Effectiveness Of School-based Program Research Articles

The Effectivity of a School-Based Early Intervention Targeting Psychological Complaints and Non-Suicidal Self-Injury in Adolescents.

Background: Recent research suggests a concerning trend of non-suicidal self-injury (NSSI) and suicidal behaviors emerging at younger ages (as early as age 12). Early onset of NSSI is linked to more severe outcomes. While universal school-based prevention programs have shown promise in addressing suicidal behaviors, there is limited research on their effectiveness in preventing NSSI onset among adolescents. This study aims to evaluate the efficacy of a universal prevention program in schools for NSSI and mental complaints while enhancing resilience and mental health in 11-14-year-old adolescents. Methods: In total, 329 Flemish secondary school students (55.6% female), aged 11 to 14 years, participated in a 4 h classroom universal prevention, with a focus on emotion regulation, mental health, and specific strategies to prevent NSSI and reduce stigma. For both the intervention and control group (N = 124), a pre-, post-, and one-month follow-up questionnaire was administered, containing reliable and valid measures for NSSI and suicidality, emotion regulation, help-seeking behaviors, well-being, and psychological distress. Results: The prevention program effectively reduced NSSI and psychological distress, particularly for adolescents with a history of NSSI. Conclusions: These findings support previous research on the effectiveness of school-based programs in reducing mental complaints and suggest promising outcomes for NSSI prevention.

The Effectiveness of School-Based Programs on Aggressive Behaviors among Children and Adolescents: A Systematic Review and Meta-Analysis

Purpose: Present study investigated the effectiveness of school-based intervention programs on reducing aggression among children and adolescents. Method: A thorough search was carried out on 12 electronic databases. Seventeen studies were finalized, and meta-analyses were performed using a random effect model on RevMan software. Results: Findings reveal that existing school-based programs have a significant effect on reducing aggression (standardized mean differences = −0.35, 95% confidence interval [−0.53, −0.18], Z = 3.92, p < .001). Furthermore, subgroup analysis found that interventions with a theoretical basis, using a randomized controlled trial (RCT) design, or having a short duration of each session (below 45 min), were more effective than ones without a theoretical basis, using a quasi-experimental design, or having longer session duration (above 45 min) on reducing aggressive behaviors. Conclusion: This review provided implications to improve school-based interventions by developing designs based on the guidance of theories and RCT design, as well as limiting session duration.

Teaching Strategy in Early Childhood Education: Child-Friendly Classroom Management to Anticipate Bullying Behaviours

Bullying behaviour can have a negative impact on a child's physical and psychological health. Bullying in the classroom is a challenge for early-childhood educators. Preschool is the first place outside the home where children face social challenges when interacting with their classmates. Child-Friendly Class is the first step and part of the Children Friendly School (CSF) as a UNICEF program and an important Indonesian government policy to prevent the emergence of child bullying behaviour. This study aims to identify needs in the process of developing a Child-Friendly Classroom Management model to anticipate bullying behaviour. This research and development method uses an adaptation of the Rowntree model which includes three stages of the process and data collection techniques using interviews, questionnaires, and observation. The results of this study indicate that the preparation of an effective classroom management guidebook to create child-friendly classes needs to be followed up immediately. Several findings related to teachers' perceptions of classroom management, and child-friendly classes prove that child-friendly classes have not been implemented properly in PAUD institutions, with bullying behaviour still appearing in early childhood in PAUD institutions. PAUD teachers understand that it is important to implement classroom management but so far there has been no manual on how to manage effective classrooms as well as training related to the implementation of effective classroom management. The creation of child-friendly classes is believed to be able to help teachers suppress the emergence of bullying behaviour in early childhood.
 Keywords: Child-Friendly Classroom Management, Bullying Prevention, Early Childhood Education

The Significance of School-based Programs, School-based Activities, and Community-Based Activities Against Marijuana Use Among Adolescents

Background: Marijuana use among adolescents is concerning in the United States, meanwhile, the effectiveness of school-based programs is inconclusive. This study examines the impact of school-based programs, school-based activities, and community-based activities on marijuana use among adolescents. Methods: A binary logistic regression analysis was conducted, using a sample of 16,509 adolescents (age = 12 to 17, male = 51.3%, White = 60.1%, Hispanic = 21.4%, African American = 14.7%, and Asian American = 3.9%) from the 2013 National Survey on Drug Use and Health (NSDUH). Results: Results of the main effects revealed that school-based programs, school-based activities, and community-based activities were deterrent factors against marijuana use among adolescents. Adolescents are less likely to use marijuana if they participate in school-based programs, school-based activities, and community-based activities. Conclusion: The findings of this study have implications for schools and those making educational policy.

Factors Affecting Scholastic Achievement Among School Children in a Slum Area

Slums areas present major social and health disadvantages to children, which may affect their school performance. The aim of this study was to determine the factors affecting scholastic achievement among adolescent children in a slum area. This cross-sectional study was carried out in an urban slum area (Manshiat Naser) in Cairo on a multistage stratified cluster sample of 200 preparatory school children residing in the area technique was used. The data collection tool was an interview questionnaire form covering socio-demographic characteristics, school achievement, and selected domains of the Global Risk Assessment Device (GRAD) scale. The fieldwork was from the beginning of October to the end of December 2015. The results showed that 18% of children had academic failure. Statistically significant relations were revealed between school achievement and school children’s gender (p=0.001), age (p=0.03), grade (p=0.001), father education (p=0.02), mother age (p=0.19), residence (p=0.01), and income (p < 0.001). School achievement was also related to the educational (p < 0.001), accountability (p < 0.001), and health care (p < 0.001) factors of GRAD. In multivariate analysis, the risk factors predicting academic failure were a higher school grade, and higher scores of educational, accountability, and health care factors. In conclusion, the school performance of school children in slum area is most influenced by accountability, educational and health care factors, and higher school grade. Intervention studies are needed to investigate the effectiveness of school-based programs addressing these identified factors in improving school performance among these adolescents.

