies tested 383 treatments and included 427 treatment-control comparisons, spanning the years 1962 through 2002. The analysis revealed considerable breadth, diversity, and rigor in the measurement approaches used to assess participant characteristics and treatment outcomes. However, reporting on important sample characteristics (e.g., ethnicity) showed major gaps, and more than half the studies failed to use well-standardized procedures to ensure appropriate sample selection. Because sample sizes left most studies underpowered, and procedures to enhance treatment fidelity were generally weak, many of the treatments investigated may not have received fair tests. Studies were particularly weak in clinical representativeness of their samples, therapists, and settings, suggesting a need for increased emphasis on external validity in youth treatment research.

Youth psychotherapy outcome research: a review and critique of the evidence base.

A Meta-Analysis of School-Based Studies of Psychotherapy.

Kinetic School Drawings were obtained from 100 fifth-grade students. The drawings were analyzed along a number of dimensions thought to measure “negative” affect. Significant correlations with academic achievement were found for a number of measures, and the results of a stepwise multiple regression were significant. In general, the study supported the validity of the technique.

H. Thompson Prout

Papers

A Meta-Analysis of School-Based Studies of Psychotherapy.

A validity study of the Kinetic school drawing technique