NCT03736395

Brief Summary

This project will examine the scale-up of Schoolwide Positive Behavior Intervention Supports (SWPBIS), specifically focusing on rural schools in Idaho. The Idaho Rural Implementation Model (I-RIM) is an approach designed to improve SWPBIS implementation in rural schools, via strategies such as capacity-building, regional coordination, online learning modules, and technical assistance. The study uses a cluster randomized design to allocate 40 schools to one of two conditions: control and intervention. Schools in the control condition will receive basic SWPBIS training. Schools in the intervention condition will receive the basic SWPBIS training plus additional I-RIM supports. To assess SWPBIS implementation and outcomes, process and outcome measures will be collected. Outcomes will include school implementation observations, and teacher and staff implementation measures. Student-level outcomes will include behavior, perceived climate, and academic achievement as measured by the standardized state test. Student-level data include those that are part of standard data collection by schools (such as academic outcomes) and will be de-identified by school officials before sending to the researchers for analysis.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
40

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2019

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 6, 2018

Completed
3 days until next milestone

First Posted

Study publicly available on registry

November 9, 2018

Completed
2 months until next milestone

Study Start

First participant enrolled

January 1, 2019

Completed
4.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2023

Completed
Last Updated

October 26, 2023

Status Verified

October 1, 2023

Enrollment Period

4.7 years

First QC Date

November 6, 2018

Last Update Submit

October 24, 2023

Conditions

Keywords

Behavioral SymptomsDisruptive BehaviorSchoolsSchool Teachers

Outcome Measures

Primary Outcomes (4)

  • Change in fidelity of school implementation of positive behavioral interventions and supports (PBIS)

    Change in fidelity of implementation from baseline (spring 2019) to followup (spring 2022) using the Schoolwide Evaluation Tool (SET; Horner et al 2004) to gather observational data about degree of fidelity of implementation on 0-100% scale where 100% is best possible outcome.

    Change in school-level implementation score from baseline to 3-year followup

  • Change over time in student disciplinary outcomes

    Percentage of students receiving Office Disciplinary Referrals each school year

    Change from baseline to following school year (Year 2); change from Year 2 to Year 3

  • Change in student academic outcomes

    Percentage of students scoring "Advanced" or "Proficient" on state standardized test (Idaho Standards Achievement Test) in English Language Arts and Mathematics

    Change from baseline to following school year (Year 2); change from Year 2 to Year 3

  • Change in student perceptions of school climate

    Changes in overall scores on school climate surveys. The overall scale score is created by averaging all items, resulting in scores from 1 to 4 with higher overall scores indicating better climate.

    Change from baseline to 3-year followup.

Study Arms (2)

Control

ACTIVE COMPARATOR

Schools in this condition will be provided a four-day training about Schoolwide Positive Behavioral Interventions and Supports, and bi-yearly feedback about progress monitoring and action planning.

Behavioral: Control

I-RIM Intervention

EXPERIMENTAL

Schools in this condition will be provided the same basic training as the control condition, plus the elements of the Idaho Rural Implementation Model (I-RIM).

Behavioral: Idaho Rural Implementation Model

Interventions

The Idaho Rural Implementation Model (I-RIM) includes several aspects to support implementation of schoolwide positive behavioral interventions and supports (SWPBIS). In the first year, schools will send a staff member to a coaching institute to build internal capacity. Schools will also receive technical assistance (on-site twice per year and virtual support as needed). Schools will also receive statewide professional learning opportunities, through one group meeting per year, and through access to an invitation-only professional learning community.

I-RIM Intervention
ControlBEHAVIORAL

Schools in this condition will receive a four-day training session about SWPBIS.

Control

Eligibility Criteria

Age5 Years+
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • School is a public school in a rural location in the state of Idaho, serving students in any combination of grades Kindergarten through grade 12.
  • Staff work at a school participating in this trial.
  • Student attends a school participating in this trial.

You may not qualify if:

  • None.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Boise State University

Boise, Idaho, 83725-1700, United States

Location

Related Publications (4)

  • Horner RH, Todd AW, Lewis-Palmer T, Irvin LK, Sugai G, Boland JB. The School-Wide Evaluation Tool: A research instrument for assessing school-wide positive behavior support. Journal of Positive Behavior Interventions 6(1):3-12, 2004.

    BACKGROUND
  • Calvert HG, Fleming CM, Lowe M, Lewis T, Siebert CF, Havlicak A, Anderson N, Castleton T, Turner L. Training and Technical Assistance Increase the Fidelity of Implementation of a Universal Prevention Initiative in Rural Schools: Results from a 3-Year Cluster-Randomized Trial. Prev Sci. 2025 Jan;26(1):56-68. doi: 10.1007/s11121-025-01776-0. Epub 2025 Feb 3.

  • Fleming CM, Calvert HG, Turner L. Supporting implementation of universal prevention initiatives in K-12 schools: impacts on fidelity through organizational readiness and team functioning in a cluster-randomized trial. Implement Sci Commun. 2025 Jan 6;6(1):4. doi: 10.1186/s43058-024-00691-9.

  • Calvert HG, McQuilkin M, Havlicak A, Lewis T, Turner L. Acceptability, appropriateness, and feasibility of Rural School Support Strategies for behavioral interventions: a mixed methods evaluation over two years of a hybrid type 3 implementation-effectiveness trial. Implement Sci Commun. 2023 Aug 11;4(1):92. doi: 10.1186/s43058-023-00478-4.

MeSH Terms

Conditions

Problem BehaviorBehavioral Symptoms

Condition Hierarchy (Ancestors)

BehaviorChild Behavior

Study Officials

  • Lindsey Turner, PhD

    Boise State University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
All data collectors will be masked.
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: A portion of participating schools will receive the Idaho Rural Implementation Model (I-RIM) intervention, designed to support implementation of schoolwide positive behavioral interventions and supports (SWPBIS). All other participating schools will only receive basic training session about SWPBIS. The process to determine which schools receive the intervention is random. Intervention is at the school level. Outcomes are at the school level, staff level, and student level (anonymous).
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Research Professor

Study Record Dates

First Submitted

November 6, 2018

First Posted

November 9, 2018

Study Start

January 1, 2019

Primary Completion

August 31, 2023

Study Completion

August 31, 2023

Last Updated

October 26, 2023

Record last verified: 2023-10

Data Sharing

IPD Sharing
Will not share

Locations