Trial Outcomes & Findings for Implementation Strategy Resource Package for Behavioral Classroom Interventions: Pilot Test (NCT NCT05489081)

Results Overview

Teacher-reported total score on the Feasibility of Intervention Measure (FIM), which consists of 4 items on a 5-point Likert scale (from 1 = Completely Disagree to 5 = Completely Agree). The total score is the average of the 4 item scores (possible range: 1 through 5, where 5 is the best possible outcome).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

53 participants

Primary outcome timeframe

Endpoint (i.e, at least 8 weeks from resource package receipt)

Results posted on

2025-07-29

Participant Flow

Teachers were recruited from participating schools, and children were recruited from participating classrooms after teachers enrolled.

53 participants (20 teachers, 33 children) were randomly assigned to either the intervention group or the control group following consent and baseline data collection. The number shown in each group reflect unique participants (both teachers and children). The overall number of baseline participants reflect the total number of teachers and children in each arm (i.e., 11 teachers and 17 children in the Implementation Resource Package Group and 9 teachers and 16 children in the control group).

Participant milestones

Participant milestones
Measure	Implementation Resource Package Group Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Overall Study STARTED	28	25
Overall Study Teachers	11	9
Overall Study Students	17	16
Overall Study COMPLETED	28	22
Overall Study NOT COMPLETED	0	3

Reasons for withdrawal

Reasons for withdrawal
Measure	Implementation Resource Package Group Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Overall Study student left classroom	0	1
Overall Study teacher left school	0	2

Baseline Characteristics

This information is for the teacher participants only. Teachers reported their age by responding to a categorical question with age group brackets.

Baseline characteristics by cohort

PRIMARY outcome

Timeframe: Endpoint (i.e, at least 8 weeks from resource package receipt)

Population: The analytic sample is based on the 11 teachers randomized to the Implementation Resource Package group.

Teacher-reported total score on the Feasibility of Intervention Measure (FIM), which consists of 4 items on a 5-point Likert scale (from 1 = Completely Disagree to 5 = Completely Agree). The total score is the average of the 4 item scores (possible range: 1 through 5, where 5 is the best possible outcome).

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=11 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Feasibility of Intervention Measure	4.52 score on a scale Standard Deviation .47	—

PRIMARY outcome

Timeframe: Endpoint (i.e, at least 8 weeks from resource package receipt)

Population: The analytic sample is the 11 teachers who were randomized to the Implementation Resource Package group.

Teacher-reported total score on the Acceptability of Intervention Measure (AIM), which consists of 4 items on a 5-point Likert scale (from 1 = Completely Disagree to 5 = Completely Agree). The total score is the average of the 4 item scores (possible range: 1 through 5, where 5 is the best possible outcome).

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=11 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Acceptability of Intervention Measure (AIM)	4.54 score on a scale Standard Deviation .51	—

PRIMARY outcome

Timeframe: Endpoint (i.e, at least 8 weeks from resource package receipt)

Population: The analytic sample is the 11 teachers who were randomized to the Implementation Resource Package group.

Teacher-reported total score on the Intervention Appropriateness Measure (IAM), which consists of 4 items on a 5-point Likert scale (from 1 = Completely Disagree to 5 = Completely Agree). The total score is the average of the 4 item scores (possible range: 1 through 5, where 5 is the best possible outcome).

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=11 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Intervention Appropriateness Measure (IAM)	4.48 score on a scale Standard Deviation .56	—

PRIMARY outcome

Timeframe: Baseline, midpoint (i.e., up to 7 weeks from resource package receipt), endpoint (i.e, at least 8 weeks from resource package receipt)

Population: This sample represents the number of teachers in each arm with non-missing baseline and endpoint classroom observation data.

A member of the study will conduct classroom observations to measure fidelity of teacher use of the behavioral classroom management interventions.

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=10 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group n=8 Participants Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Change in Observed Teacher Use of Behavioral Classroom Management Interventions	5.8 events per hour Standard Deviation 11.0	-.07 events per hour Standard Deviation 1.9

PRIMARY outcome

Timeframe: Baseline, endpoint (i.e, at least 8 weeks from resource package receipt)

Population: Analysis was based on the sample of child participants with available parent-report data at baseline and endpoint.

Caregiver-reported performance items on the National Institute for Children's Health Quality Vanderbilt Scale - Parent Version; These 7 items are rated on a 5-point scale (from 1 = Excellent to 5 = Problematic). The total score is the average of the 7 item scores (possible range: 1 through 5, where 1 is the best possible outcome).

