NCT06586723

Brief Summary

Social, emotional, and behavioral (SEB) problems occur frequently among elementary school students, dramatically impede student outcomes, and have been exacerbated by the COVID-19 pandemic. Evidence based practices exist to address student SEB needs, prevent problems, and ensure academic success. However, the implementation of these programs in schools is frequently incomplete, uneven, and occurs with insufficient fidelity to ensure positive effects for students due to significant implementation barriers across multiple levels. The purpose of this Impact Trial is to test the effectiveness of the Helping Educational Leaders Mobilize Evidence (HELM) implementation strategy in school-wide implementation of a Tier 1 evidence-based practice (EBP) - Positive Behavioral Interventions and Supports (PBIS).

Trial Health

77
On Track

Trial Health Score

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

Enrollment
400

participants targeted

Target at P75+ for not_applicable

Timeline
29mo left

Started Apr 2025

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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

Study Progress32%
Apr 2025Aug 2028

First Submitted

Initial submission to the registry

August 27, 2024

Completed
23 days until next milestone

First Posted

Study publicly available on registry

September 19, 2024

Completed
6 months until next milestone

Study Start

First participant enrolled

April 1, 2025

Completed
3.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2028

Last Updated

March 30, 2025

Status Verified

September 1, 2024

Enrollment Period

3.4 years

First QC Date

August 27, 2024

Last Update Submit

March 25, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • PBIS Fidelity (Tiered Fidelity Inventory)

    The Tiered Fidelity Inventory (TFI) is a 45-item tool used to provide a valid, reliable, and efficient measure of the extent to which school personnel are applying the core features of PBIS. The TFI is a group-assessment completed by a schoolwide system planning team with external facilitation with strong internal consistency. The scoring criteria for each individual item ranges from 0-3 (0=Not Implemented, 1=Partially Implemented, 3=Fully Implemented); higher scores indicate better outcome.

    Baseline, 9 months, 12 months

Secondary Outcomes (8)

  • Implementation Leadership: School Implementation Leadership Scale (SILS)

    Baseline, 9 months, 12 months

  • Implementation Climate: School Implementation Climate Scale (SICS)

    Baseline, 9 months, 12 months

  • Implementation Cost

    Baseline, 9 months, 12 months

  • Academic Engagement, Prosocial Behavior, and Problem Behavior: Modified Direct Behavior Rating (DBR)

    Baseline, 9 months, 12 months

  • Student Academic Outcomes

    Baseline, 9 months, 12 months

  • +3 more secondary outcomes

Study Arms (2)

PBIS

ACTIVE COMPARATOR

Positive Behavioral Interventions and Supports (PBIS) is an evidence-based, multi-tiered, problem-solving, and team-based framework designed to build a continuum of supports to promote all students' social emotional behavioral health.

Behavioral: PBIS

HELM

EXPERIMENTAL

Helping Educational Leaders Mobilize Evidence (HELM) is an implementation strategy for promoting building-level implementation leadership, implementation climate, and high-fidelity delivery of evidence-based practices

Behavioral: PBISOther: HELM

Interventions

PBISBEHAVIORAL

Positive Behavioral Interventions and Supports (PBIS) is an evidence-based, multi-tiered, problem-solving, and team-based framework designed to build a continuum of supports to promote all students' social emotional behavioral health.

HELMPBIS
HELMOTHER

Helping Educational Leaders Mobilize Evidence (HELM) is an implementation strategy for promoting building-level implementation leadership, implementation climate, and high-fidelity delivery of evidence-based practices

HELM

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • School Districts: School districts in Washington State committed to implementing PBIS in its elementary schools
  • Educators: Educators working in a public elementary school within an enrolled school district.

You may not qualify if:

  • Schools with previous HELM exposure will be excluded

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Washington

Seattle, Washington, 98105, United States

RECRUITING

Related Publications (1)

  • Locke J, Williams NJ, Sridhar A, Ehrhart MG, Dopp A, Thirion M, Espeland C, Riddle B, Schmitz K, Hatch K, Buehler L, Lyon AR. Study protocol for testing the efficacy of the Helping Educational Leaders Mobilize Evidence (HELM) implementation strategy in elementary schools: a hybrid type 3 effectiveness-implementation randomized controlled trial. Implement Sci. 2025 Apr 24;20(1):17. doi: 10.1186/s13012-025-01429-4.

MeSH Terms

Conditions

Child Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

  • Jill Locke, PhD

    University of Washington

    PRINCIPAL INVESTIGATOR
  • Aaron Lyon, PhD

    University of Washington

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Jill Locke, PhD

CONTACT

Marissa Thirion

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
PBIS coaches will be masked to HELM randomization
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
FACTORIAL
Model Details: All schools that participate in the study will receive PBIS. Additionally, half of the schools will be randomized to receive HELM, an additional implementation support intervention.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor: School of Medicine, Psychiatry

Study Record Dates

First Submitted

August 27, 2024

First Posted

September 19, 2024

Study Start

April 1, 2025

Primary Completion (Estimated)

August 31, 2028

Study Completion (Estimated)

August 31, 2028

Last Updated

March 30, 2025

Record last verified: 2024-09

Data Sharing

IPD Sharing
Will not share

Locations