Can School Mental Health Providers Deliver Psychosocial Treatment Improving Youth Attention and Behavior in Mexico? A Pilot Randomized Controlled Trial of CLS-FUERTE.
| Autor: | Haack LM; University of California San Francisco, San Francisco, CA, USA., Araujo EA; Universidad Autonoma de Sinaloa (UAS), Culiacan, Sinaloa, Mexico., Meza J; University of California San Francisco, San Francisco, CA, USA., Friedman LM; University of California San Francisco, San Francisco, CA, USA., Spiess M; University of California San Francisco, San Francisco, CA, USA., Alcaraz Beltrán DK; Universidad Autonoma de Sinaloa (UAS), Culiacan, Sinaloa, Mexico., Delucchi K; University of California San Francisco, San Francisco, CA, USA., Mojardín Herladez A; Universidad Autonoma de Sinaloa (UAS), Culiacan, Sinaloa, Mexico., Pfiffner L; University of California San Francisco, San Francisco, CA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of attention disorders [J Atten Disord] 2021 Dec; Vol. 25 (14), pp. 2083-2097. Date of Electronic Publication: 2020 Sep 30. |
| DOI: | 10.1177/1087054720959698 |
| Abstrakt: | Background: 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. Methods: 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. Results: 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. Conclusions: Pilot results suggest that psychosocial EBTs can be successfully implemented by School Mental Health Providers in Mexico. |
| Databáze: | MEDLINE |
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