A cluster randomized trial to evaluate external support for the implementation of positive behavioral interventions and supports by school personnel
A cluster randomized trial to evaluate external support for the implementation of positive behavioral interventions and supports by school personnel
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DOI：
10.1186/1748-5908-9-12
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发表时间：
2014-01-15
影响因子：
7.2
通讯作者：
Sugai, George
中科院分区：
文献类型：
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作者：
Eiraldi, Ricardo;McCurdy, Barry;Sugai, George
背景：城市学校在满足学生行为健康需求方面落后于非城市学校。这在对学童使用循证干预措施的水平方面尤其明显。在城市学校中更多地使用循证干预措施将有助于减少低收入社区的心理健康服务差异。全校积极行为干预和支持 (SWPBIS) 是一个服务提供框架，可用于提供普遍的预防干预措施和基于证据的行为健康治疗，例如团体认知行为治疗。在本文中，我们描述了我们正在进行的关于创建项目实施内部能力的研究。我们还研究了在实施两级 SWPBIS 计划时向人员提供两种不同级别的外部支持时的成本效益和由此产生的学校氛围。 方法/设计：本研究跟踪费城学区的六所 K - 8 学校，随机分配给咨询支持或咨询加辅导支持。参与者包括：第一层的大约 48 名领导团队成员、180 名学校工作人员和 3,900 名学生，以及第二层的 12 名辅导员和 306 名儿童参与者。符合第二层纳入标准的儿童将参加针对外在障碍或焦虑障碍的团体认知行为治疗。该研究分为三个阶段：基线/培训、实施和可持续性。我们将衡量实施成果、服务成果、儿童成果和成本。讨论：本研究的结果将为学校范围内的预防和治疗服务提供模式在解决学校服务差异方面的适当性提供证据。培训和咨询两个层面的有效性和成本效益分析应有助于城市学区和政策制定者规划和部署具有成本效益的策略，以针对学童中一些最常见的行为健康问题实施循证干预措施。
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.