ArticleImplementation science communications2026
A pilot Roll-Out Implementation Optimization trial of an adjunctive intervention to improve teacher and caregiver uptake and adherence to a behavioral intervention for externalizing problems in preschool: a study protocol of Parent-Educator Action Response (PEAR).
Article in Implementation science communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07203014 (Testing a Brief, Engagement Focused Intervention for Parents and Educators in Preschool), which is not on this map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Testing a Brief, Engagement Focused Intervention for Parents and Educators in Preschool: Parent-Educator Action Response
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
backgroundBehavioral interventions are well-established treatments for emerging externalizing problems in preschool. However, caregivers and teachers face barriers to implementing behavioral interventions across home and school. The current study aims to improve joint teacher and caregiver uptake and adherence to a behavioral intervention by testing a new adjunctive intervention co-developed with early childhood constituents, Parent-Educator Action Response (PEAR). PEAR consists of group-based motivational interviewing, psychoeducation, and action planning sessions for preschool teachers and caregivers of a preschooler with elevated externalizing problems, followed by a meeting with each caregiver-teacher dyad to agree upon a plan for supporting improvements in the child's externalizing problems.
methodsWe will use a pilot Roll-Out Implementation Optimization (ROIO) design, with three clusters over 18 months to implement and evaluate PEAR. Participants will be approximately 24 preschool teachers and 24 caregivers of a preschool child. All participants will receive PEAR, delivered by a licensed clinical psychologist and supported by a bilingual community health worker. Throughout the study period, participants will be asked to implement the Daily Report Card (DRC), an evidence-based behavioral intervention for externalizing problems. Implementation of the DRC at home and preschool, the primary outcome, will be measured weekly for eight weeks. Additional outcomes will be measured at baseline, post-PEAR, and follow-up (4 weeks post-PEAR). DISCUSSION: This is one of the first pilot ROIO trials and trials in the preschool setting to study a new adjunctive intervention to improve both teacher and caregiver uptake and adherence to behavioral interventions for preschool externalizing problems. Findings are likely to generalize to other public health adjunctive interventions in community settings.
trial registrationclinicaltrials.gov NCT07203014 on 10-02-2025.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.