Senlin Chen, David A Dzewaltowski, Richard R Rosenkranz, Lorraine Lanningham-Foster, Spyridoula Vazou, Douglas A Gentile, Joey A Lee, Kyle J Braun, Maren M Wolff, Gregory J Welk
Feasibility study of the SWITCH implementation process for enhancing school wellness
BMC public health
school safety fundamental fostering positive outcomes children violence remains critical public health issue 81 elementary 218 middle school students reporting daily weekly bullying 201516 similarly half lifetime mental health concerns become evident age 14 thus elementary school key time comprehensive school safety interventions yet interventions rarely delivered fidelity community settings evidencebased interventions must complemented implementation strategies achieve desired public health outcomes develop test intervention focused promoting positive school climate guided schoolbased 3person leadership team 3plt using hybrid type ii design 3plt includes school resource officer sro administrator mental health services professional newly appointed climate specialist cs interventions delivered include 1 restorative justice 2 mental health first aid 3 crime prevention environmental design cs lead team coordinate implementation process interactive problem solving supports consistent implementation facilitation strategy conduct cluster randomized controlled trial staged entry two school years genesee county michigan n 20 elementary schools 10 participating per school year use combination data sources including data collected schools eg discipline data student survey teacher survey also conduct process evaluation assess implementation sustainability focus groups key stakeholders teachers students finally conduct costbenefit analysis results behavioral outcome implementation strategy evaluations expected significant implications school safety student wellbeing study adopts unique approach integrating three evidencebased programs incorporating implementation facilitation led cs part 3plt support intervention delivery enhance public health impact among schools disadvantaged communities students risk poor health outcomes study aims create comprehensive wellintegrated model intervention sustainable translated similar highrisk settings trial retrospectively registered registration isrctn1226421 may 16 2019