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=13 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group n=16 Participants Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Change in Caregiver-reported Child Functional Impairment	-.16 change score Standard Deviation .48	.09 change score Standard Deviation .62

PRIMARY outcome

Timeframe: Baseline, endpoint (i.e, at least 8 weeks from resource package receipt)

Population: Analysis was based on the sample of child participants with available teacher-report data on this measure at baseline and endpoint.

Teacher-reported performance items on the National Institute for Children's Health Quality Vanderbilt Scale - Teacher Version; These 8 items are rated on a 5-point scale (from 1 = Excellent to 5 = Problematic). The total score is the average of the 8 item scores (possible range: 1 through 5, where 5 is the best possible outcome).

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=16 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group n=14 Participants Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Change in Teacher-reported Child Functional Impairment	-.22 change score Standard Deviation .48	-.29 change score Standard Deviation .61

PRIMARY outcome

Timeframe: Baseline, endpoint (i.e, at least 8 weeks from resource package receipt)

Population: Analysis was based on the sample of child participants with available teacher-report data on this measure at baseline and endpoint.

Teacher-reported Academic Productivity subscale score of the Academic Performance Rating Scale (APRS). The Academic Productivity subscale includes 12 items, each rated on a 5-point Likert scale from 1 to 5. Four items are reverse scored, and the total score is computed as the average of the 12 items (possible range: 1 through 5, where 5 is the best possible outcome).

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=16 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group n=14 Participants Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Change in Academic Productivity	.20 change score Standard Deviation .38	.17 change score Standard Deviation .44

PRIMARY outcome

Timeframe: Baseline, endpoint (i.e, at least 8 weeks from resource package receipt)

Population: Analysis was based on the sample of child participants with available teacher-report data on this measure at baseline and endpoint.

Teacher-reported total score on the Student-Teacher Relationship Scale - Short form, which consists of 15 items, rated on a 5-point scale (from 1 = Definitely does not apply to 5 = Definitely applies). Eight items are reverse score, and then the total score is computed as the average of the 15 item scores (possible range: 1 through 5, where 5 is the best possible outcome).

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=16 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group n=14 Participants Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Change in Student-Teacher Relationship	.46 change score Standard Deviation .62	.48 change score Standard Deviation .81

PRIMARY outcome

Timeframe: Baseline

Number of teachers and students enrolled in the study

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=28 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group n=25 Participants Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Feasibility of Research Procedures - Recruitment Numbers Teachers	11 Participants	9 Participants
Feasibility of Research Procedures - Recruitment Numbers Students	17 Participants	16 Participants

PRIMARY outcome

Timeframe: Baseline, endpoint (i.e, at least 8 weeks from resource package receipt)

Population: Analysis population is the number of students randomized in each arm.

Percentage of parent- and teacher- report surveys completed across timepoints and conditions out of the number of students enrolled and randomized.

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=68 Surveys Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group n=64 Surveys Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Feasibility of Research Procedures - Response Rate	94.1 percentage of surveys received	90.6 percentage of surveys received

PRIMARY outcome

Timeframe: Baseline, midpoint (i.e., up to 7 weeks from resource package receipt), endpoint (i.e, at least 8 weeks from resource package receipt)

Percentage of participants who do not withdraw out of the number of enrolled and randomized teachers and students across conditions

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=28 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group n=25 Participants Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Feasibility of Research Procedures - Retention Rate	100 percentage of participants	88 percentage of participants

SECONDARY outcome

Timeframe: Baseline, endpoint (i.e, at least 8 weeks from resource package receipt)

Population: Analysis was based on the sample of child participants with available parent-report data on this measure at baseline and endpoint.

Caregiver-reported student self-regulation factor on the Homework Performance Questionnaire - Parent Version for students in grades 1-5. The self-regulation factor consists of 9 items, each rated on a 4-point scale (0 = rarely/never, 1 = some of the time, 2 = most of the time, 3 = always/almost always). Four items are reverse scored, and then the self-regulation factor score is computed as the average of the 9 item scores (possible range: 0 through 3, where 3 is the best possible outcome).

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=12 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group n=13 Participants Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Change in Homework Performance	.037 change score Standard Deviation .49	.029 change score Standard Deviation .51

SECONDARY outcome

Timeframe: Baseline, endpoint (i.e, at least 8 weeks from resource package receipt)

Population: Analysis was based on the sample of child participants with available parent-report data on this measure at baseline and endpoint.

Caregiver-reported inattention and hyperactivity/impulsivity symptom scores on the National Institute for Children's Health Quality Vanderbilt Scale - Parent Version, which consists of 18 items, rated on a 4-point scale (from 0 = Never to 3 = Very Often). The total score is calculated as the average of the 18 item scores (possible range: 0 through 3, where 0 is the best possible outcome).

