Jaqueline Brosso Zonta, Aline Helena Appoloni Eduardo, Maria Verônica Ferrareze Ferreira, Gabriela Heleno Chaves, Aline Cristiane Cavicchioli Okido
Self-confidence in the management of health complications at school: contributions of the in situ simulation
Revista latino-americana de enfermagem
examine longterm effects intervention combining teacher training parent education social competence training children elementary grades adolescent healthrisk behaviors age 18 yearsnonrandomized controlled trial followup 6 years interventionpublic elementary schools serving highcrime areas seattle washof fifthgrade students enrolled participating schools 643 76 given written parental consent longitudinal study 598 93 followed interviewed age 18 yearsa full intervention provided grades 1 6 5 days inservice training teachers intervention year developmentally appropriate parenting classes offered parents children grades 1 3 5 6 developmentally adjusted social competence training children grades 1 6 late intervention provided grades 5 6 paralleled full intervention gradesselfreported violent nonviolent crime substance use sexual activity pregnancy bonding school school achievement grade repetition school dropout suspension andor expulsion school misbehavior delinquency charges court records grade point average california achievement test scores disciplinary action reports school recordsfewer students receiving full intervention control students reported violent delinquent acts 483 vs 597 p04 heavy drinking 154 vs 256 p04 sexual intercourse 721 vs 830 p02 multiple sex partners 497 vs 615 p04 pregnancy causing pregnancy 171 vs 264 p06 age 18 years full intervention student group reported commitment p03 attachment p006 school better academic achievement p01 less school misbehavior p02 control students late intervention grades 5 6 significantly affect healthrisk behaviors adolescencea package interventions teachers parents children provided throughout elementary grades enduring effects reducing violent behavior heavy drinking sexual intercourse age 18 years among multiethnic urban children results consistent theoretical model guiding intervention support efforts reduce healthrisk behaviors universal interventions selected communities schools serving highcrime neighborhoods