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Open Access 01-12-2014 | Study protocol

A cluster randomized trial to evaluate external support for the implementation of positive behavioral interventions and supports by school personnel

Authors: Ricardo Eiraldi, Barry McCurdy, Muniya Khanna, Jennifer Mautone, Abbas F Jawad, Thomas Power, Zuleyha Cidav, Jaclyn Cacia, George Sugai

Published in: Implementation Science | Issue 1/2014

Abstract

Background

Urban schools lag behind non-urban schools in attending to the behavioral health needs of their students. This is especially evident with regard to the level of use of evidence-based interventions with school children. Increased used of evidence-based interventions in urban schools would contribute to reducing mental health services disparities in low-income communities. School-wide positive behavioral interventions and supports (SWPBIS) is a service delivery framework that can be used to deliver universal preventive interventions and evidence-based behavioral health treatments, such as group cognitive behavioral therapy. In this article, we describe our ongoing research on creating internal capacity for program implementation. We also examine the cost-effectiveness and resulting school climate when two different levels of external support are provided to personnel as they implement a two-tier SWPBIS program.

Methods/Design

The study follows six K – 8 schools in the School District of Philadelphia randomly assigned to consultation support or consultation-plus-coaching support. Participants are: approximately 48 leadership team members, 180 school staff and 3,900 students in Tier 1, and 12 counselors, and 306 child participants in Tier 2. Children who meet inclusion criteria for Tier 2 will participate in group cognitive behavioral therapy for externalizing or anxiety disorders. The study has three phases, baseline/training, implementation, and sustainability. We will measure implementation outcomes, service outcomes, child outcomes, and cost.

Discussion

Findings from this study will provide evidence as to the appropriateness of school-wide prevention and treatment service delivery models for addressing services disparities in schools. The effectiveness and cost-effectiveness analyses of the two levels of training and consultation should help urban school districts and policymakers with the planning and deployment of cost-effective strategies for the implementation of evidence-based interventions for some of the most common behavioral health problems in school children.

Trial registration

ClinicalTrials.gov identifier: NCT01941069

Available only for authorised users

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Title: A cluster randomized trial to evaluate external support for the implementation of positive behavioral interventions and supports by school personnel
Authors: Ricardo Eiraldi
Barry McCurdy
Muniya Khanna
Jennifer Mautone
Abbas F Jawad
Thomas Power
Zuleyha Cidav
Jaclyn Cacia
George Sugai
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: Implementation Science / Issue 1/2014
Electronic ISSN: 1748-5908
DOI: https://doi.org/10.1186/1748-5908-9-12

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

A cluster randomized trial to evaluate external support for the implementation of positive behavioral interventions and supports by school personnel

Abstract

Background

Methods/Design

Discussion

Trial registration

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods/Design

Discussion

Trial registration

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