Evidence map›Paper›PMID 42387471›Full record

Trial reportBMC public health2026

Enhancing collaborative relationships and mental health literacy to improve school behavioral health for middle school students: a randomized controlled trial.

Mark D Weist, Brittany Patterson, Samuel D McQuillin, Amanda J Fairchild, Brooke E Chehoski, Robert N Stevens, Christopher Haines, Jennifer Cox, Tucker Chandler, Sharon Hoover and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03901274 (Patient Centered Enhancements in School Behavioral Health), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

NCT03901274 nacompletednot on this map

Patient Centered Enhancements in School Behavioral Health: A Randomized Trial

TypeinterventionalSponsorUniversity of South CarolinaRan2019 to 2023Enrolled2,558ConditionsMental HealthArmsWellness, Partnership
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Mark D WeistPsychology Department, University of South Carolina, 1512 Pendleton St, Columbia, SC, 29208, USA. weist@sc.edu.
Brittany PattersonUniversity of Maryland School of Medicine, 737 West Lombard St., 4th floor, Baltimore, MD, 21201, USA.
Samuel D McQuillinPsychology Department, University of South Carolina, 1512 Pendleton St, Columbia, SC, 29208, USA.
Amanda J FairchildPsychology Department, University of South Carolina, 1512 Pendleton St, Columbia, SC, 29208, USA.
Brooke E ChehoskiPsychology Department, University of South Carolina, 1512 Pendleton St, Columbia, SC, 29208, USA.
Robert N StevensPsychology Department, Southeastern School Behavioral Health Community, 1512 Pendleton St, Columbia, SC, 29208, USA.
Christopher HainesPsychology Department, Southeastern School Behavioral Health Community, 1512 Pendleton St, Columbia, SC, 29208, USA.
Jennifer CoxUniversity of Maryland School of Medicine, 737 West Lombard St., 4th floor, Baltimore, MD, 21201, USA.
Tucker ChandlerCaroNova, 16 W. Martin St. Suite 1103, Raleigh, NC, 27601, USA.
Sharon HooverUniversity of Maryland School of Medicine, 737 West Lombard St., 4th floor, Baltimore, MD, 21201, USA.
Samantha ReavesUniversity of Maryland School of Medicine, 737 West Lombard St., 4th floor, Baltimore, MD, 21201, USA.
Qiulin LuPsychology Department, University of South Carolina, 1512 Pendleton St, Columbia, SC, 29208, USA.
Jihad S ObeidBiomedical Informatics Center, Medical University of South Carolina, 22 WestEdge St., Suite 200, Charleston, SC, 29403, USA.

Funding

Patient-Centered Outcomes Research Institute IHS-2018C1-10928
6 · The paper itself

Abstract

backgroundEscalating youth mental health challenges have challenged schools and providers to effectively support student well-being. School behavioral health (SBH) programs are evolving rapidly to meet this need, and this study pursued implementation of community-partner recommended enhancements to improve SBH programming and outcomes for students.

methodsThis study aimed to evaluate the effectiveness of stakeholder-recommended enhancements to SBH on increasing the number of students and families engaged in therapy; and to evaluate the impact of the intervention on social, emotional, behavioral and academic outcomes. This comparative effectiveness trial tested two approaches to effective SBH, both involving core evidence-based strategies, and one including four community partner-recommended enhancements: mental health literacy, family-school-clinician partnerships, therapeutic alliance, and cultural responsiveness and equity.

resultsThe enhanced condition was associated with an increased use of telehealth services and improvements in behavioral functioning of students at a 6-month post assessment. Treatment effect heterogeneity analyses indicated a potential amplifying effect of stigma reduction on improvement in students' behavioral functioning.

conclusionsEmphasizing mental health literacy (MHL) and enhanced relationships (including collaboration with families, focus on therapeutic alliance, understanding cultural responsiveness and equity) shows promise for enhancing SBH programming to improve practice and points to a range of important future research directions grounded in implementation science.

trial registrationClinicalTrials.gov ID NCT03901274. First submitted March 29, 2019.

Indexed as

Cooperative BehaviorHealth LiteracyMental HealthSchool Health ServicesStudentsAdolescentChildFemaleHumansMaleCultural responsivenessFamily leadershipMental health literacySchool behavioral healthSchool partnershipsTherapeutic alliance

Identifiers

PMID42387471
PMCPMC13591850

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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.