Centering Adolescents' Voices: Informing a Middle School-Based Well-Being Intervention
Corresponding Author
Sarah Kiefer
University of South Florida, Tampa, Florida, USA
Correspondence: Sarah Kiefer ([email protected])
Search for more papers by this authorJacqueline Blass
University of Massachusetts Amherst, Amherst, Massachusetts, USA
Search for more papers by this authorSarah Fefer
University of Massachusetts Amherst, Amherst, Massachusetts, USA
Search for more papers by this authorKai Zhuang Shum
University of Tennessee Knoxville, Knoxville, Tennessee, USA
Search for more papers by this authorKristen Mahony-Atallah
North Carolina State University, Raleigh, North Carolina, USA
Search for more papers by this authorCorresponding Author
Sarah Kiefer
University of South Florida, Tampa, Florida, USA
Correspondence: Sarah Kiefer ([email protected])
Search for more papers by this authorJacqueline Blass
University of Massachusetts Amherst, Amherst, Massachusetts, USA
Search for more papers by this authorSarah Fefer
University of Massachusetts Amherst, Amherst, Massachusetts, USA
Search for more papers by this authorKai Zhuang Shum
University of Tennessee Knoxville, Knoxville, Tennessee, USA
Search for more papers by this authorKristen Mahony-Atallah
North Carolina State University, Raleigh, North Carolina, USA
Search for more papers by this authorABSTRACT
Many youth seek and receive mental health treatment in schools, yet research on their perceptions of these interventions remains uncommon. This qualitative study explored how student perspectives on social validity informed the ongoing implementation and evaluation of the Well-Being Promotion Program (WBPP), a Tier 2 positive psychology intervention in middle schools. The study was conducted during the initial years of a larger ongoing randomized control trial evaluating the WBPP's effectiveness. Themes from student interviews conducted during Year 1 of the larger study were used to inform implementation supports during Year 2 to enhance student acceptability. Thirty student interviews were conducted during Year 2 of the larger study. Overall, most students found the intervention content, group process, and delivery to be acceptable. The findings identified ways to further enhance the implementation of the WBPP and indicate accessing student voice is an important way to engage in program implementation and evaluation of a middle school-based intervention. Recommendations are provided for those interested in centering student voices regarding social validity to inform program implementation and evaluation.
Summary
-
Incorporating student perspectives on social validity informed the ongoing implementation and evaluation of a Tier 2 positive psychology intervention in middle schools called the Well-Being Promotion Program (WBPP).
-
Most students who participated in the WBPP found its content, group process, and delivery acceptable.
-
Most students who participated in the WBPP described the group sessions as engaging, group leaders as understanding and responsive, and the intervention as helpful for improving their moods and building relationships.
References
- Ballard, P. J., and E. J. Ozer. 2016. “ The Implications of Youth Activism for Health and Well-Being.” In Contemporary Youth Activism: Advancing Social Justice in the United States, edited by S. M. Rosen and J. Conner, 223–244. Bloomsbury Publishing.
10.5040/9798400631511.ch-012 Google Scholar
- Belgrave, F., K. Allison, J. Wilson, and R. Tademy. 2011. Brothers of Ujima: A Cultural Enrichment Program to Empower Adolescent African American Males. Research Press Publishers.
- Berger, R. 2015. “Now I See It, Now I Don't: Researcher's Position and Reflexivity in Qualitative Research.” Qualitative Research 15, no. 2: 219–234. https://doi.org/10.1177/1468794112468475.
- Blakemore, S. J. 2018. “Avoiding Social Risk in Adolescence.” Current Directions in Psychological Science 27, no. 2: 116–122. https://doi.org/10.1177/0963721417738144.
- Braun, V., and V. Clarke. 2006. “Using Thematic Analysis in Psychology.” Qualitative Research in Psychology 3, no. 2: 77–101. https://doi.org/10.1191/1478088706qp063oa.
10.1191/1478088706qp063oa Google Scholar
- Castro-Olivo, S. M. 2014. “Promoting Social-Emotional Learning in Adolescent Latino ELLs: A Study of the Culturally Adapted Strong Teens Program.” School Psychology Quarterly 29, no. 4: 567–577. https://doi.org/10.1037/spq0000055.
- Choudhury, S., B. Piera Pi-Sunyer, and S. J. Blakemore. 2023. “A Neuroecosocial Perspective on Adolescent Development.” Annual Review of Developmental Psychology 5: 285–307. https://doi.org/10.1146/annurev-devpsych-120321-011511.
- Cook, C. R., A. R. Lyon, J. Locke, T. Waltz, and B. J. Powell. 2019. “Adapting a Compilation of Implementation Strategies to Advance School-Based Implementation Research and Practice.” Prevention Science 20: 914–935. https://doi.org/10.1007/s11121-019-01017-1.
- Cook-Sather, A. 2002. “Authorizing Students' Perspectives: Toward Trust, Dialogue, and Change in Education.” Educational Researcher 31, no. 4: 3–14. https://doi.org/10.3102/0013189X031004003.
10.3102/0013189X031004003 Google Scholar
- Cook-Sather, A. 2006. “Sound, Presence, and Power: ‘Student Voice’ in Educational Research and Reform.” Curriculum Inquiry 36, no. 4: 359–390. https://doi.org/10.1111/j.1467-873X.2006.00363.x.
- Crespi, T. D., A. L. Gustafson, and S. M. Borges. 2006. “Group Counseling in the Schools: Considerations for Child and Family Issues.” Journal of Applied School Psychology 22, no. 1: 67–85. https://doi.org/10.1300/J370v22n01_04.
10.1300/J370v22n01_04 Google Scholar
- Doll, B., E. H. Dart, P. G. Arora, and T. A. Collins. 2021. “ Framing School Mental Health Services Within a Dual-Factor Model of Mental Health.” In Fostering the Emotional Well-Being of Our Youth: A School-Based Approachedited by P. J. Lazarus, S. M. Suldo and B. Doll, 40–60. Oxford University Press. https://doi.org/10.1093/med-psych/9780190918873.003.0003.
10.1093/med-psych/9780190918873.003.0003 Google Scholar
- Fjermestad, K. W., M. H. Wallin, F. Naujokat, et al. 2024. “Group Cohesion and Alliance Predict Cognitive-Behavioral Group Treatment Outcomes for Youth With Anxiety Disorders.” Cognitive Behaviour Therapy 54: 96–114. https://doi.org/10.1080/16506073.2024.2385906.
- Fredricks, J. A., A. Reschly, and S. Christenson. 2019. Handbook of Student Engagement Interventions: Working With Disengaged Youth. Elsevier Inc. https://doi.org/10.1016/B978-0-12-813413-9.00003-6.
- Giraldo-García, R. J., A. Voight, and M. O'Malley. 2020. “Mandatory Voice: Implementation of a District-Led Student-Voice Program in Urban High Schools.” Psychology in the Schools 58, no. 1: 51–68. https://doi.org/10.1002/pits.22436.
- Goldstein, S. E., P. Boxer, and E. Rudolph. 2015. “Middle School Transition Stress: Links With Academic Performance, Motivation, and School Experiences.” Contemporary School Psychology 19, no. 1: 21–29. https://doi.org/10.1007/s40688-014-0044-4.
10.1007/s40688-014-0044-4 Google Scholar
- Grant, K. E., S. Behling, and P. Y. Gipson. 2005. “Adolescent Stress: The Relationship Between Stress and Mental Health Problems.” Prevention Researcher 12, no. 3: 3–6.
- Hanley, G. P. 2010. “Toward Effective and Preferred Programming: A Case for the Objective Measurement of Social Validity With Recipients of Behavior-Change Programs.” Behavior Analysis in Practice 3, no. 1: 13–21. https://doi.org/10.1007/BF03391754.
- Hope, E. C., A. B. Skoog, and R. J. Jagers. 2015. “It'll Never Be the White Kids, It'll Always Be Us’: Black High School Students' Evolving Critical Analysis of Racial Discrimination and Inequity In Schools.” Journal of Adolescent Research 30, no. 1: 83–112. https://doi.org/10.1177/0743558414550688.
- Huebner, E. S. 1991. “Initial Development of the Student's Life Satisfaction Scale.” School Psychology International 12, no. 3: 231–240. https://doi.org/10.1177/0143034391123010.
10.1177/0143034391123010 Google Scholar
- Jackson, S., and L. Goossens. 2020. Handbook of Adolescent Development. Psychology Press.
10.4324/9780203969861 Google Scholar
- Kehoe, C. E., S. S. Havighurst, and A. E. Harley. 2020. “Tuning in to Teens: Investigating Moderators of Program Effects and Mechanisms of Change of an Emotion-Focused Group Parenting Program.” Developmental Psychology 56, no. 3: 623–637. https://doi.org/10.1037/dev0000875.
- Kelley, M. L., R. W. Heffer, F. M. Gresham, and S. N. Elliott. 1989. “Development of a Modified Treatment Evaluation Inventory.” Journal of Psychopathology and Behavioral Assessment 11, no. 3: 235–247. https://doi.org/10.1007/bf00960495.
- Kelly, B., and D. F. Perkins. 2012. Handbook of Implementation Science for Psychology in Education. Cambridge University Press.
