Multitiered Systems of Support, Adaptive Interventions, and SMART Designs

• Greg Roberts ^[2] ; Nathan H. Clemens ^[2] ; Christian Doabler ^[2] ; Sharon Vaughn ^[2] ; Daniel Almirall ^[1] ; Inbal Nahum-Shani ^[1]
  1. [1] University of Michigan–Ann Arbor

     University of Michigan–Ann Arbor

     City of Ann Arbor, Estados Unidos

     
  2. [2] University of Texas
• Localización: Exceptional children, ISSN-e 2163-5560, ISSN 0014-4029, Vol. 88, Nº. 1, 2021, págs. 8-25
• Idioma: inglés
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• Dialnet Métricas: 1 Cita
• Resumen

  • This article introduces the special section on adaptive interventions and sequential multiple-assignment randomized trial (SMART) research designs. In addition to describing the two accompanying articles, we discuss features of adaptive interventions (AIs) and describe the use of SMART design to optimize AIs in the context of multitiered systems of support (MTSS) and integrated MTSS. AI is a treatment delivery model that explicitly specifies how information about individuals should be used to decide which treatment to provide in practice. Principles that apply to the design of AIs may help to more clearly operationalize MTSS-based programs, improve their implementation in school settings, and increase their efficacy when used according to evidence-based decision rules. A SMART is a research design for developing and optimizing MTSS-based programs. We provide a running example of a SMART design to optimize an MTSS-aligned AI that integrates academic and behavioral interventions.