ERIC Number: EJ1108496
Record Type: Journal
Publication Date: 2016-Sep
Abstractor: As Provided
Adaptive Interventions and SMART Designs: Application to Child Behavior Research in a Community Setting
Kidwell, Kelley M.; Hyde, Luke W.
American Journal of Evaluation, v37 n3 p344-363 Sep 2016
Heterogeneity between and within people necessitates the need for sequential personalized interventions to optimize individual outcomes. Personalized or adaptive interventions (AIs) are relevant for diseases and maladaptive behavioral trajectories when one intervention is not curative and success of a subsequent intervention may depend on individual characteristics or response. AIs may be applied to medical settings and to investigate best prevention, education, and community-based practices. AIs can begin with low-cost or low-burden interventions and followed with intensified or alternative interventions for those who need it most. AIs that guide practice over the course of a disease, program, or school year can be investigated through sequential multiple assignment randomized trials (SMARTs). To promote the use of SMARTs, we provide a hypothetical SMART in a Head Start program to address child behavior problems. We describe the advantages and limitations of SMARTs, particularly as they may be applied to the field of evaluation.
Descriptors: Intervention, Individualized Programs, Child Behavior, Behavior Problems, Preschool Children, Federal Programs, Economically Disadvantaged, Research Design, Statistical Analysis, Randomized Controlled Trials
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Publication Type: Journal Articles; Reports - Descriptive
Education Level: N/A
Sponsor: National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH); National Institute on Drug Abuse (DHHS/PHS)
Authoring Institution: N/A
Grant or Contract Numbers: UL1TR000433; L40DA036468