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Replication of a whole school ethos-changing intervention: different context, similar effects, additional insights.
Hawe, Penelope; Bond, Lyndal; Ghali, Laura M; Perry, Rosemary; Davison, Colleen M; Casey, David M; Butler, Helen; Webster, Cynthia M; Scholz, Bert.
Afiliación
  • Hawe P; O'Brien Institute of Public Health, University of Calgary, 3280 Hospital Drive NW, Calgary, AB, T2N 4N6, Canada. penny.hawe@sydney.edu.au.
  • Bond L; The Australian Prevention Partnership Centre and Menzies Centre for Health Policy, University of Sydney, Sydney, NSW, 2006, Australia. penny.hawe@sydney.edu.au.
  • Ghali LM; Centre for Excellence in Intervention and Prevention Science, 15-30 Pelham Street, Carlton, VIC, 3053, Australia. lyndalbond@ceips.org.au.
  • Perry R; The Ability Hub, 3rd Floor, 3820-24th Ave NW, Calgary, AB, T3B 2X9, Canada. lghali@theabilityhub.org.
  • Davison CM; O'Brien Institute of Public Health, University of Calgary, 3280 Hospital Drive NW, Calgary, AB, T2N 4N6, Canada. perryr@ucalgary.ca.
  • Casey DM; Department of Public Health Sciences, Queens University, Carruthers Hall, Office 203, 62 Fifth Field Company Lane, Kingston, ON, K7L 3N6, Canada. davisonc@queensu.ca.
  • Butler H; Alberta Health Services, Centre 15, 1509 Centre Street SW, Calgary, AB, T2G 2E6, Canada. David.Casey@albertahealthservices.ca.
  • Webster CM; Faculty of Education and Arts, Melbourne Campus (St Patricks), Australian Catholic University, Mary Glowrey Building, 115 Victoria Parade, Fitzroy, VIC, 3065, Australia. Helen.Butler@acu.edu.au.
  • Scholz B; Department of Marketing and Management, Macquarie University, Sydney, NSW, 2109, Australia. Cynthia.Webster@mq.edu.au.
BMC Public Health ; 15: 265, 2015 Mar 19.
Article en En | MEDLINE | ID: mdl-25880841
BACKGROUND: Whole school, ethos-changing interventions reduce risk behaviours in middle adolescence, more than curriculum-based approaches. Effects on older ages are not known. We set out to replicate one of these interventions, Australia's Gatehouse Project, in a rural Canadian high school. METHODS: A guided, whole school change process sought to make students feel more safe, connected, and valued by: changes in teaching practices, orientation processes, professional development of staff, recognition and reward mechanisms, elevating student voice, and strategies to involve greater proactivity and participation. We conducted risk behaviour surveys in grades 10 to 12 before the intervention and 2 years afterwards, and social network analyses with the staff. Changes in health and health risk behaviours were assessed using chi-square. Interactions between the intervention and gender and between the intervention and school engagement were assessed using interaction terms in logistic regression models. Changes in the density of relationships among staff were tested with methods analogous to paired t-tests. RESULTS: Like Gatehouse, there was no statistically significant reduction in depressive symptoms or bullying, though the trend was in that direction. Among girls, there was a statistically significant decrease in low school engagement (45% relative reduction), and decreases in drinking (46% relative reduction), unprotected sex (61% relative reduction) and poor health (relative reduction of 73%). The reduction in drinking matched the national trend. Reductions in unprotected sex and poor health went against the national trend. We found no statistically significant changes for boys. The effects coincided with statistically significant increases in the densities of staff networks, indicating that part of the mechanism may be through relationships at school. CONCLUSIONS: A non-specific, risk protective intervention in the social environment of the school had a significant impact on a cluster of risk behaviours for girls. Results were remarkably like reports from similar school environment interventions elsewhere, albeit with different behaviours being affected. It may be that this type of intervention activates change processes that interact highly with context, impacting different risks differently, according to the prevalence, salience and distribution of the risk and the interconnectivity of relationships between staff and students. This requires further exploration.
Asunto(s)

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Servicios de Salud Escolar / Conducta de Reducción del Riesgo / Promoción de la Salud Tipo de estudio: Etiology_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2015 Tipo del documento: Article País de afiliación: Canadá

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Servicios de Salud Escolar / Conducta de Reducción del Riesgo / Promoción de la Salud Tipo de estudio: Etiology_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2015 Tipo del documento: Article País de afiliación: Canadá