University of California San Francisco, San Francisco, CA, USA.
Universidad Autonoma de Sinaloa (UAS), Culiacan, Sinaloa, Mexico.
J Atten Disord. 2021 Dec;25(14):2083-2097. doi: 10.1177/1087054720959698. Epub 2020 Sep 30.
Despite well-established Evidence-Based Treatments (EBTs) for Attention-Deficit/Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD), many low-resource settings lack EBT access.
We conducted a school-clustered randomized controlled pilot of CLS-FUERTE (a multicomponent behavioral EBT adapted for children in Mexico) with 58 students. We randomly assigned four schools to receive CLS-FUERTE and four to receive school services as usual. We compared groups post-treatment on parent- and teacher-rated ADHD/ODD symptoms and impairment.
CLS-FUERTE fidelity, attendance, engagement, and acceptability was high and students receiving CLS-FUERTE showed greater improvement in teacher-rated ADHD, ODD, and impairment, as well as parent-rated ADHD and impairment, compared to students receiving usual services.
Pilot results suggest that psychosocial EBTs can be successfully implemented by School Mental Health Providers in Mexico.
尽管已经有充分的循证治疗（EBT）用于治疗注意力缺陷/多动障碍（ADHD）和对立违抗性障碍（ODD），但许多资源匮乏的环境缺乏 EBT 治疗。
我们对 CLS-FUERTE（一种针对墨西哥儿童的多成分行为 EBT）进行了一项学校聚类随机对照试验，共有 58 名学生参加。我们将四所学校随机分配接受 CLS-FUERTE，四所学校接受常规学校服务。我们比较了治疗后父母和教师对 ADHD/ODD 症状和损伤的评分。
CLS-FUERTE 的可信度、出勤率、参与度和可接受性都很高，与接受常规服务的学生相比，接受 CLS-FUERTE 的学生在教师评定的 ADHD、ODD 和损伤，以及父母评定的 ADHD 和损伤方面，都有更大的改善。
初步结果表明，心理社会 EBT 可以由墨西哥学校心理健康提供者成功实施。
