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Universal Prevention and Special Educational Needs: The PAX Good Behavior Game in Mainstream Education Settings
Stockholm University, Faculty of Social Sciences, Department of Special Education.ORCID iD: 0009-0008-7960-1349
2026 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis examines how the PAX Good Behavior Game (PAX GBG) functions in mainstream classrooms that include students with diverse special educational needs (SEN). Although designed as a universal preventive intervention, PAX GBG is implemented in contexts characterized by heterogeneous learner needs. The thesis focuses on how the intervention is enacted, adapted, and experienced in everyday classroom practice.

The thesis combines a scoping review with qualitative studies conducted in Swedish primary schools (grades F–3). Study 1 mapped research on the GBG and PAX GBG in relation to students with SEN. Studies 2 and 3 examined teachers’ and students’ perspectives on the use of PAX GBG. Across studies, the analysis focused on mechanisms, participation, adaptation, and variability in how the intervention functioned in practice.

The findings suggest that core components of PAX GBG, such as structured routines, explicit expectations, and positive reinforcement, were recognizable in classroom practice and were often described as supporting predictability, behavioral regulation, and participation for many students, including students with SEN. At the same time, the functioning of PAX GBG varied across students and classroom contexts. Teachers frequently adapted PAX kernels to support participation, and such adaptations appeared important for sustaining the intervention. For some students, PAX GBG also appeared to provide a shared framework on which additional support could build.

However, a smaller group of students with more complex needs participated less consistently or experienced the routines as demanding. In these cases, the intended mechanisms did not fully take hold, and teachers described difficulties in adapting the intervention within the constraints of the classroom.

Taken together, the findings suggest that PAX GBG can function as a meaningful component of inclusive classroom practice in mainstream education, but that its accessibility for students with SEN is shaped by how it is adapted and supported within broader educational support systems. The thesis contributes a more context-sensitive understanding of how universal interventions operate in heterogeneous classrooms and highlights the importance of aligning classroom practices with structured systems of support.

Place, publisher, year, edition, pages
Stockholm: Department of Special Education, Stockholm University , 2026. , p. 106
Keywords [en]
special education; accessible learning environments; inclusion; universal prevention; preventive interventions; classroom environment; student behavior; school-based interventions; student perspectives; teacher perspectives; PAX Good Behavior Game
Keywords [sv]
specialpedagogik; tillgängliga lärmiljöer; inkludering; universalprevention; förebyggande arbete; klassrumsmiljö; elevbeteende; skolbaserade interventioner; elevperspektiv; lärarperspektiv; PAX Good Behavior Game
National Category
Pedagogy
Research subject
Special Education
Identifiers
URN: urn:nbn:se:su:diva-254225ISBN: 978-91-8107-618-9 (print)ISBN: 978-91-8107-619-6 (electronic)OAI: oai:DiVA.org:su-254225DiVA, id: diva2:2053331
Public defence
2026-06-05, ALB-hörsal 4, Albano, hus 2, plan 2, Albanovägen 12 and online via Zoom, public link is available at the department website, Stockholm, 13:00 (English)
Opponent
Supervisors
Available from: 2026-05-11 Created: 2026-04-16 Last updated: 2026-05-04Bibliographically approved
List of papers
1. The Good Behavior Game for students with special educational needs in mainstream education settings: A scoping review
Open this publication in new window or tab >>The Good Behavior Game for students with special educational needs in mainstream education settings: A scoping review
2024 (English)In: Psychology in the schools (Print), ISSN 0033-3085, E-ISSN 1520-6807, Vol. 61, no 3, p. 861-886Article, review/survey (Refereed) Published
Abstract [en]

The Good Behavior Game (GBG) is a classroom management strategy that consistently demonstrates its ability to promote positive behaviors and peer relations among students, with immediate and long-term benefits. This scoping review aimed to provide an overview of peer-reviewed research on the GBG specifically focused on students with special educational needs (SEN) in mainstream education settings. Following a systematic search-and-selection procedure, 30 studies were included, 26 with an experimental design and 4 with a qualitative/mixed-methods design. SEN participants were mainly subgroups of students with baseline assessments of emotional-behavioral difficulties; there was, however, substantial clinical and methodological heterogeneity across studies. Integrative findings from quantitative and qualitative studies indicate that the GBG benefits most students with SEN in mainstream settings, while results for students with severe socio-behavioral difficulties are ambiguous. We identified a paucity of research on students with neurodevelopmental diagnoses such as attention deficit hyperactivity disorder or autism spectrum disorder, as well as on the perspectives of students and teachers and challenges associated with the GBG for students with severe difficulties. Schools implementing the GBG should be aware that some students may need individual adaptations to participate in the GBG, and teachers may need support to implement these adaptations. 

Keywords
Good Behavior Game, scoping review, special educational needs
National Category
Pedagogy
Identifiers
urn:nbn:se:su:diva-223423 (URN)10.1002/pits.23086 (DOI)001069632000001 ()2-s2.0-85171854068 (Scopus ID)
Available from: 2023-11-01 Created: 2023-11-01 Last updated: 2026-04-16Bibliographically approved
2. PAX for Everyone? Swedish Teachers’ Perspectives on Adopting a Universal Prevention Model in a Mainstream Education Setting
Open this publication in new window or tab >>PAX for Everyone? Swedish Teachers’ Perspectives on Adopting a Universal Prevention Model in a Mainstream Education Setting
2025 (English)In: European Journal of Psychology and Educational Research, ISSN 2589-949X, Vol. 8, no 2, p. 83-95Article in journal (Refereed) Published
National Category
Other Educational Sciences
Research subject
Special Education
Identifiers
urn:nbn:se:su:diva-254222 (URN)10.12973/ejper.8.2.83 (DOI)
Available from: 2026-04-16 Created: 2026-04-16 Last updated: 2026-04-16Bibliographically approved
3. Primary Students’ Experiences of participation in the PAX Good Behavior Game
Open this publication in new window or tab >>Primary Students’ Experiences of participation in the PAX Good Behavior Game
(English)Manuscript (preprint) (Other academic)
Abstract [en]

The PAX Good Behavior Game is a universal classroom-based intervention designed to promote self-regulation, prosocial behavior, and a positive learning environment. While previous research has primarily examined behavioral outcomes and teacher perspectives, less is known about how students experience participation in PAX, particularly in classrooms that include students with diverse support needs. This study explores young students’ perspectives on PAX in Swedish primary classrooms.

Seventeen students aged 6–8 years participated in individual semi-structured interviews supported by visual rating scales. Data were analyzed using qualitative content analysis combined with a case-oriented approach. The findings show that students generally perceived PAX as a meaningful part of everyday classroom practice, contributing to calmness, clear expectations, and engagement. At the same time, students described variation in how classmates were able to participate in PAX routines. For some, participation was experienced as straightforward and motivating, whereas others were described as finding it more demanding to align with shared expectations. These differences were often visible within the group and sometimes associated with feelings of unfairness or frustration.

The findings suggest that students experience PAX as integrated into everyday classroom practice and highlight the importance of considering variation in participation when implementing universal interventions in inclusive settings.

Keywords
PAX Good Behavior Game; Student perspectives; Inclusive education; Self -regulation; Special educational needs
National Category
Other Educational Sciences
Research subject
Special Education
Identifiers
urn:nbn:se:su:diva-254224 (URN)
Available from: 2026-04-16 Created: 2026-04-16 Last updated: 2026-04-16

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Jornevald, Maria

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