Baffsky Rachel, Ivers Rebecca, Cullen Patricia, Batterham Philip J, Toumbourou John, Calear Alison L, Werner-Seidler Aliza, McGillivray Lauren, Torok Michelle
School of Population Health, UNSW Sydney, Samuels Building, F25, Samuel Terry Ave, Kensington, NSW, Australia.
Centre for Mental Health Research, The Australian National University, 62 Mills Road, Acton, ACT, Australia.
Contemp Clin Trials Commun. 2022 May 25;28:100923. doi: 10.1016/j.conctc.2022.100923. eCollection 2022 Aug.
Implementation of evidence-based programs in school settings can be challenging, undermining the benefits these programs deliver for children. The primary aim of this study is to assess whether an enhanced implementation intervention increases adoption of the PAX Good Behaviour Game in New South Wales (NSW) primary schools in Australia. A secondary outcome is to investigate the impact of the PAX Good Behaviour Game on children's mental health in the Australian context.
The study uses a cluster randomised hybrid type 3 effectiveness-implementation design and will involve 40 NSW primary schools. Randomisation will occur at the school level. All NSW primary schools trained in the PAX Good Behaviour Game are eligible for participation. The intervention is a multicomponent implementation strategy that has been iteratively co-designed by our research team and local stakeholders. Intervention schools will have access to eight implementation support strategies in addition to the training received as usual delivery to build knowledge and skills. Research staff will assess implementation and effectiveness outcomes using self-report online surveys with teachers and support staff at baseline, 6-weeks, 6-months and 12-months follow up. Semi-structured interviews with teachers and support staff will be used to examine which implementation strategies worked for whom and under what conditions.
If successful, this study will highlight effective strategies schools or education departments can use internationally to improve their translation of evidence-based programs into routine practices. This will lead to better outcomes for children and young people.
在学校环境中实施循证项目可能具有挑战性，这会削弱这些项目给儿童带来的益处。本研究的主要目的是评估强化实施干预措施是否能提高澳大利亚新南威尔士州（NSW）小学对PAX良好行为游戏的采用率。次要结果是在澳大利亚背景下调查PAX良好行为游戏对儿童心理健康的影响。
本研究采用整群随机混合3型有效性-实施设计，将涉及40所新南威尔士州的小学。随机分组将在学校层面进行。所有接受过PAX良好行为游戏培训的新南威尔士州小学都有资格参与。干预措施是一种多成分实施策略，由我们的研究团队和当地利益相关者反复共同设计。除了接受常规培训以积累知识和技能外，干预学校还将获得八项实施支持策略。研究人员将在基线、6周、6个月和12个月随访时，通过对教师和支持人员进行在线自填式调查来评估实施情况和有效性结果。将对教师和支持人员进行半结构化访谈，以考察哪些实施策略对哪些人有效以及在何种条件下有效。
如果研究取得成功，将突出学校或教育部门在国际上可采用的有效策略，以促进将循证项目转化为常规实践。这将为儿童和青少年带来更好的结果。
