Understanding the behavioral determinants of intervention fidelity in school mental health: a COM-B model study of multi-tiered systems of support in Chile

Rodrigo Miguel Rojas-Andrade; Luiz Paulo Ribeiro

doi:10.30715/doxa.v27i00.20595

Autores

Rodrigo Miguel Rojas-Andrade Universidad de Santiago de Chile https://orcid.org/0000-0002-6459-6902
Luiz Paulo Ribeiro Universidade Federal de Minas Gerais https://orcid.org/0000-0002-4278-7871

DOI:

https://doi.org/10.30715/doxa.v27i00.20595

Palavras-chave:

Sistemas de suporte multiníveis (MTSS), Fidelidade de intervenção, Saúde mental escolar, Estrutura COM-B

Resumo

Os transtornos mentais figuram entre as principais causas de morbidade em crianças e adolescentes no mundo, sendo que, no Chile, há níveis elevados de estresse, ansiedade e depressão entre estudantes. Os Sistemas de Suporte Multinível (MTSS) oferecem um marco estruturado para intervenções em saúde mental escolar, mas a manutenção da fidelidade da implementação continua sendo um desafio. Este estudo transversal investigou como as dimensões do modelo COM-B (capacidade, oportunidade e motivação) se relacionam com a fidelidade em escolas públicas chilenas. Foram aplicados questionários a 359 profissionais da educação nas 16 regiões administrativas, com uso da versão adaptada do DIBQ-18 e de um índice composto de fidelidade. Os resultados indicaram que a capacidade psicológica e a motivação reflexiva predizem diretamente a fidelidade, enquanto oportunidades físicas e sociais e motivação automática exercem efeitos indiretos. Os achados ressaltam o papel central dos determinantes individuais e oferecem subsídios para estratégias de capacitação em intervenções escolares.

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Biografia do Autor

Rodrigo Miguel Rojas-Andrade, Universidad de Santiago de Chile

Escuela de Psicologia da Universidade de Santiago do Chile (Usach), Santiago do Chile – Chile. Psicólogo, Doutor em Psicologia. Professor na Escuela de Psicologia da Universidade de Santiago do Chile. Financiado pelo Projeto FONIDE nº 2400071.

Luiz Paulo Ribeiro, Universidade Federal de Minas Gerais

Universidade Federal de Minas Gerais (UFMG), Belo Horizonte – Minas Gerais (MG) – Brasil. Professor do Departamento de Ciências Educacionais Aplicadas da Faculdade de Educação (UFMG).

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