Protocol for a hybrid type 3 effectiveness-implementation trial of a pragmatic individual-level implementation...

Area of Science:

• Implementation Science
• Educational Psychology
• Child and Adolescent Psychiatry

Background:

• Social, emotional, and behavioral (SEB) challenges affect approximately 20% of children.
• Schools are primary settings for SEB service delivery, yet evidence-based prevention practices (EBPPs) face low adoption and fidelity by educators.
• Individual behavior change is key for successful EBPP implementation.

Purpose of the Study:

• To evaluate the Beliefs and Attitudes for Successful Implementation in Schools for Teachers (BASIS-T) strategy.
• BASIS-T is a pragmatic, multifaceted pre-implementation strategy targeting educators' motivational mechanisms.
• To enhance the implementation and effectiveness of universal school-based EBPPs for improved student SEB outcomes.

Main Methods:

• A hybrid type 3 effectiveness-implementation trial using a blocked randomized cohort design with an active comparison control.
• Approximately 276 teachers from 46 schools will be randomized to BASIS-T or active comparison control.
• Aims include evaluating main effects on implementation mechanisms and outcomes, child outcomes, and examining mediators, moderators, and cost-effectiveness.

Main Results:

• This section is to be filled once the study is completed and results are available.

Conclusions:

• This study rigorously tests BASIS-T, a theory-driven implementation strategy.
• BASIS-T aims to enhance the impact of standard EBPP training and support by targeting educators' motivational factors.
• Findings will inform strategies to improve EBPP adoption and effectiveness in schools for better student SEB outcomes.