{"id":3051,"date":"2024-10-14T23:46:04","date_gmt":"2024-10-14T23:46:04","guid":{"rendered":"https:\/\/hcfd.sdsu.edu\/?page_id=3051"},"modified":"2025-01-26T00:45:56","modified_gmt":"2025-01-26T00:45:56","slug":"collaborative-life-skills-digital-mental-health-project-cls-d","status":"publish","type":"page","link":"https:\/\/hcfd.sdsu.edu\/?page_id=3051","title":{"rendered":"Collaborative Life Skills Digital Mental Health Project (CLS-D)"},"content":{"rendered":"\n<p><a href=\"https:\/\/ies.ed.gov\/funding\/grantsearch\/details.asp?ID=6036\">R324A240184<\/a> (2024 &#8211; 2028) National Center for Special Education Research, Institute for Education Science<\/p>\n\n\n<div id=\"pl-gb3051-69d79a860e186\"  class=\"panel-layout wp-block-siteorigin-panels-layout-block\" ><div id=\"pg-gb3051-69d79a860e186-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-gb3051-69d79a860e186-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-gb3051-69d79a860e186-0-0-0\" class=\"so-panel widget widget_sow-icon panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-icon so-widget-sow-icon-default-d260aac168b0-3051\"\n\t\t\t\n\t\t>\n<div class=\"sow-icon-container sow-icon\">\n\t\t\t<span class=\"sow-icon-fontawesome sow-far\" data-sow-icon=\"&#xf058;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-gb3051-69d79a860e186-0-1\"  class=\"panel-grid-cell\" ><div id=\"panel-gb3051-69d79a860e186-0-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3><strong>Aims<\/strong><\/h3>\n<p><b>Aim 1: Develop a mobile health-supported adaptation of CLS (CLS-D) for implementation in\u00a0 schools with limited resources that serve low-SES students. <\/b><span style=\"font-weight: 400;\">Based on a user-centered design\u00a0 approach, we will engage panels of key stakeholders, including SMHPs, teachers, students with\u00a0 ADHD from low-SES families, and their parents to inform the iterative (1) adaptation of CLS\u00a0 content and structure to fit the target school settings, and (2) development of a mHealth prototype\u00a0 designed to support CLS implementation. We will also adapt CLS training and fidelity monitoring\u00a0 protocols, and cost evaluation tools to fit the adapted model.\u00a0\u00a0<\/span><\/p>\n<p><b>Aim 2: Test the usability, feasibility, and acceptability of CLS-D among SMHPs, teachers,\u00a0 parents, and students. <\/b><span style=\"font-weight: 400;\">We will conduct a series of usability tests with stakeholder panels to\u00a0 inform the refinement of the dHealth prototype. We will then conduct open trials of CLS-D at each\u00a0 site, followed by focus groups with participants to assess whether it is usable, can be feasibly\u00a0 implemented, is perceived favorably, and results in improved student outcomes. We will refine\u00a0 CLS-D, including the mHealth prototype, training and fidelity monitoring protocols, and cost\u00a0 evaluation tools throughout these trials, as needed.\u00a0\u00a0<\/span><\/p>\n<p><b>Aim 3: Evaluate the feasibility and impact of CLS-D on student outcomes relative to typical\u00a0 school services. <\/b><span style=\"font-weight: 400;\">We will conduct a randomized pilot trial comparing CLS-D to business as usual\u00a0 (BAU) to determine if it can be implemented with fidelity, estimate the costs and resources needed\u00a0 to support its implementation, and evaluate its effects on proximal and sustained educational\u00a0 outcomes in schools with limited resources serving students from low-SES backgrounds.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2024\/10\/CLS-D-theory-of-change-9-21-23.pdf\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-3059 size-full\" src=\"http:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2024\/10\/CLS-D-theory-of-change-9-21-23.png\" alt=\"\" width=\"960\" height=\"540\" srcset=\"https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2024\/10\/CLS-D-theory-of-change-9-21-23.png 960w, https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2024\/10\/CLS-D-theory-of-change-9-21-23-300x169.png 300w, https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2024\/10\/CLS-D-theory-of-change-9-21-23-768x432.png 768w\" sizes=\"auto, (max-width: 960px) 100vw, 960px\" \/><\/a><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-gb3051-69d79a860e186-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-gb3051-69d79a860e186-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-gb3051-69d79a860e186-1-0-0\" class=\"so-panel widget widget_sow-icon panel-first-child\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-icon so-widget-sow-icon-default-d260aac168b0-3051\"\n\t\t\t\n\t\t>\n<div class=\"sow-icon-container sow-icon\">\n\t\t\t<span class=\"sow-icon-fontawesome sow-far\" data-sow-icon=\"&#xf058;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t<\/div>\n<\/div><\/div><div id=\"panel-gb3051-69d79a860e186-1-0-1\" class=\"so-panel widget widget_sow-icon panel-last-child\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-icon so-widget-sow-icon-default-ef3e143a7a32-3051\"\n\t\t\t\n\t\t>\n<div class=\"sow-icon-container sow-icon\">\n\t\t\t\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-gb3051-69d79a860e186-1-1\"  class=\"panel-grid-cell\" ><div id=\"panel-gb3051-69d79a860e186-1-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3><strong>Purpose<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Existing evidence-based interventions for students with ADHD are often inaccessible in schools with limited resources to support their implementation. Barriers to accessing ADHD services disproportionately affect students from low-SES backgrounds. To improve access to these needed services, the proposed project aims to develop an adaptation of the Collaborative Life Skills Program (CLS)\u00a0 that will be supported by a digital health tool to improve the feasibility of its implementation in schools with limited resources. We will employ a user-centered design approach to iteratively develop, refine, and evaluate a mobile health (mHealth) app with the end-users in mind. This approach will involve focus groups with key stakeholders (i.e., end-users), the development of a prototype, usability testing, and open feasibility trials in four schools. We will then evaluate the usability, feasibility, acceptability, and impact of CLS-D, relative to business as usual (BAU) in a pilot randomized trial in 12 schools from the Vista Unified and Oakland Unified School Districts.<\/span><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-gb3051-69d79a860e186-2\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-gb3051-69d79a860e186-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-gb3051-69d79a860e186-2-0-0\" class=\"so-panel widget widget_sow-image panel-first-child panel-last-child\" data-index=\"5\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-e4c2d9f6c920-3051\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/parent-using-phone.jpg\" width=\"604\" height=\"604\" srcset=\"https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/parent-using-phone.jpg 690w, https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/parent-using-phone-300x300.jpg 300w, https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/parent-using-phone-150x150.jpg 150w\" sizes=\"(max-width: 604px) 100vw, 604px\" title=\"parent using phone\" alt=\"\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><\/div><div id=\"pgc-gb3051-69d79a860e186-2-1\"  class=\"panel-grid-cell\" ><div id=\"panel-gb3051-69d79a860e186-2-1-0\" class=\"so-panel widget widget_sow-image panel-first-child\" data-index=\"6\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-e4c2d9f6c920-3051\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/webtest-300x181.jpg\" width=\"300\" height=\"181\" srcset=\"https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/webtest-300x181.jpg 300w, https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/webtest-1024x619.jpg 1024w, https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/webtest-768x464.jpg 768w, https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/webtest-1536x928.jpg 1536w, https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/webtest-2048x1238.jpg 2048w\" sizes=\"(max-width: 300px) 100vw, 300px\" alt=\"\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><div id=\"panel-gb3051-69d79a860e186-2-1-1\" class=\"so-panel widget widget_sow-image panel-last-child\" data-index=\"7\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-e4c2d9f6c920-3051\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/20170301-Google_EDU-Middletown_N.width-1200.format-webp_R5WoszF-1-300x200.webp\" width=\"300\" height=\"200\" srcset=\"https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/20170301-Google_EDU-Middletown_N.width-1200.format-webp_R5WoszF-1-300x200.webp 300w, https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/20170301-Google_EDU-Middletown_N.width-1200.format-webp_R5WoszF-1-1024x683.webp 1024w, https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/20170301-Google_EDU-Middletown_N.width-1200.format-webp_R5WoszF-1-768x512.webp 768w, https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/20170301-Google_EDU-Middletown_N.width-1200.format-webp_R5WoszF-1-272x182.webp 272w, https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/20170301-Google_EDU-Middletown_N.width-1200.format-webp_R5WoszF-1.webp 1200w\" sizes=\"(max-width: 300px) 100vw, 300px\" title=\"20170301-Google_EDU-Middletown_N.width-1200.format-webp_R5WoszF\" alt=\"\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><\/div><\/div><\/div>\n\n\n<hr class=\"wp-block-separator alignwide has-alpha-channel-opacity is-style-wide\"\/>\n\n\n<div id=\"pl-gb3051-69d79a8614c2f\"  class=\"panel-layout wp-block-siteorigin-panels-layout-block\" ><div id=\"pg-gb3051-69d79a8614c2f-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-gb3051-69d79a8614c2f-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-gb3051-69d79a8614c2f-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">The Collaborative Life Skills Program<\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><\/p>\n<h3><\/h3>\n<p class=\"p1\">The Collaborative Life Skills