Trial Summary
What is the purpose of this trial?An increasing number of schools in rural settings are employing the multi-tier positive behavioral interventions and supports (PBIS) framework to improve school-climate. PBIS can also be used as a framework for the adoption and integration of evidence-based practices (EBPs) for children's mental health concerns. A key challenge is that school personnel need technical assistance (training plus ongoing consultation) in order to implement EBPs with fidelity. In urban and suburban schools, this support can be provided to school staff on site. However, 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, video technology has been recommended for the training of behavioral health staff (BHS) in under-served rural communities.
Eligibility Criteria
This trial is for counselors, social workers, or teachers from schools using PBIS with students in grades 4-8. Principals and assistant principals can also participate. Students eligible are those attending these schools who need extra support after Tier 1 intervention and score high on the SDQ for emotional or conduct issues.Inclusion Criteria
I am a student in grades 4-8, not helped by initial school support, and scored high on a behavior or emotional test.
Behavioral Health Staff: Any counselor, social worker, or teacher from participating schools implementing PBIS who work with students in grades 4-8
Administrator: Any school principal or assistant principal from participating schools implementing PBIS
Exclusion Criteria
Students: Students who do not meet screening or group participation criteria, students with a history of intellectual disability or serious developmental delays according to school records, students with a history of psychotic or autistic spectrum disorders as reported by parents
Administrator: School staff who are not principals or assistant principals
Behavioral Health Staff: School staff who are not part of the PBIS team and who do not work with students in grades 4-8
Participant Groups
The study tests a remote training strategy to help school staff implement mental health practices effectively. It compares initial training alone (CC), with added video (RV), and both plus coaching (RV+). Interventions include CPP, CATS, and CI/CO within a PBIS framework.
3Treatment groups
Experimental Treatment
Active Control
Group I: Initial training plus video, plus coachingExperimental Treatment4 Interventions
School personnel will implement CATS or CPP and CICO with students in the school setting. They will participate in an initial live remote training, receive access to asynchronous video training modules about the EBPs, and receive coaching support by study staff (RV+). The coaching will be from a study consultant regarding the implementation of EBPs.
Group II: Initial training plus videoExperimental Treatment4 Interventions
School personnel will implement CATS or CPP and CICO with students in the school setting. They will participate in an initial live remote training and receive access to asynchronous video training modules about the EBPs (RV).
Group III: Initial trainingActive Control4 Interventions
School personnel will implement CATS or CPP and CICO with students in the school setting. They will participate in an initial live remote training to learn about implementing the three EBPs (CC).
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Children's Hospital of PhiladelphiaPhiladelphia, PA
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Who Is Running the Clinical Trial?
Children's Hospital of PhiladelphiaLead Sponsor
Devereux Center for Effective SchoolsCollaborator
Agency for Healthcare Research and Quality (AHRQ)Collaborator