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Peer-reviewedCC BY 4.0Frontiers in Public Health

Safeguarding implementation elements in a national school mental health intervention: implementers’ perspectives

  • Loreto Leiva1
  • Gloria Zavala-Villalón1
  • Fernanda Sánchez-Vilaró1
  1. 1Department of Psychology, University of Chile
Open at sourcePDFDOICite

Abstract

Objective: The purpose of this study was to identify and describe implementation determinants that are sensitive when undertaking a school mental health intervention and that require particular attention during implementation.

Methods: A multisite qualitative study was conducted using a deductive analytical approach. Thirty team members implementing a national preventive school mental health program were interviewed. The interviews were analyzed using content analysis based on pre-established categories from the Consolidated Framework for Implementation Research (CFIR).

Results: The findings highlight several implementation conditions requiring particular attention, including resources and time; training, feedback and monitoring; structural alignment across organizational levels; school over-intervention; and the recognition of adaptations as plausible elements within an intervention.

Discussion: This research provides empirical insights regarding the implementation factors of SMH programs within authentic school settings. Furthermore, the qualitative depth achieved through interviews with both implementers and coordinators allows a multi-level understanding of the factors influencing long-term sustainability and the intervention’s ecological validity.

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Cite

BibTeXRIS
BibTeX
@article{leiva2026safeguarding,
  title = {{Safeguarding implementation elements in a national school mental health intervention: implementers’ perspectives}},
  author = {Loreto Leiva and Gloria Zavala-Villalón and Fernanda Sánchez-Vilaró},
  journal = {Frontiers in Public Health},
  year = {2026},
  month = oct,
  doi = {10.3389/fpubh.2026.1895117},
  url = {https://www.frontiersin.org/articles/10.3389/fpubh.2026.1895117/full},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Safeguarding implementation elements in a national school mental health intervention: implementers’ perspectives
AU  - Loreto Leiva
AU  - Gloria Zavala-Villalón
AU  - Fernanda Sánchez-Vilaró
PY  - 2026
DA  - 2026/10/28
JO  - Frontiers in Public Health
DO  - 10.3389/fpubh.2026.1895117
UR  - https://www.frontiersin.org/articles/10.3389/fpubh.2026.1895117/full
AB  - Objective: The purpose of this study was to identify and describe implementation determinants that are sensitive when undertaking a school mental health intervention and that require particular attention during implementation.  Methods: A multisite qualitative study was conducted using a deductive analytical approach. Thirty team members implementing a national preventive school mental health program were interviewed. The interviews were analyzed using content analysis based on pre-established categories from the Consolidated Framework for Implementation Research (CFIR).  Results: The findings highlight several implementation conditions requiring particular attention, including resources and time; training, feedback and monitoring; structural alignment across organizational levels; school over-intervention; and the recognition of adaptations as plausible elements within an intervention.  Discussion: This research provides empirical insights regarding the implementation factors of SMH programs within authentic school settings. Furthermore, the qualitative depth achieved through interviews with both implementers and coordinators allows a multi-level understanding of the factors influencing long-term sustainability and the intervention’s ecological validity.
SN  - 2296-2565
ER  -