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=15 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group n=14 Participants Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Change in Caregiver-reported ADHD Symptoms	-.04 change score Standard Deviation .49	.02 change score Standard Deviation .35

SECONDARY outcome

Timeframe: Baseline, endpoint (i.e, at least 8 weeks from resource package receipt)

Population: Analysis was based on the sample of child participants with available teacher-report data on this measure at baseline and endpoint.

Teacher-reported inattention and hyperactivity/impulsivity symptom scores on the National Institute for Children's Health Quality Vanderbilt Scale - Teacher Version, which consists of 18 items, rated on a 4-point scale (from 0 = Never to 3 = Very Often). The total score is calculated as the average of the 18 item scores (possible range: 0 through 3, where 0 is the best possible outcome).

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=16 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group n=15 Participants Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Change in Teacher-reported ADHD Symptoms	-.16 change score Standard Deviation .36	-.15 change score Standard Deviation .60

SECONDARY outcome

Timeframe: Baseline, endpoint (i.e, at least 8 weeks from resource package receipt)

Population: Analysis was based on the sample of child participants with available teacher-report data on this measure at baseline and endpoint.

Teacher-reported Academic Success subscale score of the Academic Performance rating Scale (APRS). The Academic Success subscale includes 7 items, each rated on a 5-point Likert scale from 1 to 5. One item is reverse scored, and the total score is computed as the average of the 7 items (possible range: 1 through 5, where 5 is the best possible outcome).

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=16 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group n=15 Participants Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Change in Academic Success	.27 change score Standard Deviation .41	.17 change score Standard Deviation .42

SECONDARY outcome

Timeframe: Baseline, endpoint (i.e, at least 8 weeks from resource package receipt)

Population: Analysis was based on the sample of child participants with available teacher-report data on this measure at baseline and endpoint.

Teacher-reported ratings on the disruptive behavior domain of Direct Behavior Rating Multi-Item Scales, which consist of 5 items on a 6-point scale (from 0 = "not a problem" to 6 = "serious problem"). The total score is computed as the average of the 5 items (possible range: 0 through 6, where 0 is the best possible outcome).

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=14 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group n=12 Participants Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Change in Disruptive Direct Behavior Ratings	-.90 change score Standard Deviation .87	-.37 change score Standard Deviation 1.63

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, endpoint (i.e, at least 8 weeks from resource package receipt)

Population: Analysis was based on sample of teacher participants with available and valid teacher-report data at baseline and endpoint.

Teacher self-reported measures of habits regarding their use of behavior-specific praise. This consists of 12 items on a 5-point Likert scale (from 1 = "strongly disagree" to 5 = "strongly agree"). The total score is the average of the 12 item scores (possible range: 1 through 5, where 5 is the best possible outcome).

Outcome measures

Outcome measures
Measure	Implementation Resource Package Group n=10 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group n=8 Participants Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.
Potential Mediators of Teacher Implementation Outcomes	.53 change score Standard Deviation .53	.34 change score Standard Deviation .46

