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[Implementation Evaluation of the Pare-Chocs Program in High School].

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School-based mental health services for adolescents with depression show high implementation fidelity. Factors like training and supervision enhance quality, though time constraints pose challenges for effective mental health programs.

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Area of Science:

  • Adolescent mental health
  • School-based interventions
  • Implementation science

Background:

  • Adolescent depression prevalence is rising, yet school-based mental health services are underutilized.
  • Implementation quality of school mental health programs is often suboptimal, limiting effectiveness.
  • Identifying factors influencing implementation fidelity is crucial for improving service quality.

Purpose of the Study:

  • To assess the implementation quality of the Pare-Chocs program in schools.
  • To identify factors affecting the implementation fidelity of this adolescent depression program.
  • To evaluate program fidelity using a theory-driven approach and the Elements of Action Model.

Main Methods:

  • A mixed-method approach combining quantitative and qualitative data collection.
  • 15 professionals delivered the Pare-Chocs program to six groups of adolescents with high depressive symptoms.
  • Implementation fidelity, adherence, dose, and participant responsiveness were measured, alongside action model components.

Main Results:

  • High levels of adherence, dose, and participant responsiveness were observed.
  • Time constraints and insufficient prior education on program theory hindered implementation fidelity.
  • Training, supervision, and the program guide positively influenced implementation fidelity.

Conclusions:

  • School-based prevention programs for adolescent depression can achieve high implementation fidelity.
  • Addressing challenges like time constraints in treatment planning is essential for maximizing program effects.
  • Systematic evaluation of implementation fidelity is recommended for school mental health settings.