Abstract Background The investigation of protective factors and intervention effects on health are important issues of prospective studies. The aims of this study were to explore the changes in schoolchildren’s satisfaction with their health and themselves (SH) following their participation in the Unplugged program (PU). Methods This study was carried out as a cluster randomized controlled trial (1195 participating schoolchildren, Mean age=11.52; 47.4% boys) with data collection conducted immediately before PU implementationT1, immediately after the implementationT2 then 3 monthsT3, 12 monthsT4, and 18 months after the implementationT5. The schools were randomly assigned to either an experimental (EG, n = 540) or control group (CG, n = 655). EG was exposed to PU consisting of 12 lessons (http://www.eudap.net/). The effect of participating in PU, gender, and self-efficacy (SET1) were explored in relation to changes in SH in both EG and CG. GLM Repeated Measures were used for the data analyses. Results There was a significant main effect of time on SH, F(4, 1096)=6.685, p < 0.001. The contrast analysis revealed that SH was significantly lower at every follow-up when compared to SH at T1. There was a significant interaction effect SHxSE, F(4, 1096)=2.868, p < 0.05. The contrast analysis revealed that SH was significantly lower at T2 than at T1 among the schoolchildren with a lower level of SE. Finally, the SHxSExPU interaction was significant F(4, 1096)=2.779, p < 0.05 and the contrast analysis revealed that SH was significantly higher at T5 than at T1 among those participants of PU with a higher level of SE. Conclusions The findings generally suggest that while there was a decrease of SH among schoolchildren between T1 and T5 a long-term effectT5 of PU was found among the program participants with higher levels of SE who were able to maintain higher level of SH. Key messages Schoolchildren’s satisfaction with their health and themselves was found to generally decrease in time during the 22 months when Unplugged was implemented and evaluated. A long-term effect of Unplugged was detected among program participants with higher levels of self-efficacy who were able to maintain higher level of satisfaction with their health and themselves.