A Hybrid Pragmatic and Factorial Cluster Randomized Controlled Trial for an Anti-racist, Multilevel Intervention to Improve Mental Health Equity in High Schools Article Swipe
Marta I. Mulawa
,
Sharron L. Docherty
,
Donald E. Bailey
,
Rosa M. González‐Guarda
,
Isaac M. Lipkus
,
Schenita D. Randolph
,
Qing Yang
,
Wei Pan
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1007/s11121-023-01626-x
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1007/s11121-023-01626-x
Systemic racism is pervasive in US society and disproportionately limits opportunities for education, work, and health for historically marginalized and minoritized racial and ethnic groups, making it an urgent issue of social justice. Because systemic racism is a social determinant of health prevalent across multiple social and institutional structures, it requires multilevel intervention approaches using effective designs and analytic methods to measure and evaluate outcomes. Racism is a fundamental cause of poor health outcomes, including mental health outcomes; thus, mental health services and programs that address racism and discrimination are key to promoting positive mental health of racial and ethnic minority youth. While multilevel interventions are well-suited for improving outcomes like youth mental health disparities, their evaluation poses unique methodological challenges, requiring specialized design and analytic approaches. There has been limited methodological guidance provided to researchers on how to test multilevel interventions using approaches that balance methodological rigor, practicality, and acceptability across stakeholder groups, especially within communities most affected by systemic racism. This paper addresses this gap by providing an example of how to rigorously evaluate a hypothetical, theoretically based, multilevel intervention promoting mental health equity in three US school systems using an anti-racist approach intervening at the macro- (i.e., school system), meso- (i.e., school), and micro- (i.e., family and student) levels to improve mental health in adolescents. We describe the design, sample size considerations, and analytic methods to comprehensively evaluate its effectiveness while exploring the extent to which the components interact synergistically to improve outcomes. The methodological approach proposed can be adapted to other multilevel interventions that include strategies addressing macro-, meso-, and micro-levels of influence.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s11121-023-01626-x
- https://link.springer.com/content/pdf/10.1007/s11121-023-01626-x.pdf
- OA Status
- hybrid
- Cited By
- 1
- References
- 41
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4390586950
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4390586950Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1007/s11121-023-01626-xDigital Object Identifier
- Title
-
A Hybrid Pragmatic and Factorial Cluster Randomized Controlled Trial for an Anti-racist, Multilevel Intervention to Improve Mental Health Equity in High SchoolsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-01-04Full publication date if available
- Authors
-
Marta I. Mulawa, Sharron L. Docherty, Donald E. Bailey, Rosa M. González‐Guarda, Isaac M. Lipkus, Schenita D. Randolph, Qing Yang, Wei PanList of authors in order
- Landing page
-
https://doi.org/10.1007/s11121-023-01626-xPublisher landing page
- PDF URL
-
https://link.springer.com/content/pdf/10.1007/s11121-023-01626-x.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://link.springer.com/content/pdf/10.1007/s11121-023-01626-x.pdfDirect OA link when available
- Concepts
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Mental health, Psychological intervention, Health equity, Racism, Health psychology, Psychology, Equity (law), Intervention (counseling), Public health, Sociology, Medicine, Psychiatry, Nursing, Political science, Gender studies, LawTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
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2024: 1Per-year citation counts (last 5 years)
- References (count)
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41Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.providing | 169 |
| abstract_inverted_index.requiring | 122 |
| abstract_inverted_index.addressing | 261 |
| abstract_inverted_index.approaches | 54, 144 |
| abstract_inverted_index.components | 241 |
| abstract_inverted_index.education, | 13 |
| abstract_inverted_index.especially | 155 |
| abstract_inverted_index.evaluation | 117 |
| abstract_inverted_index.influence. | 267 |
| abstract_inverted_index.multilevel | 52, 104, 141, 181, 256 |
| abstract_inverted_index.rigorously | 175 |
| abstract_inverted_index.strategies | 260 |
| abstract_inverted_index.anti-racist | 194 |
| abstract_inverted_index.approaches. | 127 |
| abstract_inverted_index.challenges, | 121 |
| abstract_inverted_index.communities | 157 |
| abstract_inverted_index.determinant | 40 |
| abstract_inverted_index.fundamental | 69 |
| abstract_inverted_index.intervening | 196 |
| abstract_inverted_index.minoritized | 21 |
| abstract_inverted_index.researchers | 136 |
| abstract_inverted_index.specialized | 123 |
| abstract_inverted_index.stakeholder | 153 |
| abstract_inverted_index.structures, | 49 |
| abstract_inverted_index.well-suited | 107 |
| abstract_inverted_index.adolescents. | 218 |
| abstract_inverted_index.disparities, | 115 |
| abstract_inverted_index.historically | 18 |
| abstract_inverted_index.intervention | 53, 182 |
| abstract_inverted_index.marginalized | 19 |
| abstract_inverted_index.micro-levels | 265 |
| abstract_inverted_index.acceptability | 151 |
| abstract_inverted_index.effectiveness | 233 |
| abstract_inverted_index.hypothetical, | 178 |
| abstract_inverted_index.institutional | 48 |
| abstract_inverted_index.interventions | 105, 142, 257 |
| abstract_inverted_index.opportunities | 11 |
| abstract_inverted_index.practicality, | 149 |
| abstract_inverted_index.theoretically | 179 |
| abstract_inverted_index.discrimination | 89 |
| abstract_inverted_index.methodological | 120, 132, 147, 248 |
| abstract_inverted_index.comprehensively | 230 |
| abstract_inverted_index.considerations, | 225 |
| abstract_inverted_index.synergistically | 243 |
| abstract_inverted_index.disproportionately | 9 |
| cited_by_percentile_year.max | 94 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5016464849 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 8 |
| corresponding_institution_ids | https://openalex.org/I170897317 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/16 |
| sustainable_development_goals[0].score | 0.5600000023841858 |
| sustainable_development_goals[0].display_name | Peace, Justice and strong institutions |
| citation_normalized_percentile.value | 0.78831509 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |