ArticleBMJ open2019
Qualitative case study investigating PAX-good behaviour game in first nations communities: insight into school personnel's perspectives in implementing a whole school approach to promote youth mental health.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Barriers and facilitators to training delivery and subsequent implementation of a localised child and adolescent mental health initiative: a qualitative content analysis.BMC medical education · 2023Pooled it
- Strategies for Enhancing the Implementation of Universal Mental Health Prevention Programs in Schools: A Systematic Review.Prevention science : the official journal of the Society for Prevention Research · 2023Pooled it
- Delivering and implementing child and adolescent mental health training for mental health and allied professionals: a systematic review and qualitative meta-aggregation.BMC medical education · 2021Pooled it
- Examining the effectiveness of the PAX-GOOD BEHAVIOUR GAME in improving the mental health and academic outcomes of FIRST NATIONS children in Canada: a clustered randomized controlled trial using administrative data.Social psychiatry and psychiatric epidemiology · 2026Trial
- Teachers' Insights on the Training, Coaching, and Implementation of the Good Behavior Game.Contemporary school psychology · 2025Article
- Co-design and Development of Implementation Strategies: Enhancing the PAX Good Behaviour Game in Australian Schools.Journal of prevention (2022) · 2023Review
- Evaluating the strengths and challenges of PAX dream makers approach to mental health promotion: perspectives of youth and community members in indigenous communities in Manitoba, Canada.International journal of circumpolar health · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectivesPAX-Good Behaviour Game (PAX-GBG) is associated with improved mental health among youth. First Nations community members decided on a whole school approach to facilitate PAX-GBG implementation, by offering intervention training to all staff members in their schools. Our objective is to gain a greater understanding of how this approach was viewed by school personnel, in order to improve implementation in remote and northern First Nations communities.
designWe conducted a qualitative case study using semi-structured interviews.
settingInterviews were conducted in First Nations schools located in northern Manitoba, Canada, in February 2018.
participantsWe used purposive sampling in selecting the 23 school staff from First Nations communities.
interventionPAX-GBG is a mental health promotion intervention that teachers deliver in the classroom alongside normal instructional activities. It was implemented school-wide over 4 months from October 2017 to February 2018. OUTCOME MEASURES: We inquired about the participants' perception of PAX-GBG and the whole school approach. We applied an iterative coding system, identified recurring ideas and classified the ideas into major categories.
resultsImplementing the PAX-GBG whole school approach improved students' behaviour and created a positive school environment. Students were learning self-regulation, had quieter voices and demonstrated awareness of the PAX-GBG strategies. All teachers interviewed had used the programme. Support from school administrators and having all school personnel use the programme consistently were facilitators to successful implementation. Challenges included the timing of training, lack of clarity in how to implement and implementing among students in older grades and those with special needs.
conclusionsThe whole school approach to implementing PAX-GBG was viewed as an acceptable and feasible way to extend the reach of PAX-GBG in order to promote the mental health of First Nations youth. Recommendations included ensuring school leadership support, changes to the training and cultural and literacy adaptations.
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