Remote Training in Rural Schools

Children's Hospital of Philadelphia (CHOP)

Status: Completed

Conditions: Behavior Disorders

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

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT05034198

R18HS027755 (U.S. AHRQ Grant/Contract)

20-017895

Details and patient eligibility

About

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.

Enrollment: 26 patients

Sex: All

Ages: 18 to 99 years old

Volunteers: Accepts Healthy Volunteers

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.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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26 participants in 3 patient groups

Stakeholder Input

No Intervention group

Description:

Behavioral health staff (BHS) will be asked to complete two semi-structured qualitative interviews and a set of surveys. The first interview will be about perceived barriers and facilitators on utilizing a remote training platform. The second interview will cover perceived feasibility and acceptability of the proposed training, consultation, and the implementation of evidence-based practices. The surveys will ask about the perceived acceptability, appropriateness, and feasibility of the remote training platform.

Asynchronous Training Development

No Intervention group

Description:

Mental health trainers with expertise in the treatment of externalizing and internalizing behavior disorders will video-record the training modules and produce them using lecture capture technology (i.e., showing speaker and Power Point slides on a split screen). Each training module will be approximately 45 minutes long.

Initial Mini-Tiral

Experimental group

Description:

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.

Treatment:

Behavioral: Cognitive behavioral therapy (CBT) for Anxiety Treatment in Schools (CATS)

Behavioral: Check-in/Check-out (CI/CO)

Behavioral: Coping Power Program (CPP)