Complex eHealth interventions--featuring multiple components within dynamic systems--are used for healthcare improvement. Public-private partnerships (PPPs), combining resources, expertise, and technology, are crucial in this context. Yet, integrating these interventions into practice remains challenging. This study identifies barriers and…

Schools have transitioned from single-component health and wellness programs to comprehensive initiatives aimed at fostering continual and sustained improvement in children's overall health and wellness. These interventions, with a focus on knowledge and behavior change, can effectively promote the adoption of healthy behaviors among children.…

Student bullying behaviours are a significant social issue in schools worldwide. Whilst school staff have access to quality bullying prevention interventions, schools can face significant challenges implementing the whole-school approach required to address the complexity of these behaviours. This study aimed to understand how schools' capacity to…

Implementing and scaling up targeted interventions can be challenging. This Spotlight will help readers learn about the most common interventions for academic recovery; dive into research on implementing effective learning recovery programs; investigate strategies for making intensive tutoring sustainable; discover how districts are tackling…

Background: This study was the first attempt to investigate the status of implementation and sustainability of early childhood positive behavior support (PBS) via the lens of implementation science for community-based child care centers in a Midwest state of the United States. Objective: Obtain state-level data and gain insights on PBS…

A wealth of evidence shows that exposure to the natural environment and nature-based learning can benefit children's physical, mental, social, and emotional health. Despite this, children are spending less time in nature and nature-based learning remains an underutilised pedagogical tool. Several barriers are frequently reported by teachers,…

Severe inequities for underrepresented student groups (URGs) in Science, Technology, Engineering, Mathematics, and Medicine (STEMM) fields has remained a topic of national concern for several decades. Research has demonstrated the efficacy of STEMM intervention programs (SIPs) in addressing disparate STEMM outcomes. However, there is a dearth of…

Integrated early childhood development (ECD) programs boost child health and developmental outcomes. However, the factors contributing to the successful implementation of such programs in informal urban settlements are not well researched. We conducted 14 focus group discussions and 13 key informant interviews with 125 caregivers of children under…

Positive Behavioral Interventions and Supports (PBIS) is a widely used multitiered prevention framework that embeds a systems approach for establishing behavioral supports for all students, across all levels of need, to achieve social, behavioral, and academic success. A growing body of research has documented the effectiveness of PBIS in schools…

The intent of this report is to contribute to discussions about what is involved in efforts to implement the type of broad-based, multifaceted system changes seen as essential for fundamentally improving schools. The report begins by stressing four interrelated considerations involved in making multifaceted and complex sustainable changes at a…

Investing in school mental health programs has the potential to improve youths' access to mental health services. Barriers to the implementation of school mental health programs include limited workforce capacity, competing priorities, and lack of coordinated care. The current paper describes the history, development, and key components of the…

Analysis of the variables that affect use of evidence-based and promising innovations in education has led to an emerging literature base addressing sustainability or the potential for sustained implementation over time. Examining the experiences of schools actively engaged in implementing evidence-based innovations holds promise for identifying…

Moderate feeding problems affect many children with autism spectrum disorder and often co-occur with disruptive mealtime behaviors. Although parent-mediated interventions have shown promise to support feeding problems, research has primarily occurred within randomized controlled trials when delivered by highly trained clinicians in specialty…

Coaching is an important component in multi-tiered systems of support (MTSS) such as school-wide positive behavioral interventions and supports (SWPBIS), but little is known about which coaching activities are most related to sustained implementation of this school-wide framework. A survey was developed to examine the amount of receipt and…

Background: While implementation studies in aphasia management have shown promising improvements to clinical practice, it is currently unknown if aphasia implementation outcomes are sustained and what factors may influence clinical sustainability. Aims: To evaluate the sustainment (i.e., sustained improvement of aphasia management practices and…