Background:

Despite well-established Evidence-Based Treatments (EBTs) for Attention-Deficit/Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD), many low-resource settings lack EBT access.

Methods:

We conducted a school-clustered randomized controlled pilot of CLS-FUERTE (a multicomponent behavioral EBT adapted for children in Mexico) with 58 students. We randomly assigned four schools to receive CLS-FUERTE and four to receive school services as usual. We compared groups post-treatment on parent- and teacher-rated ADHD/ODD symptoms and impairment.

Results:

CLS-FUERTE fidelity, attendance, engagement, and acceptability was high and students receiving CLS-FUERTE showed greater improvement in teacher-rated ADHD, ODD, and impairment, as well as parent-rated ADHD and impairment, compared to students receiving usual services.

Conclusions:

Pilot results suggest that psychosocial EBTs can be successfully implemented by School Mental Health Providers in Mexico.

中文翻译：

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学校心理健康提供者能否提供改善墨西哥青少年注意力和行为的心理社会治疗？CLS-FUERTE 的初步随机对照试验

背景：

尽管针对注意力缺陷/多动障碍 (ADHD) 和对立违抗障碍 (ODD) 建立了完善的循证治疗 (EBT)，但许多资源匮乏的环境缺乏 EBT 访问。

方法：

我们对 58 名学生进行了 CLS-FUERTE（一种适用于墨西哥儿童的多成分行为 EBT）的学校集群随机对照试验。我们随机分配了四所学校接受 CLS-FUERTE，四所学校像往常一样接受学校服务。我们比较了治疗后各组对父母和老师评定的 ADHD/ODD 症状和损伤的影响。

结果：

CLS-FUERTE 的保真度、出勤率、参与度和可接受性很高，与接受常规服务的学生相比，接受 CLS-FUERTE 的学生在教师评定的 ADHD、ODD 和损伤以及家长评定的 ADHD 和损伤方面表现出更大的改善。

结论：

试点结果表明，墨西哥的学校心理健康提供者可以成功实施心理社会 EBT。