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- Title
Can School Mental Health Providers Deliver Psychosocial Treatment Improving Youth Attention and Behavior in Mexico? A Pilot Randomized Controlled Trial of CLS-FUERTE.
- Authors
Haack, Lauren Marie; Araujo, Eva Angelina; Meza, Jocelyn; Friedman, Lauren M.; Spiess, Madeline; Alcaraz Beltrán, Dulce Karely; Delucchi, Kevin; Mojardín Herladez, Ambrocio; Pfiffner, Linda
- Abstract
<bold>Background: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusions: </bold>Pilot results suggest that psychosocial EBTs can be successfully implemented by School Mental Health Providers in Mexico.
- Subjects
MEXICO; MEXICO City (Mexico); MENTAL health; ATTENTION-deficit hyperactivity disorder; SYMPTOMS; SCHOOL health services; ATTENTION; PARENTING education; JUVENILE justice administration; THERAPEUTICS; TREATMENT of attention-deficit hyperactivity disorder; PILOT projects; RESEARCH; RESEARCH methodology; EVALUATION research; COMPARATIVE studies; RANDOMIZED controlled trials; SCHOOLS; CHILD psychopathology; RESEARCH funding; STATISTICAL sampling
- Publication
Journal of Attention Disorders, 2021, Vol 25, Issue 14, p2083
- ISSN
1087-0547
- Publication type
journal article
- DOI
10.1177/1087054720959698