Adverse Events

Implementation Resource Package Group

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Control Group

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Gwendolyn Lawson

Children's Hospital of Philadelphia

Phone: 2674266612

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place

Measure	Implementation Resource Package Group n=28 Participants Teachers in this group will receive an implementation support package and receive support in using it within their classroom management practice. Also within the intervention group (experimental), will be students nested in the classrooms of the teachers that are assigned to the intervention group. Positive Behavior Management Toolkit: The Positive Behavior Management Toolkit, or the implementation strategy resource package, is a set of resources provided to teachers in the intervention group that aims to support their use of positive behavior management practices in the classroom, particularly with students with hyperactive, inattentive, or impulsive behaviors.	Control Group n=25 Participants Within the control group (no intervention), teachers in this group will not receive the implementation support package nor extra support during the study period. They will continue to receive implementation support as usual. Also within the control group (no intervention) will be students nested in the classrooms of the teachers that are assigned to the control group.	Total n=53 Participants Total of all reporting groups
Age, Categorical <=18 years	0 Participants n=11 Participants • This information is for the teacher participants only. Teachers reported their age by responding to a categorical question with age group brackets.	0 Participants n=9 Participants • This information is for the teacher participants only. Teachers reported their age by responding to a categorical question with age group brackets.	0 Participants n=20 Participants • This information is for the teacher participants only. Teachers reported their age by responding to a categorical question with age group brackets.
Age, Categorical Between 18 and 65 years	11 Participants n=11 Participants • This information is for the teacher participants only. Teachers reported their age by responding to a categorical question with age group brackets.	9 Participants n=9 Participants • This information is for the teacher participants only. Teachers reported their age by responding to a categorical question with age group brackets.	20 Participants n=20 Participants • This information is for the teacher participants only. Teachers reported their age by responding to a categorical question with age group brackets.
Age, Categorical >=65 years	0 Participants n=11 Participants • This information is for the teacher participants only. Teachers reported their age by responding to a categorical question with age group brackets.	0 Participants n=9 Participants • This information is for the teacher participants only. Teachers reported their age by responding to a categorical question with age group brackets.	0 Participants n=20 Participants • This information is for the teacher participants only. Teachers reported their age by responding to a categorical question with age group brackets.
Age, Continuous	9.2 years STANDARD_DEVIATION 1.6 • n=17 Participants • This information is for the child participants only.	9.3 years STANDARD_DEVIATION 1.8 • n=16 Participants • This information is for the child participants only.	9.3 years STANDARD_DEVIATION 1.7 • n=33 Participants • This information is for the child participants only.
Sex/Gender, Customized Male	11 Participants n=17 Participants • This information is for the child participants only.	10 Participants n=16 Participants • This information is for the child participants only.	21 Participants n=33 Participants • This information is for the child participants only.
Sex/Gender, Customized Female	5 Participants n=17 Participants • This information is for the child participants only.	5 Participants n=16 Participants • This information is for the child participants only.	10 Participants n=33 Participants • This information is for the child participants only.
Sex/Gender, Customized Unknown	1 Participants n=17 Participants • This information is for the child participants only.	1 Participants n=16 Participants • This information is for the child participants only.	2 Participants n=33 Participants • This information is for the child participants only.
Sex: Female, Male Female	10 Participants n=11 Participants • This information is for the teacher participants only.	9 Participants n=9 Participants • This information is for the teacher participants only.	19 Participants n=20 Participants • This information is for the teacher participants only.
Sex: Female, Male Male	1 Participants n=11 Participants • This information is for the teacher participants only.	0 Participants n=9 Participants • This information is for the teacher participants only.	1 Participants n=20 Participants • This information is for the teacher participants only.
Ethnicity (NIH/OMB) Hispanic or Latino	4 Participants n=17 Participants • This information is for the child participants only.	4 Participants n=16 Participants • This information is for the child participants only.	8 Participants n=33 Participants • This information is for the child participants only.
Ethnicity (NIH/OMB) Not Hispanic or Latino	12 Participants n=17 Participants • This information is for the child participants only.	11 Participants n=16 Participants • This information is for the child participants only.	23 Participants n=33 Participants • This information is for the child participants only.
Ethnicity (NIH/OMB) Unknown or Not Reported	1 Participants n=17 Participants • This information is for the child participants only.	1 Participants n=16 Participants • This information is for the child participants only.	2 Participants n=33 Participants • This information is for the child participants only.
Race (NIH/OMB) American Indian or Alaska Native	0 Participants n=17 Participants • This information is for the child participants only.	0 Participants n=16 Participants • This information is for the child participants only.	0 Participants n=33 Participants • This information is for the child participants only.
Race (NIH/OMB) Asian	1 Participants n=17 Participants • This information is for the child participants only.	0 Participants n=16 Participants • This information is for the child participants only.	1 Participants n=33 Participants • This information is for the child participants only.
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	0 Participants n=17 Participants • This information is for the child participants only.	0 Participants n=16 Participants • This information is for the child participants only.	0 Participants n=33 Participants • This information is for the child participants only.
Race (NIH/OMB) Black or African American	10 Participants n=17 Participants • This information is for the child participants only.	12 Participants n=16 Participants • This information is for the child participants only.	22 Participants n=33 Participants • This information is for the child participants only.
Race (NIH/OMB) White	4 Participants n=17 Participants • This information is for the child participants only.	1 Participants n=16 Participants • This information is for the child participants only.	5 Participants n=33 Participants • This information is for the child participants only.
Race (NIH/OMB) More than one race	1 Participants n=17 Participants • This information is for the child participants only.	0 Participants n=16 Participants • This information is for the child participants only.	1 Participants n=33 Participants • This information is for the child participants only.
Race (NIH/OMB) Unknown or Not Reported	1 Participants n=17 Participants • This information is for the child participants only.	3 Participants n=16 Participants • This information is for the child participants only.	4 Participants n=33 Participants • This information is for the child participants only.
Region of Enrollment United States	28 participants n=28 Participants	25 participants n=25 Participants	53 participants n=53 Participants
Years teaching experience	14.6 years STANDARD_DEVIATION 9.5 • n=11 Participants • This measure is for the teacher participants only.	12.6 years STANDARD_DEVIATION 9.8 • n=9 Participants • This measure is for the teacher participants only.	13.7 years STANDARD_DEVIATION 9.5 • n=20 Participants • This measure is for the teacher participants only.