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Table 2 Measures by variable/construct, measure characteristics, timepoint, method and informant

From: Study protocol: cluster randomized trial of consultation strategies for the sustainment of mental health interventions in under-resourced urban schools: rationale, design, and methods

Variable/construct

Measure

Measure characteristics

Timepoint

Method

Informant

Pre-trial activities

Fidelity to TIPS

Modified Team Initiated Problem Solving Checklist (mTIPS) [54]

The mTIPS has 9 meeting foundation items, and 6 problem solving items, scored on a three-point scale (e.g., 0 = No problem is defined; 1 = At least one problem is defined but lacks one or more precision elements; 2 = At least one problem is defined with all precision elements)

Variable

Coding

Research staff

Tier 2 screening

Strengths and Difficulties Questionnaire (SDQ) [31] with Impact Supplement [55]

The SDQ is a 25-item, 3-point scale (0 = not true; 2 = certainly true) questionnaire used to assess the psychological adjustment of children and youth, ages 4–17

Pre-treatment

Rating scale

Parents/teachers

Adherence to training strategies

Consultation adherence

Internal Consultation Adherence Measure (ICAM)

The ICAM is an 8-item rating scale measuring adherence to Coaching (e.g., The Internal Trainer encouraged the counselor to deliver content using active learning strategies such as role play) and Didactics (e.g., The internal Trainer reviewed the specifics of the activities of the upcoming session and helped counselor prepare) rated on a 4-point scale (1 = minimal, 2 = some, 3 = substantial, 4 = N/A

Ongoing

Quan

Research staff

Tier 2 Team coaching fidelity

Tier 2 Coaching Fidelity Checklist (Tier 2 CFC)

The Tier 2 CFC is a 7-item checklist assessing coaching fidelity (e.g., Coach attends meeting on time and observes entire Tier 2 team meeting) rated on a yes/no scale

Ongoing

Quan

Research staff

Aim 1: Compare sustainment conditions

Implementation measures

Content fidelity of group CBT

Coping Power and CATS Content Fidelity Checklist (CFC) [7]

The CFC reflects each activity component of the session agenda of the treatment protocols. Raters use a yes/no response scale to indicate whether or not the implementer covered a particular component

Ongoing

Coding

Research staff

Content fidelity of CI/CO

Check-In/Check-Out Fidelity

Checklist [56]

The Check-In/Check-Out Fidelity Checklist is a 9–10-item checklist used to observe the Tier 2 implementer during morning check-in and afternoon check-out rated as either occurring or not occurring

Weekly

Coding

Research staff

Process fidelity of Tier 2

Process Fidelity Checklist (PFC) [7]

The PFC is a 10-item checklist rated on a scale of 1 to 5, with 1 being Not at all and 5 being Very Often. Ratings are given on the extent to which school staff members delivered the intervention in an orderly fashion, using active learning strategies and examples that are relevant to the students

Weekly

Coding

Research staff

Fidelity to Tier 2 structures and processes

Tiered Fidelity Inventory (TFI) for Tier 2 [57]

The Tier 2 section of the TFI has 13 items organized into three subscales: (a) teams, (b) interventions, and (c) evaluation. School teams use a 3-point scale with supporting data sources and a detailed rubric to determine whether the core feature addressed in each item is not implemented, partially implemented, or fully implemented

Monthly

Coding

Tier 2 team

Penetration

Penetration Questionnaire (PQ)

The PQ is a 2-item questionnaire assessing EBP penetration at the school provider level (behavioral health staff involved in the implementation of EBPs at Tier 2 of PBIS), and EBP penetration at the student service level (students receiving EBPs at Tier 2)

Monthly

Quan

Tier 2 coaches

Student outcome measures

Mental health symptoms

Behavior Assessment System for Children- 3rd Edition (BASC-3) [46]

The BASC-3 is a 138-item, 4-point, Likert-type rating scale for assessing parental report of child mental health functioning, standardized for ages 2.5 to 18 years

Pre/Post-treatment

Rating scale

Parent

 

The Behavior and Feeling Survey-Youth Report (BFS-YR) [58]

The YFS-SR is a 10-item measure of internalizing and externalizing problems rated on a 5-point scale (0 = not a problem; 4 = a very big problem)

Pre/Post-treatment

Rating scale

Child

Student academic engagement

Engagement versus Disaffection with Learning- Child Report (EvsD-Teacher) [59, 60]

The EvsD Child is a 20-item, four-point (1 = not at all true; 4 = very true) instrument with four sub-scales: Behavioral Engagement, Emotional Engagement, Behavioral Disaffection and Emotional Disaffection

Pre/Post-treatment

Rating scale

Child

 

Engagement versus Disaffection with Learning- Teacher Report (EvsD-Child) [59, 60]

The EvsD Teacher is a 20-item, four-point (1 = not at all true; 4 = very true) instrument with four sub-scales: Behavioral Engagement, Emotional Engagement, Behavioral Disaffection and Emotional Disaffection

Pre/Post-treatment

Rating scale

Teacher

Cost

Implementation cost

REDCap time tracking

The time tracking tool captures training time for school personnel and school district coaches, as well as for those providing external support (external consultants); time subsequently spent in consultation by school district coaches; time spent by outside external consultants consulting with school district coaches; and time implementing Tier 2 interventions; as well as assessment and documentation time

Ongoing

Survey

School staff

 

DATCAP interview [61]

School staff are interviewed to capture other program costs

Post

Interview

School staff

Aim 2: Mediators and Moderators

Mediation

Acceptability of Intervention Measure [AIM] [62]

The AIM is a 4-item instrument rated on a 5-point Likert type scale (1 = completely disagree, 2 = disagree, 3 = neither agree nor disagree, 4 = agree, 5 = completely agree)

3 times per year

Rating scale

School staff

 

Intervention Appropriateness Measure [IAM] [62]

The IAM is a 4-item instrument rated on a 5-point Likert type scale (1 = completely disagree, 2 = disagree, 3 = neither agree nor disagree, 4 = agree, 5 = completely agree)

3 times per year

Rating scale

School staff

 

Feasibility of Intervention Measure [FIM) [62]

The FIM is a 4-item instrument rated on a 5-point Likert type scale (1 = completely disagree, 2 = disagree, 3 = neither agree nor disagree, 4 = agree, 5 = completely agree)

3 times per year

Rating scale

School staff

Moderation

Maslach Burnout Inventory Education Survey (MBI-ES) [63]

The MBI-ES is comprised of 22 items organized in three scales: Emotional Exhaustion (EE), Depersonalization in the Workplace (DW), and Personal Accomplishment (PA)

3 times per year

Rating scale

School staff

 

Teacher Stress Scale (TSS) [64]

Role conflict and role overload will be measured using subscales of the TSS. The subscales are comprised of 5 items each rated on a 6-point Likert scale (1 = strongly disagree, 2 = disagree, 3 = not sure, 3 = agree, and 4 = strongly agree)

3 times per year

Rating scale

School staff

Aim 3: Perceptions of Training Support

Perceptions of training support

Qualitative Interview Guides

Semi-structured qualitative interviews are conducted with Tier 2 implementers, school district coaches, and school and Tier 2 team leaders to elicit views and perspectives about the feasibility and acceptability of the sustainment strategies

Yearly

Interview

School staff