10.1017/CBO9781139013949 Google Scholar
- Keperling, J. P., W. M. Reinke, D. Marchese, and N. Ialongo. 2017. Group Interventions in Schools: A Guide for Practitioners. Guilford Publications.
- Komulainen, S. 2007. “The Ambiguity of the Child's ‘Voice’ in Social Research.” Childhood (Copenhagen, Denmark) 14, no. 1: 11–28. https://doi.org/10.1177/0907568207068561.
- Lazarus, P. J., S. Suldo, and B. Doll. 2021. Fostering the Emotional Well-Being of Our Youth: A School-Based Approach. Oxford University Press.
10.1093/med-psych/9780190918873.001.0001 Google Scholar
- van Loon, A. W. G., H. E. Creemers, W. Y. Beumer, et al. 2020. “Can Schools Reduce Adolescent Psychological Stress? A Multilevel Meta-Analysis of the Effectiveness of School-Based Intervention Programs.” Journal of Youth and Adolescence 49: 1127–1145. https://doi.org/10.1007/s10964-020-01201-5.
- Malti, T., G. G. Noam, A. Beelmann, and S. Sommer. 2018. “ Toward Dynamic Adaptation of Psychological Interventions for Child and Adolescent Development and Mental Health.” In Future Work in Clinical Child and Adolescent Psychologyedited by M. J. Prinstein, 66–75. Routledge.
10.4324/9781315187914-6 Google Scholar
- Merriam, S. 2009. Qualitative Research: A Guide to Design and Implementation. Jossey-Bass.
- Mitra, D. 2007. “ Student Voice in School Reform: From Listening to Leadership.” In International Handbook of Student Experience in Elementary and Secondary Schooledited by D. Thiessen and A. Cook-Sather, 727–744. Springer.
- Mitra, D. L. 2003. “Student Voice in School Reform: Reframing Student-Teacher Relationships.” McGill Journal of Education 38, no. 2: 289–304.
- Mitra, D. L. 2004. “The Significance of Students: Can Increasing ‘Student Voice’ in Schools Lead to Gains in Youth Development?” Teachers College Record: The Voice of Scholarship in Education 106: 651–688. https://doi.org/10.1111/j.1467-9620.2004.00354.x.
10.1111/j.1467-9620.2004.00354.x Google Scholar
- Mitra, D. L. 2009. “Collaborating With Students: Building Youth-Adult Partnerships In Schools.” American Journal of Education 115, no. 3: 407–436. https://doi.org/10.1086/597488.
- Mitra, D. L. 2014. Student Voice in School Reform: Building Youth-Adult Partnerships That Strengthen Schools and Empower Youth. State University of New York Press.
- Moir, T. 2018. “Why Is Implementation Science Important for Intervention Design and Evaluation Within Educational Settings?” Frontiers in Education 3, no. 61: 1–9. https://doi.org/10.3389/feduc.2018.00061.
10.3389/feduc.2018.00061 Google Scholar
- Murray, C. 2009. “Parent and Teacher Relationships as Predictors of School Engagement and Functioning Among Low-Income Urban Youth.” Journal of Early Adolescence 29: 376404. https://doi.org/10.1177/0272431608322940.
- Murray, D. W., and K. Rosanbalm. 2017. “ Promoting Self-Regulation in Adolescents and Young Adults: A Practice Brief. OPRE Report 2015–82.” Office of Planning, Research, and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.
- National Association of School Psychologists. (2020). The professional standards of the National Association of School Psychologists.
- O'Malley, M., A. Voight, R. J. Giraldo-García, and L. Romero. 2022. “ Student Voice: Youth Disrupting Barriers to Achieving the Good Life.” In Handbook of Positive Psychology in Schoolsedited by K. Allen, M. J. Furlong, D. Vella-Brodrick and S. Suldo, 397–413. Routledge.
10.4324/9781003013778-31 Google Scholar
- Ozer, E. J., S. Newlan, L. Douglas, and E. Hubbard. 2013. “Bounded’ Empowerment: Analyzing Tensions in the Practice of Youth-Led Participatory Research in Urban Public Schools.” American Journal of Community Psychology 52, no. 1–2: 13–26. https://doi.org/10.1007/s10464-013-9573-7.
- Roth, R. A., S. M. Suldo, and J. M. Ferron. 2017. “Improving Middle School Students' Subjective Well-Being: Efficacy of a Multicomponent Positive Psychology Intervention Targeting Small Groups of Youth.” School Psychology Review 46, no. 1: 21–41.
- Shenton, A. K. 2004. “Strategies for Ensuring Trustworthiness in Qualitative Research Projects.” Education for Information 22, no. 2: 63–75. https://doi.org/10.3233/EFI-2004-222.
10.3233/EFI-2004-22201 Google Scholar
- Shum, K. Z., E. Barry, S. M. Kiefer, et al. 2024. “Adapting a Positive Psychology Intervention Using the Ecological Validity Model: Process and Lessons Learned.” Contemporary School Psychology 29: 168–187. https://doi.org/10.1007/s40688-024-00505-8.
- Silva, M. R., M. A. Collier-Meek, R. S. Codding, and E. R. DeFouw. 2020. “Acceptability Assessment of School Psychology Interventions From 2005 to 2017.” Psychology in the Schools 57, no. 1: 62–77. https://doi.org/10.1002/pits.22306.
- Simon, A. E., P. N. Pastor, C. A. Reuben, L. N. Huang, and I. D. Goldstrom. 2015. “Use of Mental Health Services by Children Ages Six to 11 With Emotional or Behavioral Difficulties.” Psychiatric Services 66, no. 9: 930–937. https://doi.org/10.1176/appi.ps.201400342.
- Suldo, S. M. 2016. Promoting Student Happiness: Positive Psychology Interventions in Schools. Guilford Press.
- Suldo, S. M., J. A. Savage, and S. H. Mercer. 2014. “Increasing Middle School Students' Life Satisfaction: Efficacy of a Positive Psychology Group Intervention.” Journal of Happiness Studies 15: 19–42. https://doi.org/10.1007/s10902-013-9414-2.
- Suldo, S. M., and E. J. Shaffer. 2008. “Looking Beyond Psychopathology: The Dual-Factor Model of Mental Health In Youth.” School Psychology Review 37, no. 1: 52–68. https://doi.org/10.1080/0279015.2008.12087908.
- Tejada-Gallardo, C., A. Blasco-Belled, C. Torrelles-Nadal, and C. Alsinet. 2020. “Effects of School-Based Multicomponent Positive Psychology Interventions on Well-Being and Distress in Adolescents: A Systematic Review and Meta-Analysis.” Journal of Youth and Adolescence 49: 1943–1960. https://doi.org/10.1007/s10964-020-01289-9.
- Tomova, L., J. L. Andrews, and S. J. Blakemore. 2021. “The Importance of Belonging and the Avoidance of Social Risk Taking in Adolescence.” Developmental Review 61: 100981. https://doi.org/10.1016/j.dr.2021.100981.
- Toshalis, E., and M. Nakkula. 2012. Motivation, Engagement, and Student Voice: The Students at the Center Series. Jobs for the Future.
- Tracy, S. J. 2010. “Qualitative Quality: Eight ‘Big-Tent’ Criteria for Excellent Qualitative Research.” Qualitative Inquiry 16, no. 10: 837–851. https://doi.org/10.1177/1077800410383121.
- Voight, A., and M. Nation. 2016. “Practices for Improving Secondary School Climate: A Systematic Review of the Research Literature.” American Journal of Community Psychology 58, no. 1–2: 174–191. https://doi.org/10.1002/ajcp.12074.
- Wang, M. T., and R. Holcombe. 2010. “Adolescents' Perceptions of School Environment, Engagement, and Academic Achievement in Middle School.” American Educational Research Journal 47: 633662. https://doi.org/10.3102/000281209361209.
- Washington, T. D. 2009. “Psychological Stress and Anxiety in Middle to Late Childhood and Early Adolescence: Manifestations and Management.” Journal of Pediatric Nursing 24, no. 4: 302–313. https://doi.org/10.1016/j.pedn.2008.04.011.
- Wigfield, A., J. S. Eccles, J. A. Fredricks, S. Simpkins, R. W. Roeser, and U. Schiefele. 2015. “ Development of Achievement Motivation and Engagement.” In Handbook of Child Psychology and Developmental Scienceedited by R. M. Lerner, 1–44. John Wiley.
10.1002/9781118963418.childpsy316 Google Scholar
- Wolf, M. M. 1978. “Social Validity: The Case for Subjective Measurement or How Applied Behavior Analysis Is Finding Its Heart1.” Journal of Applied Behavior Analysis 11: 203–214. https://doi.org/10.1901/jaba.1978.11-203.
- Yeager, D. S., R. E. Dahl, and C. S. Dweck. 2018. “Why Interventions to Influence Adolescent Behavior Often Fail but Could Succeed.” Perspectives on Psychological Science 13, no. 1: 101–122. https://doi.org/10.1177/1745691617722620.
- Zeldin, S., J. S. Gauley, A. Barringer, and B. Chapa. 2018. “How High Schools Become Empowering Communities: A Mixed-Method Explanatory Inquiry Into Youth-Adult Partnership and School Engagement.” American Journal of Community Psychology 61, no. 3–4: 358–371. https://doi.org/10.1002/ajcp.12231.