A review on the effectiveness of school-based programs aimed at reducing mobbing, aggressive behavior and psychological problems among children and adolescents

Background Various social factors, such as mobbing by peers, contribute to the development of psychological problems in children and adolescents. School –based programs have attempted to address these issues in various ways. However, to date, it is unclear which components of such programs lead to reductions in aggressive behaviour and/or psychological problems in this group. Methods A review of …

Influence of a lifestyle intervention in preschool children on physiological and psychological parameters (Ballabeina): study design of a cluster randomized controlled trial.

BackgroundChildhood obesity and physical inactivity are increasing dramatically worldwide. Children of low socioeconomic status and/or children of migrant background are especially at risk. In general, the overall effectiveness of school-based programs on health-related outcomes has been disappointing. A special gap exists for younger children and in high risk groups.Methods/DesignThis paper describes the rationale, design, curriculum, and evaluation of a multicenter preschool randomized intervention study conducted in areas with a high migrant population in two out of 26 Swiss cantons. Twenty preschool classes in the German (canton St. Gallen) and another 20 in the French (canton Vaud) part of Switzerland were separately selected and randomized to an intervention and a control arm by the use of opaque envelopes. The multidisciplinary lifestyle intervention aimed to increase physical activity and sleep duration, to reinforce healthy nutrition and eating behaviour, and to reduce media use. According to the ecological model, it included children, their parents and the teachers. The regular teachers performed the majority of the intervention and were supported by a local health promoter. The intervention included physical activity lessons, adaptation of the built infrastructure; promotion of regional extracurricular physical activity; playful lessons about nutrition, media use and sleep, funny homework cards and information materials for teachers and parents. It lasted one school year. Baseline and post-intervention evaluations were performed in both arms. Primary outcome measures included BMI and aerobic fitness (20 m shuttle run test). Secondary outcomes included total (skinfolds, bioelectrical impedance) and central (waist circumference) body fat, motor abilities (obstacle course, static and dynamic balance), physical activity and sleep duration (accelerometry and questionnaires), nutritional behaviour and food intake, media use, quality of life and signs of hyperactivity (questionnaires), attention and spatial working memory ability (two validated tests). Researchers were blinded to group allocation.DiscussionThe purpose of this paper is to outline the design of a school-based multicenter cluster randomized, controlled trial aiming to reduce body mass index and to increase aerobic fitness in preschool children in culturally different parts of Switzerland with a high migrant population.Trial RegistrationTrial Registration: clinicaltrials.gov NCT00674544

SWITCH: rationale, design, and implementation of a community, school, and family-based intervention to modify behaviors related to childhood obesity.

BackgroundAlthough several previous projects have attempted to address the issue of child obesity through school-based interventions, the overall effectiveness of school-based programs on health-related outcomes in youth has been poor. Thus, it has been suggested that multi-level interventions that aim to influence healthy lifestyle behaviors at the community, school and family levels may prove more successful in the prevention of childhood obesity.Methods/DesignThis paper describes the rationale, design, and implementation of a community-, school-, and family-based intervention aimed at modifying key behaviors (physical activity, screen time (Internet, television, video games), and nutrition) related to childhood obesity among third through fifth graders in two mid-western cities. The intervention involves a randomized study of 10 schools (5 intervention and 5 control schools). The intervention is being conducted during the duration of the academic year – approximately 9 months – and includes baseline and post-intervention measurements of physical activity, dietary intake, screen time and body composition.DiscussionWe hope this report will be useful to researchers, public health professionals, and school administrators and health professionals (nurses and physical/health educators) seeking to develop similar prevention programs. It is obvious that more collaborative, inter-disciplinary, multi-level work is needed before a proven, effective intervention package to modify behaviors related to childhood obesity can be generally recommended. It is our hope that SWITCH is a step in that direction.Trial RegistrationClinicalTrials.gov NCT00685555

Effectiveness of School-Based Programs as a Component of a Statewide Tobacco Control Initiative

Effectiveness of School-Based Programs as a Component of a Statewide Tobacco Control Initiative

An 11-year follow-up study of dental caries after discontinuation of school-based fluoride programs

The purpose of the present study was to determine whether the caries-preventive effect of school-based programs with fluoride (F) mouthrinsing or toothbrushing was evident at the end of a post-treatment follow-up period of 11 years. Two groups of subjects examined at 14 years of age (born in 1960), who had participated in fortnightly F rinsing (n = 52) or in F brushing 4-5 times a year at school (n = 50), were re-examined radiographically and completed a questionnaire at age 25 years. A comparison group of 25-year-olds (n = 51) was also included. Analyses of variance showed that the benefits of participation in school-based F programs seem to have been lost. It appears that these caries-preventive programs have delayed rather than prevented caries and that F toothpaste and other caries-preventive efforts have been insufficient to avert a substantial caries activity during the follow-up period.

In Reply: Schools and Sex Education

The purpose of our article and its conclusions were not to "excuse" physicians from providing education and services to adolescents about sexuality and pregnancy. The purpose of our study was to educate physicians about the current effectiveness of school-based programs and to stimulate further involvement of the medical community in designing, implementing, and evaluating new, innovative, and potentially more effective approaches. We agree with Ms Senderowitz that a multifactorial approach is needed and that school-based programs are but one component of a broader effort.