ArticleJournal of school psychology2018
Getting "SMART" about implementing multi-tiered systems of support to promote school mental health.
Article in Journal of school psychology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sequential multiple assignment randomized trial studies should report all key components: a systematic review.Journal of clinical epidemiology · 2022Pooled it
- Childhood premorbid adjustment as a marker for 20-year impairments in schizophrenia spectrum disorder: results from the OPUS study.European child & adolescent psychiatry · 2026Trial
- Bridging the Gap: A Case Study of Tailored Support for Students with Social, Emotional, and Behavioral Needs During the Transition to High School.Behavioral sciences (Basel, Switzerland) · 2026Article
- Overview of Harvard's Inaugural Fukushima Field Trip Course.Fukushima journal of medical science · 2026Article
- Beyond Problem-Solving: Homeroom Teachers' Reflective Practice as a Tool for Mental Health Support in Chinese Schools.Behavioral sciences (Basel, Switzerland) · 2025Article
- A Framework for School-Based Mental Health Programs in Conflict Zones.Community mental health journal · 2025Article
- Implementation Science in School Mental Health: A 10-Year Progress Update and Development of a New Research Agenda.School mental health · 2024Article
- Mental health in Kindergarten to Grade 12 schools during the COVID-19 crisis: Literature review and survey suggesting multi-tiered support systems.Medical research archives · 2024Article
- Implementation and Outcomes of a National School-Based Mental Health Program for Middle School Students in Chile.School mental health · 2023Article
- A sequential multiple assignment randomized trial (SMART) protocol for empirically developing an adaptive preventive intervention for college student drinking reduction.Contemporary clinical trials · 2020Article
- Noninferiority and equivalence tests in sequential, multiple assignment, randomized trials (SMARTs).Psychological methods · 2020Article
- Family Environment Variables as Predictors of School Absenteeism Severity at Multiple Levels: Ensemble and Classification and Regression Tree Analysis.Frontiers in psychology · 2019Article
- Reconciling Contemporary Approaches to School Attendance and School Absenteeism: Toward Promotion and Nimble Response, Global Policy Review and Implementation, and Future Adaptability (Part 1).Frontiers in psychology · 2019Review
- Internalizing Symptoms as Predictors of School Absenteeism Severity at Multiple Levels: Ensemble and Classification and Regression Tree Analysis.Frontiers in psychology · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
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.
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Registered trials
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