Whole school intervention

  • 文章类型: Comparative Study
    背景:我们试图确定良好的学校工具包-初级暴力预防干预措施是否与四年后减少同伴和亲密伴侣暴力的受害和实施有关,如果有任何关联是按性别和青春期早期调节的:家庭联系,社会经济地位,以及校外暴力的经历。
    方法:利用参与干预的随机对照试验的学校,我们使用准实验设计来比较在试验期间接受干预的人之间的暴力结果(n=1388),以及在试验期间或之后未接受干预的患者(n=522).数据收集于2014年(平均年龄13.4岁,SD1.5岁),来自卢韦罗区42所学校的参与者,乌干达,和2018/19来自同一参与者,无论是在学校内外(平均年龄18岁,SD:1.77岁)。我们比较了收到好学校工具包的孩子-小学,整个校园暴力预防干预,在一项随机对照试验中,对于在试验期间或之后未接受干预的人。使用国际预防虐待儿童协会和忽视虐待儿童筛查工具-儿童机构改编的项目来衡量结果。我们使用混合效应多变量逻辑回归,学校被拟合为随机效应来解释聚类。
    结果:1910名年龄约16-19岁的青少年纳入我们的分析。我们没有发现对我们的主要结局有平均长期干预效果的证据,随访时的同伴暴力受害情况(aOR=0.81,95CI=0.59-1.11);或任何次要结局.然而,接触干预措施与以下因素有关:后来同伴暴力的减少,对于家庭连通性高的青少年(aOR=0.70,95%CI0.49至0.99),但对于家庭联系较低的人则不然(aOR=1.07,95%CI0.69至1.6;p互动=0.06);并且在社会经济地位较高的男性中减少了后来的亲密伴侣暴力行为(aOR=0.32,95CI0.11至0.90),但社会经济地位并不低(aOR=1.0195CI0.37至2.76,p交互作用=0.05)。
    结论:在有联系的家庭和社会经济地位较高的年轻青少年可能会更好地将预防暴力的技能从小学转移到新的关系,随着年龄的增长。
    背景:Clinicaltrials.gov,NCT01678846,注册日期2012年8月24日。本文的协议:https://www.researchprotocols.org/2020/12/e20940。
    BACKGROUND: We sought to determine whether the Good School Toolkit-Primary violence prevention intervention was associated with reduced victimisation and perpetration of peer and intimate partner violence four years later, and if any associations were moderated by sex and early adolescent: family connectedness, socio-economic status, and experience of violence outside of school.
    METHODS: Drawing on schools involved in a randomised controlled trial of the intervention, we used a quasi-experimental design to compare violence outcomes between those who received the intervention during our trial (n = 1388), and those who did not receive the intervention during or after the trial (n = 522). Data were collected in 2014 (mean age 13.4, SD 1.5 years) from participants in 42 schools in Luwero District, Uganda, and 2018/19 from the same participants both in and out of school (mean age 18, SD: 1.77 years). We compared children who received the Good School Toolkit-Primary, a whole school violence prevention intervention, during a randomised controlled trial, to those who did not receive the intervention during or after the trial. Outcomes were measured using items adapted from the International Society for the Prevention of Child Abuse and Neglect Child Abuse Screening Tool-Child Institutional. We used mixed-effect multivariable logistic regression, with school fitted as a random-effect to account for clustering.
    RESULTS: 1910 adolescents aged about 16-19 years old were included in our analysis. We found no evidence of an average long-term intervention effect on our primary outcome, peer violence victimization at follow-up (aOR = 0.81, 95%CI = 0.59-1.11); or for any secondary outcome. However, exposure to the intervention was associated with: later reductions in peer violence, for adolescents with high family connectedness (aOR = 0.70, 95% CI 0.49 to 0.99), but not for those with low family connectedness (aOR = 1.07, 95% CI 0.69 to 1.6; p-interaction = 0.06); and reduced later intimate partner violence perpetration among males with high socio-economic status (aOR = 0.32, 95%CI 0.11 to 0.90), but not low socio-economic status (aOR = 1.01 95%CI 0.37 to 2.76, p-interaction = 0.05).
    CONCLUSIONS: Young adolescents in connected families and with higher socio-economic status may be better equipped to transfer violence prevention skills from primary school to new relationships as they get older.
    BACKGROUND: Clinicaltrials.gov, NCT01678846, registration date 24 August 2012. Protocol for this paper:  https://www.researchprotocols.org/2020/12/e20940 .
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  • 文章类型: Journal Article
    组织能力建设-发展领导力的过程,收集和分析数据,建筑买入,实施编程-是有效改变学校的基础,并经常依赖技术援助。这项研究采用了准实验,重复测量设计,以评估通过安全学校认证模型提供的技术援助在改善学校氛围中的作用。学校通过八要素框架工作,使用来自华盛顿六所初中和高中的样本数据,在评估的所有年份中完成数据收集的哥伦比亚特区。接受技术援助以实施南南合作框架的学校学生对学校气氛的看法比没有获得支持的学校学生有更积极的变化,但是这些差异很小。这项研究的结果提供了有限的证据,表明为学校提供技术援助以提高组织能力与学生对学校氛围的更积极看法有关。
    Organizational capacity building-the process of developing leadership, collecting and analyzing data, building buy-in, and implementing programming-is foundational to effectively changing schools, and frequently relies on technical assistance. This study employed a quasi-experimental, repeated measured design to evaluate the role of technical assistance provided through Safe School Certification model in improving school climate. Schools worked through an eight-element framework, using data from a sample of six middle and high schools in Washington, D.C. that completed data collection in all years of the evaluation. Students in schools receiving technical assistance for implementing the SSC Framework had more positive changes in perceptions of school climate than students in schools that did not receive support, but those differences were small. The results from this study offer limited evidence that providing schools with technical assistance to improve organizational capacity is associated with more positive student perceptions of school climate.
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  • 文章类型: Journal Article
    Complier average causal effect (CACE) analysis is a causal inference approach that accounts for levels of teacher implementation compliance. In the current study, CACE was used to examine one-year impacts of PAX good behavior game (PAX GBG) and promoting alternative thinking strategies (PATHS) on teacher efficacy and burnout. Teachers in 27 elementary schools were randomized to PAX GBG, an integration of PAX GBG and PATHS, or a control condition. There were positive overall effects on teachers\' efficacy beliefs, but high implementing teachers also reported increases in burnout across the school year. The CACE approach may offer new information not captured using a traditional intent-to-treat approach.
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