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Randomized Controlled Trial
. 2006 Sep;96(9):1582-7.
doi: 10.2105/AJPH.2004.047399. Epub 2006 Jul 27.

Promoting social inclusion in schools: a group-randomized trial of effects on student health risk behavior and well-being

George C Patton  1 , Lyndal Bond, John B Carlin, Lyndal Thomas, Helen Butler, Sara Glover, Richard Catalano, Glenn Bowes
Affiliations
Randomized Controlled Trial

Promoting social inclusion in schools: a group-randomized trial of effects on student health risk behavior and well-being

George C Patton et al. Am J Public Health. 2006 Sep.

Abstract

Objectives: We sought to test the efficacy of an intervention that was designed to promote social inclusion and commitment to education, in reducing among students health risk behaviors and improving emotional well-being.

Methods: The design was a cluster-randomized trial in 25 secondary schools in Victoria, Australia. The subjects were 8th-grade students (aged 13 to 14 y) in 1997 (n=2545) and subsequent 8th-grade students in 1999 (n=2586) and 2001 (n=2463). The main outcomes were recent substance use, antisocial behavior, initiation of sexual intercourse, and depressive symptoms.

Results: At 4-year follow-up, the prevalence of marked health risk behaviors was approximately 20% in schools in the comparison group and 15% in schools in the intervention group, an overall reduction of 25%. In ordinal logistic regression models a protective effect of intervention was found for a composite measure of health risk behaviors in unadjusted models (odds ratio [OR]= 0.69; 95% confidence interval [CI]= 0.50, 0.95) and adjusted models (OR= 0.71; CI =0.52, 0.97) for potential confounders. There was no evidence of a reduction in depressive symptoms.

Conclusion: The study provides support for prevention strategies in schools that move beyond health education to promoting positive social environments.

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Figures

FIGURE 1—
FIGURE 1—
Design of and participants in the Gatehouse Project Intervention, 1997, 1999, and 2001. aUnavailable because of proposed closure or merger in 1997.
FIGURE 2—
FIGURE 2—
Prevalence (with 95% confidence intervals) of health risk behaviors among 8th-grade students in schools, intervention and control groups in 1997 (a), 1999 (b), and 2001 (c).
FIGURE 2—
FIGURE 2—
Prevalence (with 95% confidence intervals) of health risk behaviors among 8th-grade students in schools, intervention and control groups in 1997 (a), 1999 (b), and 2001 (c).
FIGURE 2—
FIGURE 2—
Prevalence (with 95% confidence intervals) of health risk behaviors among 8th-grade students in schools, intervention and control groups in 1997 (a), 1999 (b), and 2001 (c).
See this image and copyright information in PMC

References

    1. Botvin GJ, Baker E, Dusenbury L, Botvin EM, Diaz T. Long-term follow-up results of a randomized drug abuse prevention trial in a white middle-class population. JAMA. 1995;273:1106–1112. - PubMed
    1. Ellickson PL, McCaffrey DF, Ghosh-Dastidar B, Longshore DL. New inroads in preventing adolescent drug use: results from a large-scale trial of project ALERT in middle schools. Am J Public Health. 2003; 93:1830–1836. - PMC - PubMed
    1. Ellickson PL, Bell RM. Drug prevention in junior high: a multisite longitudinal test. Science. 1990; 247:1299–1305. - PubMed
    1. Peterson AV, Kealey KA, Mann SL, Marek PM, Sarason IG. Hutchinson smoking prevention project: long-term randomized trial in school-based tobacco use prevention—results on smoking. J Natl Cancer Institute. 2000;92:1979–1991. - PubMed
    1. Rutter M, Maughan B, Mortimore P, Ouston J, Smith A. Fifteen Thousand Hours: Secondary Schools and their Effects on Children. London: Open Books, 1979.

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