Abstract
With the growing adoption and implementation of multi-tiered systems of support (MTSS) in school settings, there is increasing need for rigorous evaluations of adaptive-sequential interventions. That is, MTSS specify universal, selected, and indicated interventions to be delivered at each tier of support, yet few investigations have empirically examined the continuum of supports that are provided to students both within and across tiers. This need is compounded by a variety of prevention approaches that have been developed with distinct theoretical foundations (e.g., Positive Behavioral Interventions and Supports, Social-Emotional Learning) that are available within and across tiers. As evidence-based interventions continue to flourish, school-based practitioners greatly need evaluations regarding optimal treatment sequencing. To this end, we describe adaptive treatment strategies as a natural fit within the MTSS framework. Specifically, sequential multiple assignment randomized trials (SMART) offer a promising empirical approach to rigorously develop and compare adaptive treatment regimens within this framework.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 85-96 |
| Number of pages | 12 |
| Journal | Journal of School Psychology |
| Volume | 66 |
| DOIs | |
| State | Published - Feb 1 2018 |
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Keywords
- Adaptive treatment strategies
- Behavioral support
- Multi-tiered Systems of Support
- SMART
PubMed: MeSH publication types
- Journal Article
- Research Support, N.I.H., Extramural
Cite this
Getting “SMART” about implementing multi-tiered systems of support to promote school mental health. / August, Gerald; Piehler, Timothy F; Miller, Faith G.
In: Journal of School Psychology, Vol. 66, 01.02.2018, p. 85-96.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Getting “SMART” about implementing multi-tiered systems of support to promote school mental health
AU - August, Gerald
AU - Piehler, Timothy F
AU - Miller, Faith G
PY - 2018/2/1
Y1 - 2018/2/1
N2 - With the growing adoption and implementation of multi-tiered systems of support (MTSS) in school settings, there is increasing need for rigorous evaluations of adaptive-sequential interventions. That is, MTSS specify universal, selected, and indicated interventions to be delivered at each tier of support, yet few investigations have empirically examined the continuum of supports that are provided to students both within and across tiers. This need is compounded by a variety of prevention approaches that have been developed with distinct theoretical foundations (e.g., Positive Behavioral Interventions and Supports, Social-Emotional Learning) that are available within and across tiers. As evidence-based interventions continue to flourish, school-based practitioners greatly need evaluations regarding optimal treatment sequencing. To this end, we describe adaptive treatment strategies as a natural fit within the MTSS framework. Specifically, sequential multiple assignment randomized trials (SMART) offer a promising empirical approach to rigorously develop and compare adaptive treatment regimens within this framework.
AB - With the growing adoption and implementation of multi-tiered systems of support (MTSS) in school settings, there is increasing need for rigorous evaluations of adaptive-sequential interventions. That is, MTSS specify universal, selected, and indicated interventions to be delivered at each tier of support, yet few investigations have empirically examined the continuum of supports that are provided to students both within and across tiers. This need is compounded by a variety of prevention approaches that have been developed with distinct theoretical foundations (e.g., Positive Behavioral Interventions and Supports, Social-Emotional Learning) that are available within and across tiers. As evidence-based interventions continue to flourish, school-based practitioners greatly need evaluations regarding optimal treatment sequencing. To this end, we describe adaptive treatment strategies as a natural fit within the MTSS framework. Specifically, sequential multiple assignment randomized trials (SMART) offer a promising empirical approach to rigorously develop and compare adaptive treatment regimens within this framework.
KW - Adaptive treatment strategies
KW - Behavioral support
KW - Multi-tiered Systems of Support
KW - SMART
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U2 - 10.1016/j.jsp.2017.10.001
DO - 10.1016/j.jsp.2017.10.001
M3 - Article
C2 - 29429498
AN - SCOPUS:85032363020
VL - 66
SP - 85
EP - 96
JO - Journal of School Psychology
JF - Journal of School Psychology
SN - 0022-4405
ER -