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首页> 外文期刊>The Journal of adolescent health: official publication of the Society for Adolescent Medicine >Pilot multimethod trial of a school-ethos intervention to reduce substance use: building hypotheses about upstream pathways to prevention.
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Pilot multimethod trial of a school-ethos intervention to reduce substance use: building hypotheses about upstream pathways to prevention.

机译：一项学校精神干预措施减少物质使用的先行性多方法试验：建立有关上游预防途径的假设。

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PURPOSE: Interventions to improve school ethos can reduce substance use but upstream are uncertain. We use qualitative and quantitative data from a pilot trial to build hypotheses regarding these. METHODS: The Healthy School Ethos intervention involved two schools being provided with facilitation, training, and funding to plan and implement actions (some mandatory and some locally determined) to improve school ethos over one year. The evaluation involved a pilot-trial with two intervention and two comparison schools; semi-structured interviews with facilitators, staff, and students; and baseline and follow-up surveys with students aged 11 to 12 years. RESULTS: Student accounts linked participation in planning or delivering intervention activities with improved self-regard and relationships with staff and other students. Some activities such as re-writing school rules involved broad participation. Students in receipt of actions such as peer-mediation or motivational sessions reported benefits such as improved safety and relationships. Some student accounts linked improved self-regard and relationships with increased engagement and aspirations, and reduced substance use. At 9-month follow-up, students in intervention schools reported less hurting and teasing of others and feeling unsafe at school. Other outcomes suggested intervention benefits but were not significant. CONCLUSIONS: School-ethos interventions may reduce substance use through upstream pathways involving the aforementioned factors. Future phase-III trials should quantitatively model the extent to which these mediate intervention effects.
机译：目的：为改善学校风气而进行的干预可以减少药物的使用，但上游尚不确定。我们使用来自试点试验的定性和定量数据来建立有关这些假设。方法：“健康学校精神”干预措施包括为两所学校提供便利，培训和资金，以计划和实施行动（有些是强制性的，有些是当地决定的），以改善一年中的学校风气。评价涉及一个有两个干预学校和两个比较学校的试验性试验。对主持人，教职员工和学生的半结构化访谈;以及针对11至12岁学生的基线和后续调查。结果：学生账户将参与计划或开展干预活动与改善的自尊心以及与教职员工和其他学生的关系联系起来。诸如重写学校规则之类的一些活动涉及广泛的参与。参加诸如同伴调解或激励会议之类的活动的学生报告说，诸如改善安全性和人际关系等益处。一些学生的帐户将改善的自尊和人际关系与增加的参与度和愿望，减少使用毒品联系起来。在9个月的随访中，干预学校的学生报告说，对他人的伤害和取笑较少，并且在学校感到不安全。其他结果提示干预获益，但意义不大。结论：学校精神干预可通过涉及上述因素的上游途径减少药物使用。未来的III期试验应定量模拟这些媒介介导干预效果的程度。

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