Elementary Teacher Outcomes Associated with Participation in a BEST in CLASS-Elementary Randomized Controlled Trial

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Abstract

This study employed a cluster randomized controlled trial design to investigate the impact of BEST in CLASS-Elementary, a Tier 2 intervention that trains and coaches teachers to support students with unwanted problem behavior, on teachers’ implementation of evidence-based practices, self-efficacy, burnout, and attributions for problem behavior. A total of 114 teachers (97% female; 70% White, 22% Black) and 237 focal students (71% male; 44% Black, 32% White, 8% Hispanic/Latinx) in two southeastern states participated in the study. Results indicated that compared to the comparison group, BEST in CLASS-Elementary teachers increased Adherence (d = 0.68) and Competence (d = 0.43) from pretest to posttest. BEST in CLASS-Elementary participants reported higher efficacy for Student Engagement (d = 0.34), Instructional Practices (d = 0.34), and Classroom Management (d = 0.36). BEST in CLASS-Elementary did not produce statistically significant changes on any of the burnout or attribution scales apart from the Purposeful dimension on the attribution measure (d = − 0.33). Findings suggest that BEST in CLASS-Elementary is effective at increasing teacher use and quality of delivery of BEST in CLASS-Elementary practices with focal students, with positive effects for teachers’ sense of self-efficacy as well as to what they attribute the purpose of focal student problem behavior. Findings, implications, and future research are discussed.

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Sutherland, K. S., Conroy, M. A., Broda, M., McLeod, B. D., Granger, K., Reichel, M., & Washington, J. (2026). Elementary Teacher Outcomes Associated with Participation in a BEST in CLASS-Elementary Randomized Controlled Trial. School Mental Health, 18(1), 202–217. https://doi.org/10.1007/s12310-025-09842-2

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