Table 3.
Data sources and measures*
| Primary aim: | Measures | Measure frequency | Data sources |
|---|---|---|---|
| Primary outcome and endpoint | Total number of sessions of CBT delivered over the course of 18 months | Weekly, months 1–18 (no collection during summer months) | SP weekly survey |
| Secondary outcomes | Full sessions of CBT delivered; non-group CBT sessions delivered; brief sessions (< 15 min) of CBT delivered; CBT components delivered | Weekly, months 1–18 (no collection during summer months) | SP weekly survey |
| Exploratory outcomes | Student mental health outcomes (PHQ-9T; GAD-7) | Months 3, 6, 12, and18 | Student survey administered by SP |
| Student knowledge of CBT; reported CBT receipt | Months 3, 6, 12, and 18 | Student survey administered by SP | |
| Exploratory aim 1: cost effectiveness | Cost of REP, coaching, and facilitation | Weekly, months 1–15; Daily during 2-week time and motion survey | Coach and facilitator logs; REP TA database; SP time and motion survey |
| School outcomes (attendance, graduation, GPA); Health services (referrals to care; emergency department admissions) | Student baseline, 6, 12, and 18 months | Student survey administered by SP; academic indicators survey | |
| Exploratory aim 2: moderators | School factors: size, % of students eligible for free/reduced lunch; school administrator support | Baseline | School administrator survey |
| SP factors (aggregated): Baseline (run-in): Perceptions of CBT, prior training; time-varying (phase 2): Satisfaction with Phase 1 implementation support, CBT delivery during phase 1, reported barriers to CBT | Baseline, weekly | SP weekly survey; SP survey | |
| Exploratory aim 3: mechanisms | Knowledge, perception, skills, barriers to use; EBPAS, ICS, ILS | Baseline, months 3, 6, 12, and 18 | SP survey |
| School contextual factors; ILS | Baseline, month 18 | School administrator survey | |
| Covariates | Student demographics/behaviors; access to mental health services | Months 3, 6, 12, and 18 | Student survey administered by SP |
| School factors (attendance, graduation, rates, GPA) | Baseline, month 18 | School administrator survey, Academic indicator assessment |
*CBT cognitive behavioral therapy, SP school professional, PHQ-9T Patient Health Questionnaire 9-item Survey for Teens, GAD-7 Generalized Anxiety Disorder 7-item survey, REP Replicating Effective Programs, EBPAS Evidence-Based Practice Attitude Scale, ICS Implementation Climate Scale, ILS Implementation Leadership Scale