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. 2021 Jul 20;22(1):468.
doi: 10.1186/s13063-021-05408-0.

Effectiveness of the Elos 2.0 prevention programme for the reduction of problem behaviours and promotion of social skills in schoolchildren: study protocol for a cluster-randomized controlled trial

Affiliations

Effectiveness of the Elos 2.0 prevention programme for the reduction of problem behaviours and promotion of social skills in schoolchildren: study protocol for a cluster-randomized controlled trial

Marília Mariano et al. Trials. .

Abstract

Background: Early interventions benefit the mental health, academic performance and productivity of children and adolescents throughout their life. The present study protocol will evaluate the effectiveness of the Elos 2.0 Programme, which is a version adapted for Brazil by the Ministry of Health, in reducing problem behaviours (e.g., disruptiveness, aggressivity and shyness) and promoting social skills in the school context in children 6 to 10 years of age. The Elos Programme is based on the Good Behaviour Game, which is widely used and prevents and/or reduces students' disruptive behaviours by establishing cooperation contingencies.

Method: A cluster-randomized controlled trial will be performed in 30 schools in three cities (15 controls and 15 in the experimental group), with a total of 3800 children participating in the test (1900 in the control group and 1900 in the intervention group). Data will be collected by having teachers in the control and experimental classes complete the Teacher Observation of Classroom Adaptation (TOCA) questionnaire, which is an instrument used to observe children's behaviour in the classroom. We will collect data before and after the intervention period in the same year. Due to the hierarchical structure of the data, multilevel analysis will be performed to detect simultaneous differences in prevalence over time and across groups to control for sociodemographic variables.

Discussion: The current study will examine the effectiveness of the Elos 2.0 Programme in reducing problem behaviours (e.g., disruptiveness, aggressivity and shyness) and promoting social skills in the school context. The findings of this school-based prevention programme for children will influence the development and implementation of similar programmes for schools and educational policymakers by identifying mechanisms that are central to achieving positive outcomes for participants.

Trial registration: Registry of Clinical Trials of the Ministry of Health RBR-86c6jp . Registered February 2, 2019.

Keywords: Child; Mental health; School interactions; School-based intervention; Structured running programme.

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Conflict of interest statement

The authors declare that there they have no competing interests.

References

    1. Kessler RC, Foster CL, Saunders WB, Stang PE. Social consequences of psychiatric disorders, I: educational attainment. Am J Psychiatry. 1995;152(7):1026–1032. doi: 10.1176/ajp.152.7.1026. - DOI - PubMed
    1. Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O, Rohde LA, Srinath S, Ulkuer N, Rahman A. Child and adolescent mental health worldwide: evidence for action. Lancet. 2011;378(9801):1515–1525. doi: 10.1016/S0140-6736(11)60827-1. - DOI - PubMed
    1. Caetano SC, Ribeiro MVV, Askari MS, Sanchez ZM, do Rosário MC, Perissinoto J, et al. An epidemiological study of childhood development in an urban setting in Brazil. Braz J Psychiatry. 2020;(1):S1516-44462020005026201. 10.1590/1516-4446-2020-0934. - PMC - PubMed
    1. Paula CS, Coutinho ES, Mari JJ, Rohde LA, Miguel EC, Bordin IA. Prevalence of psychiatric disorders among children and adolescents from four Brazilian regions. Braz J Psychiatry. 2015;37(2):178–179. doi: 10.1590/1516-4446-2014-1606. - DOI - PubMed
    1. Baker-Henningham H. The role of early childhood education programmes in the promotion of child and adolescent mental health in low- and middle-income countries. Int J Epidemiol. 2014;43(2):407–433. doi: 10.1093/ije/dyt226. - DOI - PubMed

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