Assuring treatment plan implementation following consultation is critically important because implementation is strongly related to outcomes. Treatment implementation has been hypothesized to be influenced by both the nature of the follow-up support provided and contextual variables. However, studies to date have not examined both issues while directly measuring implementation. This study examined treatment implementation following consultation for 48 teachers in public schools who had referred a student for intervention services in a randomized clinical field trial. Participating teachers in the experimental group received Integrated Support (IS). IS includes social influence, planning, and performance feedback elements. IS was compared to weekly follow-up meetings alone. Treatment implementation and child outcomes were markedly superior for IS as compared to weekly follow-up. Three school climate factors were found to be correlated with treatment implementation for the IS group, but not the weekly follow-up group. Participants rated treatment implementation, treatment acceptability, and consultant effectiveness positively and similarly across conditions. The implications of these findings for future work examining school culture, consultation and intervention are discussed.

确保咨询后治疗计划的实施至关重要，因为实施与结果密切相关。据推测，治疗的实施受到所提供的后续支持的性质和背景变量的影响。然而，迄今为止的研究并没有在直接衡量执行情况的同时检查这两个问题。这项研究在咨询了 48 名公立学校教师后对治疗实施情况进行了检查，这些教师在一项随机临床现场试验中推荐了一名学生接受干预服务。实验组的参与教师获得综合支持（IS）。IS 包括社会影响、计划和绩效反馈要素。IS 与单独的每周跟进会议进行了比较。与每周随访相比，IS 的治疗实施和儿童结果明显优越。三个学校氛围因素被发现与 IS 组的治疗实施相关，但与每周随访组无关。参与者在不同条件下对治疗实施、治疗可接受性和顾问有效性进行积极且相似的评价。讨论了这些发现对未来检查学校文化、咨询和干预工作的影响。