Student mental health outcomes of a clustered SMART for developing an adaptive implementation strategy to support school-based CBT delivery.

ABSTRACT:

Purpose

Most youth experiencing anxiety/depression lack access to evidence-based mental health practices (EBPs). School-delivered care improves access, and various support can help school professionals (SPs; school social workers, counselors) deliver EBPs, like Cognitive Behavioral Therapy (CBT). Understanding implementation strategies' impact on downstream mental health outcomes is crucial to scaling up EBPs to address the treatment gap, but it has rarely been assessed.

Methods

This paper compares implementation strategies' impact on change in student outcomes, collected as exploratory outcomes from a type III hybrid implementation-effectiveness trial. A clustered, sequential, multiple-assignment randomized trial design was used, which embedded four implementation supports

SUBMITTER: Smith SN 

PROVIDER: S-EPMC11924124 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature