Teacher key opinion leaders and mental health consultation in low-income urban schools.
Abstract
Diffusion theory posits that information is disseminated throughout a social network by the persuasion of key opinion leaders (KOLs). This study examined the relative and combined influence of peer-identified KOL teachers (n = 12) and mental health providers (n = 21) on classroom teachers' (n = 61) self-reported use of commonly recommended classroom practices for children with attention-deficit/hyperactivity disorder in 6 low-income urban African American communities, relative to teachers (n = 54) at 4 matched schools who received mental health provider consultation only. Mixed-effects regression models showed that KOLs in collaboration with mental health providers promoted higher rates of teachers' self-reported use of recommended strategies than mental health providers alone, and that these effects were mediated by KOL support but not by mental health provider support. The results suggest an expanded role for KOL teachers as indigenous and natural supports for the dissemination and implementation of school-based mental health programs.
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There is theoretical and empirical precedent for relying upon individuals who have more credibility with those whose behavior is expected to change when delivering implementation strategies.
“however, there is some theoretical and empirical precedent for relying upon individuals who have more credibility with those whose behavior is expected to change (e.g., the literature on opinion leaders [48,72,73]).”
From Implementation strategies: recommendations for specifying and reporting (2013) · cites this paper as [48]
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References 26 · Cited by 174
- Authors
- Atkins, M. S., Frazier, S. L., Leathers, S. J., Graczyk, P. A., Talbott, E., Jakobsons, L., Adil, J. A., Marinez-Lora, A., Demirtas, H., Gibbons, R. B., & Bell, C. C.
- Affiliations
- University of Illinois Chicago (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2008
- Volume
- 76
- Issue
- 5
- Pages
- 905-908
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W1987353246
- Cited by
- 174
- References
- 26
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 3 · 2023: 7 · 2022: 7 · 2021: 9 · 2020: 60 · 2019: 3 · 2018: 6 · 2017: 5 · 2016: 7 · 2015: 12 · 2014: 6 · 2013: 13 · 2012: 8
- FWCI
- 18.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R01 MH629591)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- key opinion leaders, diffusion of innovations, mental health consultation, attention deficit hyperactivity disorder, classroom teachers, teacher practices, school-based mental health programs, low-income urban schools, African American community, peer influence, evidence-based practice implementation
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Behavior Therapy, Black or African American, Chicago, Child, Community Mental Health Services, Cooperative Behavior, Diffusion of Innovation, Faculty, Female, Humans, Inservice Training, Longitudinal Studies, Male, Persuasive Communication, Poverty, Prospective Studies, Referral and Consultation, Social Work, Urban Population, Internet, Interdisciplinary Communication, Black People
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