Effects of 2 prevention programs on high-risk behaviors among African American youth - A randomized trial
Effects of 2 prevention programs on high-risk behaviors among African American youth - A randomized trial
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DOI：
10.1001/archpedi.158.4.377
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发表时间：
2004-04-01
影响因子：
--
通讯作者：
Holliday, MY
中科院分区：
文献类型：
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作者：
Flay, BR;Graumlich, S;Holliday, MY
目的：测试旨在减少市中心非裔美国青年高风险行为的 2 个项目的有效性。设计：整群随机试验。背景：芝加哥大都市 12 所学校及其服务的社区，1994 年至 1998 年。参与者：5 至 8 年级的学生及其家长和老师。干预措施：社会发展课程 (SDC) 每年包括 16 至 21 节课，重点关注管理高风险行为发生情况所需的社交能力技能。学校/社区干预 (SCI) 包括 SDC 和学校范围的氛围以及家长和社区组成部分。对照组接受与 SDC 同等强度的注意力安慰剂健康增强课程 (HEC)，重点关注营养、体力活动和一般保健。 主要结果指标：学生自我报告暴力、挑衅行为、校园犯罪、物质使用和性行为（性交和安全套使用）。结果：对于男孩来说，SDC 和 SCI 显着降低了暴力行为的增加率（与 HEC 相比分别降低了 35% 和 47%，分别）、挑衅行为（41%和59%）、校园不良行为（31%和66%）、吸毒（32%和34%）、近期性行为（44%和65%），并提高了安全套使用增加率（95%和165%）。对于综合行为测量，SCI 明显比 SDC 更有效（改善 79% vs 51%）。对女孩没有显着影响。结论：理论上推导出的具有文化敏感性、适合发展并在多个年级提供的社会情感项目可以减少 5 至 8 年级内城区非裔美国男孩的多种危险行为。对女孩缺乏影响值得进一步研究。
Objective: To test the efficacy of 2 programs designed to reduce high-risk behaviors among inner-city African American youth.Design: Cluster randomized trial. Setting: Twelve metropolitan Chicago, 111, schools and the communities they serve, 1994 through 1998.Participants: Students in grades 5 through 8 and their parents and teachers.Interventions: The social development curriculum (SDC) consisted of 16 to 21 lessons per year focusing on social competence skills necessary to manage situations in which high-risk behaviors occur. The school/community intervention (SCI) consisted of SDC and school-wide climate and parent and community components. The control group received an attention-placebo health enhancement curriculum (HEC) of equal intensity to the SDC focusing on nutrition, physical activity, and general health care.Main Outcome Measures: Student self-reports of violence, provocative behavior, school delinquency, substance use, and sexual behaviors (intercourse and condom use).Results: For boys, the SDC and SCI significantly reduced the rate of increase in violent behavior (by 35% and 47% compared with HEC, respectively), provoking behavior (41% and 59%), school delinquency (31% and 66%), drug use (32% and 34%), and recent sexual intercourse (44% and 65%), and improved the rate of increase in condom use (95% and 165%). The SCI was significantly more effective than the SDC for a combined behavioral measure (79% improvement vs 51%). There were no significant effects for girls.Conclusions: Theoretically derived social-emotional programs that are culturally sensitive, developmentally appropriate, and offered in multiple grades can reduce multiple risk behaviors for inner-city African American boys in grades 5 through 8. The lack of effects for girls deserves further research.