Can School Mental Health Providers Deliver Psychosocial Treatment Improving Youth Attention and Behavior in Mexico? A Pilot Randomized Controlled Trial of CLS-FUERTE
Can School Mental Health Providers Deliver Psychosocial Treatment Improving Youth Attention and Behavior in Mexico? A Pilot Randomized Controlled Trial of CLS-FUERTE
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DOI：
10.1177/1087054720959698
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发表时间：
2020-09-30
影响因子：
3
通讯作者：
Pfiffner, Linda
中科院分区：
文献类型：
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作者：
Haack, Lauren Marie;Araujo, Eva Angelina;Pfiffner, Linda
背景：尽管针对注意力缺陷/多动障碍 (ADHD) 和对立违抗性障碍 (ODD) 已有完善的循证治疗 (EBT)，但许多资源匮乏的环境缺乏 EBT 访问途径。方法：我们对 58 名学生进行了 CLS-FUERTE（一种适合墨西哥儿童的多成分行为 EBT）学校集群随机对照试点。我们随机分配四所学校接受 CLS-FUERTE，四所学校照常接受学校服务。我们比较了治疗后各组家长和教师评价的多动症/对立障碍症状和障碍。结果：CLS-FUERTE 的保真度、出勤率、参与度和可接受性都很高，与接受常规服务的学生相比，接受 CLS-FUERTE 的学生在教师评定的 ADHD、ODD 和障碍以及家长评定的 ADHD 和障碍方面表现出更大的改善。结论：试点结果表明，墨西哥的学校心理健康服务提供者可以成功实施社会心理 EBT。
Background: Despite well-established Evidence-Based Treatments (EBTs) for Attention-Deficit/Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD), many low-resource settings lack EBT access. Methods: We conducted a school-clustered randomized controlled pilot of CLS-FUERTE (a multicomponent behavioral EBT adapted for children in Mexico) with 58 students. We randomly assigned four schools to receive CLS-FUERTE and four to receive school services as usual. We compared groups post-treatment on parent- and teacher-rated ADHD/ODD symptoms and impairment. Results: CLS-FUERTE fidelity, attendance, engagement, and acceptability was high and students receiving CLS-FUERTE showed greater improvement in teacher-rated ADHD, ODD, and impairment, as well as parent-rated ADHD and impairment, compared to students receiving usual services. Conclusions: Pilot results suggest that psychosocial EBTs can be successfully implemented by School Mental Health Providers in Mexico.