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Table 1 Key study measures for effectiveness-implementation study: constructs and measures

From: Advancing scalability and impacts of a teacher training program for promoting child mental health in Ugandan primary schools: protocol for a hybrid-type II effectiveness-implementation cluster randomized trial

Dimensions (assessment time)

Constructs

Measures and sources of data

Child effectiveness outcomes (T1, T2, T3)

Mental Health (Primary): Exteranalizing and Internalizing

Strengths and Difficulties Questionnaire (α = .63–.80)[57] (P); PROMIS Anger (α = .78), Anxiety/Fear (α = .90), Depression (α = .87) [58,59,60](P)

Social Emotional Competency (Secondary): Emotion regulation; Relationship; Executieve functioning

Emotion-regulation (α = .90) [28] (P); & Peer relationship α = .75) [28] (P); Comprehensive Computerized Battery for Child Psychological Assessment (for executive functioning) [75] (C)

Teacher effectiveness outcomes (T1, T2, T3)

Teacher EBI Practice (Primary): PD strategies use

Teacher EBI Practices Classroom Observation (α = .68–.72) [28] (O); EBI Strategies Practice Questionnaire (α = .69–.80) [28] (T)

Teacher Stress and Management (Primary)

Stress Questionnaire [61] (T); Responses to Stress Questionnaire [62, 63] (T); Social Support (α = .97) [64] (T). Difficulties in Emotion Regulation Scale (DERS-18) [65] (T)

Social Engagement (Secondary): Parent and student engagement

Teacher-student relationship (C)(α = .78) [29]; Family and Teacher Relationship Quality [76] (P)

Implementation outcomes (during training and coaching sessions)

Fidelity: (1) Adherence; (2) Quality of implementation; (3) Engagement (pre- and post-training knowledge gain) (4) Exposure

(1) PD/PDT Fidelity Checklists (F) [28]: after training & coaching session; (2) Teacher Training Experience Rating: facilitator competency (knowledge, preparation, ability to control discussion, enjoyable) (rating after training and coaching)(α = .72) [28] (T); (3) EBI Strategy Knowledge (test–retest r = .35–.43) [28] (T);(4) Attendance tracking [28] (F)

Appropriateness and Usefulness of PD/PDT

Implementation outcome measure [66] (T)

PD/PDT implementation costs

Implementation costs for PD/PDT: actual program costs (with and without monitoring cost) [77]

Contextual moderators- in CFIR domains (T1/beginning of the PD/PDT)

Inner setting: (1) School structural characteristics; (2) School climate (culture, learning climate, leadership engagement, team work alliance)

(1) School structural characteristics (classroom size); (2) School Environment and Climate Survey (adapted from Inner-setting scale [78] and Organization Climate Questionnaire (α = .65–.85) [79] (T)

Individual Teacher characteristics: Role clarity; Self-efficacy; Mental health

Determinants of Implementation Behavior Questionnaire (DIBQ) [80]; PHQ-4 (mental health) [81, 82] (T)

Intervention characteristics: Acceptability, Appropriateness,

See implementation outcome measures above

Processes: Partnership quality, Fidelity, Intervention cohort (1st or 2nd cohort)

Partnership Quality Scale (Coach-teacher relationships, support from coaches, support from teachers) [36] (T)

Outer setting: Urban/rural region

Geographic region (urban/rural)

  1. For child effectiveness outcomes, primary data source is parent-report (P); and secondary data source is child-report/testing (C). For teacher effectiveness outcomes, primary data sources is classroom observation (O) and teacher report (T); and secondary data sourcs are Parent (P) and child report (C). CFIR contextual data will be gathered from from Training/coaching session tracking data from facilitator report (F) and teachers-report (T)