Outcome of the AVID College Preparatory Program on Adolescent Health: A Randomized Trial.
Outcome of the AVID College Preparatory Program on Adolescent Health: A Randomized Trial.
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DOI：
10.1542/peds.2022-057183
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发表时间：
2023-01-01
期刊：
影响因子：
8
通讯作者：
Wong, Mitchell D.
中科院分区：
文献类型：
--
作者：
Dudovitz, Rebecca N.;Chung, Paul J.;Dosanjh, Kulwant K.;Phillips, Meredith;Tucker, Joan S.;Pentz, Mary Ann;Biely, Christopher;Tseng, Chi-Hong;Galvez, Arzie;Arellano, Guadalupe;Wong, Mitchell D.
这项随机试验测试了一项学术取消跟踪计划（通过个人决定的进步）是否会导致南加州9年级学生更健康的社交网络和减少物质使用。视频摘要学业跟踪是一种普遍的做法，它根据学生以前的学业成绩将学生分开。将表现较差的学生聚集在一起可能会无意中加强危险的同伴社交网络，学校脱离和危险行为。如果是这样的话，将表现较低的青年与表现良好的青年混合（“不跟踪”）可能是保护性的，从而改善青少年健康。通过个人决定的进步（AVID）是一个全国性的大学预科项目，支持将中等成绩的学生与高成绩的同龄人一起安排在严格的大学预科班。我们在美国进行了第一次AVID随机对照试验，在5所大型公立高中随机抽取270名学生接受AVID（AVID组）和常规学校编程（对照组）。参与者在过渡到高中（八年级末/九年级初）和九年级末完成调查。意向治疗分析测试AVID是否导致更健康的社交网络（主要结局）、健康行为和心理社会健康。在随访中，AVID学生使用任何物质的几率较低（比值比[OR] 0.66，95%置信区间[CI] 0.48-0.89），与使用物质的同龄人（OR 0.74，95% CI 0.45-0.98）相关联，与学校同龄人相关联的几率较高（OR 1.73，95% CI 1.11-2.70）。与对照组相比，AVID组的男性学生压力较低，自我效能感、毅力和学校参与度较高（P <0.05）。在高绩效的同龄人中没有观察到不良的健康影响。AVID对社交网络、健康行为和心理社会结果产生积极影响，这表明学术追踪可能对青少年健康产生实质性的有益溢出效应。
This randomized trial tests whether an academic untracking program (Advancement via Individual Determination) leads to healthier social networks and reduced substance use among Southern California 9th grade students. Video Abstract Academic tracking is a widespread practice, separating students by prior academic performance. Clustering lower performing students together may unintentionally reinforce risky peer social networks, school disengagement, and risky behaviors. If so, mixing lower performing with high performing youth (“untracking”) may be protective, leading to better adolescent health. Advancement via Individual Determination (AVID), a nationally-disseminated college preparatory program, supports placing middle-performing students in rigorous college-preparatory classes alongside high-performing peers. We conducted the first randomized, controlled trial of AVID in the United States, randomizing 270 students within 5 large public high schools to receive AVID (AVID group) versus usual school programming (control group). Participants completed surveys at the transition to high school (end of eighth grade/ beginning of ninth grade) and the end of ninth grade. Intent-to-treat analyses tested whether AVID resulted in healthier social networks (primary outcome), health behaviors, and psychosocial wellbeing. At follow-up, AVID students had lower odds of using any substance (odds ratio [OR] 0.66, 95% confidence interval [CI] 0.48–0.89) and associating with a substance-using peer (OR 0.74, 95% CI 0.45–0.98), and higher odds of associating with a peer engaged in school (OR 1.73, 95% CI 1.11–2.70). Male AVID students had lower stress and higher self-efficacy, grit, and school engagement than control students (P < .05 for all). No adverse health effects among high-performing peers were observed. AVID positively impacts social networks, health behaviors, and psychosocial outcomes suggesting academic untracking may have substantial beneficial spillover effects on adolescent health.
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影响因子：
4.9
作者：
Henry KL;Knight KE;Thornberry TP
通讯作者：
Thornberry TP
影响因子：
26.1
作者：
Dudovitz RN;Chung PJ;Reber S;Kennedy D;Tucker JS;Shoptaw S;Dosanjh KK;Wong MD
通讯作者：
Wong MD
影响因子：
9.5
作者：
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Eden, D
影响因子：
3.4
作者：
Duckworth, Angela Lee;Quinn, Patrick D.
通讯作者：
Quinn, Patrick D.
影响因子：
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作者：
Clotfelter, Charles T.;Ladd, Helen F.;Turaeva, Mavzuna R.
通讯作者：
Turaeva, Mavzuna R.