ArticleEvidence-based practice in child and adolescent mental health2025
Effectiveness of Multi-Level Implementation Strategies on Caregiver-Identified "Top Problems:" Secondary Outcomes of a Hybrid Trial of Two Autism Interventions.
Article in Evidence-based practice in child and adolescent mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Meeting the needs of autistic children requires the effective implementation of evidence-based interventions (EBIs). The TEAMS project tested the effectiveness of leader-level and provider-level implementation strategies to support the implementation of two autism-focused EBIs. The leader-level strategy was found effective in improving observed provider fidelity and standardized caregiver-reported child outcomes. This study extends the primary trial findings by assessing individualized child outcomes. Objective: The current study examines the individual and combined effects of the TEAMS implementation strategies - TEAMS Leadership Institute (TLI) and TEAMS Individualized Provider Strategy (TIPS) - on caregiver-identified Top Problems. Method: Data were extracted from the TEAMS project, a hybrid type 3 implementation-effectiveness trial testing the effects of implementation strategies when paired with AIM HI (An Individualized Mental Health Intervention for Autism) in mental health programs (Study 1) and CPRT (Classroom Pivotal Response Teaching) in classrooms (Study 2). Programs/districts were randomized to TLI and/or TIPS. Data from 353 caregivers of autistic children ( Results: Controlling for study intervention (AIM HI or CPRT), a significant TLI x Time interaction ( Conclusion: Findings support the effectiveness of leader-focused implementation strategies in improving the outcomes valued most by families.
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