Remote Training in Rural Schools

Not Applicable

Completed

• Conditions: Behavior Disorders
• Interventions: Behavioral: Coping Power Program (CPP); Behavioral: Cognitive behavioral therapy (CBT) for Anxiety Treatment in Schools (CATS); Behavioral: Check-in/Check-out (CI/CO)

• Registration Number: NCT05034198
• Lead Sponsor: Children's Hospital of Philadelphia

Brief Summary

Rural areas have fewer, and less well trained, health care providers than non-rural areas. Schools have become more involved in the delivery of mental health services and hold great potential for increasing access to children and adolescents. Innovations in training and service delivery are needed to improve mental health care quality and availability in rural schools. Evidence-based practices (EBPs) can be incorporated into school-wide multi-tiered systems that are currently used to improve school climate and safety. School-wide Positive Behavioral Interventions and Supports (PBIS), a service-delivery strategy based on the public health model is one example. Investigators will use an iterative process (Rapid Prototyping) to develop and evaluate the appropriateness, feasibility, acceptability, and preliminary efficacy of a remote training strategy that provides resources to support use of Tier 2 EBPs and effective support for care coordination practices in rural schools.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-09-30
• Study First Submitted: 2021-09-01
• Study First Submitted QC: 2021-09-01
• Study First Posted: 2021-09-05
• Primary Completion: 2022-09-30
• Study Completion: 2022-09-30
• Status Verified: 2023-10
• Last Update Submitted: 2023-10-12
• Last Update Posted: 2023-10-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 26

Inclusion Criteria

Any BHS (e.g., school counselor, school social worker or teacher who is under employment from a school district) based at a school implementing PBIS and who may be nominated by the principal as a potential participant is eligible to be included in the study. Additionally, the research staff will reach out to school behavioral health staff concurrently with the school principal. BHS staff will provide consent to participate.

Exclusion Criteria

Staff from schools not implementing PBIS.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Initial Mini-Tiral	Coping Power Program (CPP)	BHS will be given a procedures manual with instructions on how to access the video-recorded training modules on-demand. All participants will take part in this mini-trial. Immediately after BHS watch the videos, they will be asked to complete three brief surveys regarding the appropriateness, feasibility and acceptability of each training module and provide comments about each.
Initial Mini-Tiral	Check-in/Check-out (CI/CO)	BHS will be given a procedures manual with instructions on how to access the video-recorded training modules on-demand. All participants will take part in this mini-trial. Immediately after BHS watch the videos, they will be asked to complete three brief surveys regarding the appropriateness, feasibility and acceptability of each training module and provide comments about each.
Initial Mini-Tiral	Cognitive behavioral therapy (CBT) for Anxiety Treatment in Schools (CATS)	BHS will be given a procedures manual with instructions on how to access the video-recorded training modules on-demand. All participants will take part in this mini-trial. Immediately after BHS watch the videos, they will be asked to complete three brief surveys regarding the appropriateness, feasibility and acceptability of each training module and provide comments about each.

Primary Outcome Measures

Name	Time	Method
Stakeholder Input	Up to 2 years	Semi-structured interviews and surveys will be conducted with stakeholders to determine efficacy of a universal strategies that provides resources to support evidence-based practices (EBPs) for implementing appropriate behavioral care coordination practices for students in rural schools in Pennsylvania.
Asynchronous Training Platform Development	Up to 2 years	A Rapid prototyping approach will be used to develop non-interactive, remote training strategy (RTS) using on-demand, pre-recorded training videos for school personnel in rural schools based on preliminary studies and Aim 1 data.
Synchronous Training Platform Development	Up to 2 years	A Rapid prototyping approach will be used to develop a remote training strategy (RTS) consisting of virtual meetings for school personnel in rural schools based on preliminary studies and Aim 1 data

Trial Locations

Locations (1)

Children's Hospital of Philadelphia; 🇺🇸 Philadelphia, Pennsylvania, United States