使用多组件实施策略,提高澳大利亚小学普遍心理健康预防计划的采用和有效性:使用3型混合设计的集群随机试验
Rachel Baffsky1,2, Quincy J J Wong3, Patricia Cullen2
1Black Dog Institute, University of New South Wales, Sydney, NSW, Australia.
概括
一个多元组件策略显著促进了PAX良好行为游戏在学校的早期采用. 虽然最初的采用情况有所改善,但长期有效性和最佳支持策略需要进一步研究.
科学领域:
- 儿童和青少年心理健康
- 教育心理学教育心理学
- 实施科学 实施科学
背景情况:
- 帕克斯 (PAX) 好行为游戏是一种经过验证的学校干预措施,用于儿童的情绪和行为问题.
- 在学校有效实施此类计划对于心理健康预防至关重要,但缺乏确立的战略.
- 了解实施支持对于将基于证据的实践纳入常规学校环境至关重要.
研究的目的:
- 评估多元组件实施战略对PAX良好行为游戏在小学采用和有效性的影响.
- 为了比较收到PAX良好行为游戏与实施工具包的学校与仅收到游戏的学校之间的结果.
- 评估方案采用与其被认为可接受性,适当性和可行性之间的关系.
主要方法:
- 一个集群随机对照试验在澳大利亚新南威尔士州的25所小学进行.
- 学校被随机分配,接受PAX好行为游戏加上实施工具包或仅接受游戏.
- 主要结果是计划采用率;次要结果是学生情绪和行为问题的变化 (优点和困难问卷).
主要成果:
- 与对照组 (45.2%) 相比,干预组 (93.6%) 的早期计划采用率明显高.
- 六个月后,两组之间没有观察到采用率的显著差异.
- 在两组中,情绪和行为问题都减少了,在6个月后没有显著的差异效应.
结论:
- 一个多元组件的实施策略可以加速早期采用基于学校的课程,如PAX好行为游戏.
- 虽然提前采用得到加强,但持续实施和有效性需要进一步研究.
- 在采用和感知程序属性之间存在积极的关系,这表明实施支持会影响学校的购买.
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