Program (CLS) is an empirically-supported, school-based intervention for children who struggle with regulating their attention and behavior at school and home. CLS was designed by Dr. Linda Pfiffner and her team of researchers at UCSF in collaboration with the San Francisco Unified School District (SFUSD). CLS was designed for implementation by school mental health professionals who coordinate three components with teachers, parents and students: 1) behavioral classroom interventions, 2) behavioral parent interventions, and 3) student skills groups. The effectiveness of CLS on student success has supported by several clinical trials in SFUSD, as well as schools in Sinaloa, Mexico. For more information about CLS, please visit <a href=\"https:\/\/psych.ucsf.edu\/HALP\/research\/CLS\"><span class=\"s1\">https:\/\/psych.ucsf.edu\/HALP\/research\/CLS<\/span><\/a>.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p><\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-gb3051-69d79a8614c2f-0-1\"  class=\"panel-grid-cell\" ><div id=\"panel-gb3051-69d79a8614c2f-0-1-0\" class=\"so-panel widget widget_sow-image panel-first-child panel-last-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-c67d20f9f743-3051\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2022\/07\/download-150x150.jpg\" width=\"150\" height=\"150\" sizes=\"(max-width: 150px) 100vw, 150px\" alt=\"\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><\/div><\/div><\/div>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-dots\"\/>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n\n\n<div id=\"pl-gb3051-69d79a8615d4e\"  class=\"panel-layout wp-block-siteorigin-panels-layout-block\" ><div id=\"pg-gb3051-69d79a8615d4e-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-gb3051-69d79a8615d4e-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-gb3051-69d79a8615d4e-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><strong>Sites:\u00a0<\/strong> <span style=\"font-weight: 400;\">The study will be carried out at two sites: San Diego State University (PI: Dr. Miguel Villodas) and the University of California, San Francisco (PI: Dr. Linda Pfiffner).<\/span><\/p>\n<p class=\"p1\"><strong>School Partners:<\/strong> <span style=\"font-weight: 400;\">The project will be conducted in partnership with 24 elementary schools in the <\/span><a href=\"https:\/\/www.vistausd.org\/schools-of-choice\/vusd-at-a-glance\"><span style=\"font-weight: 400;\">Vista Unified<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.ousd.org\/about-us\"><span style=\"font-weight: 400;\">Oakland Unified School Districts<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-gb3051-69d79a8615d4e-0-1\"  class=\"panel-grid-cell\" ><div id=\"panel-gb3051-69d79a8615d4e-0-1-0\" class=\"so-panel widget widget_sow-image panel-first-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-8b5b6f678277-3051\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/v.png\" width=\"150\" height=\"109\" srcset=\"https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/v.png 682w, https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/v-300x218.png 300w\" sizes=\"(max-width: 150px) 100vw, 150px\" alt=\"\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><div id=\"panel-gb3051-69d79a8615d4e-0-1-1\" class=\"so-panel widget widget_sow-image panel-last-child\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-8b5b6f678277-3051\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/o.png\" width=\"150\" height=\"39\" srcset=\"https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/o.png 936w, https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/o-300x78.png 300w, https:\/\/hcfd.sdsu.edu\/wp-content\/uploads\/2025\/01\/o-768x199.png 768w\" sizes=\"(max-width: 150px) 100vw, 150px\" alt=\"\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><\/div><\/div><\/div>\n\n\n<div class=\"wp-block-coblocks-accordion\">\n<div class=\"wp-block-coblocks-accordion-item\"><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R324A240184 (2024 &#8211; 2028) National Center for Special Education Research, Institute for Education Science<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","footnotes":""},"class_list":["post-3051","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/hcfd.sdsu.edu\/index.php?rest_route=\/wp\/v2\/pages\/3051","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hcfd.sdsu.edu\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hcfd.sdsu.edu\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hcfd.sdsu.edu\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hcfd.sdsu.edu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3051"}],"version-history":[{"count":31,"href":"https:\/\/hcfd.sdsu.edu\/index.php?rest_route=\/wp\/v2\/pages\/3051\/revisions"}],"predecessor-version":[{"id":3235,"href":"https:\/\/hcfd.sdsu.edu\/index.php?rest_route=\/wp\/v2\/pages\/3051\/revisions\/3235"}],"wp:attachment":[{"href":"https:\/\/hcfd.sdsu.edu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3051"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}