Development and evaluation of a remote training strategy for the implementation of mental health evidence-based practices in rural schools: pilot study protocol.

Development and evaluation of a remote training strategy for the implementation of mental health evidence-based practices in rural schools: pilot study protocol.
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农村学校实施心理健康循证实践的远程培训策略的开发和评估:试点研究协议。

DOI:
10.1186/s40814-022-01082-4
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发表时间:
2022-06-17
影响因子:
1.7
通讯作者:
Jawad, Abbas F.
Jawad, Abbas F.
中科院分区:
其他
文献类型:
--
作者:
Eiraldi, Ricardo;McCurdy, Barry L.;Khanna, Muniya S.;Goldstein, Jessica;Comly, Rachel;Francisco, Jennifer;Rutherford, Laura E.;Wilson, Tara;Henson, Kathryn;Farmer, Thomas;Jawad, Abbas F.

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越来越多的农村学校正在实施多层次的积极行为干预和支持(PBIS),以解决学校气候问题。PBIS可用于为实施以证据为基础的做法提供框架,以解决儿童的心理健康问题。鉴于农村地区儿童的服务差距很大,通过公共服务计划提供ebp可以改善获取机会并产生更好的长期结果。一个关键的挑战是,学校工作人员需要技术援助,以便以忠诚和临床效果实施ebp。由于地理位置偏远,在大多数农村学校提供持续的现场支持是不可行的,也是不可持续的。因此,建议采用远程培训技术向服务不足的农村社区的行为卫生工作人员提供技术援助。本研究的目的是使用以用户为中心的设计,在迭代过程(快速原型)的指导下,开发和评估两种在线培训策略的适当性、可行性、可接受性、可用性和初步学生结果,以实施PBIS第2层的ebp。该研究将采用实用的设计,包括开发培训平台的混合方法,以及混合类型2的试点随机对照试验,以检查远程视频与远程视频加教练两种培训策略的实施和学生结果。显然需要精心设计的远程培训研究,重点放在非传统环境中的培训上。鉴于农村地区缺乏训练有素的精神卫生专业人员以及在获得服务方面存在明显差异,在服务不足的农村学校制定和试点测试心理健康远程培训战略可能会产生重大的公共卫生影响。该项目由机构审查委员会审查并批准。结果将提交给ClinicalTrials.gov,并传播给社区合作伙伴和参与者、同行评审期刊和学术会议。clinicaltrials .gov, NCT05034198和NCT05039164
An increasing number of schools in rural settings are implementing multi-tier positive behavioral interventions and supports (PBIS) to address school-climate problems. PBIS can be used to provide the framework for the implementation of evidence-based practices (EBPs) to address children’s mental health concerns. Given the large service disparities for children in rural areas, offering EBPs through PBIS can improve access and lead to better long-term outcomes. A key challenge is that school personnel need technical assistance in order to implement EBPs with fidelity and clinical effectiveness. Providing ongoing on-site support is not feasible or sustainable in the majority of rural schools, due to their remote physical location. For this reason, remote training technology has been recommended for providing technical assistance to behavioral health staff (BHS) in under-served rural communities. The purpose of this study is to use the user-centered design, guided by an iterative process (rapid prototyping), to develop and evaluate the appropriateness, feasibility, acceptability, usability, and preliminary student outcomes of two online training strategies for the implementation of EBPs at PBIS Tier 2. The study will employ a pragmatic design comprised of a mixed-methods approach for the development of the training platform, and a hybrid type 2, pilot randomized controlled trial to examine the implementation and student outcomes of two training strategies: Remote Video vs. Remote Video plus Coaching. There is a clear need for well-designed remote training studies focused on training in non-traditional settings. Given the lack of well-trained mental health professionals in rural settings and the stark disparities in access to services, the development and pilot-testing of a remote training strategy for BHS in under-served rural schools could have a significant public health impact. The project was reviewed and approved by the institutional review board. Results will be submitted to ClinicalTrials.gov and disseminated to community partners and participants, peer-reviewed journals, and academic conferences. ClinicialTrials.gov, NCT05034198 and NCT05039164
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