Evaluation of At-Risk Prevention Programs

2013 ◽  
pp. 293-316
2017 ◽  
Vol 64 (2) ◽  
pp. 121-140 ◽  
Author(s):  
Colleen S. Conley ◽  
Jenna B. Shapiro ◽  
Alexandra C. Kirsch ◽  
Joseph A. Durlak

10.2196/14816 ◽  
2020 ◽  
Vol 9 (8) ◽  
pp. e14816
Author(s):  
Bo Wang ◽  
Lynette Deveaux ◽  
Sonja Lunn ◽  
Veronica Dinaj-Koci ◽  
Samiran Ghosh ◽  
...  

Background Sustained implementation of school-based prevention programs is low. Effective strategies are needed to enhance both high-level implementation fidelity and sustainability of prevention programs. Objective This proposed study aims to determine if the provision of either biweekly monitoring and feedback and site-based assistance and mentorship or both to at-risk and moderate-performing teachers with monitoring through an enhanced decision-making platform by the Ministry of Education (MOE) and Ministry of Health (MOH) based on the real-time implementation data will increase national implementation fidelity and result in sustained implementation over time. Methods This study will target government schools including 200 grade 6 teachers in 80 primary schools and 100 junior/middle high school teachers (and their classes) on 12 Bahamian islands. Teacher and school coordinator training will be conducted by the MOE in year 1, followed by an optimization trial among teachers in the capital island. Informed by these results, an implementation intervention will be conducted to train using different levels of educational intensity all at-risk and moderate-performing teachers. Subsequently selected training and implementation strategies will be evaluated for the national implementation of Focus on Youth in the Caribbean and Caribbean Informed Parents and Children Together in years 2 to 5. Results It is hypothesized that a more intensive training and supervision program for at-risk and moderate-performing teachers will enhance their implementation fidelity to the average level of the high-performing group (85%), an HIV prevention program delivered at the national level can be implemented with fidelity in grade 6 and sustained over time (monitored annually), and student outcomes will continue to be highly correlated with implementation fidelity and be sustained over time (assessed annually through grade 9). The proposed study is funded by the National Institute of Child Health and Human Development from August 1, 2018, through May 31, 2023. Conclusions The study will explore several theory-driven implementation strategies to increase sustained teacher implementation fidelity and thereby increase the general public health impact of evidence-based interventions. The proposed project has potential to make significant contributions to advancing school-based HIV prevention research and implementation science and serve as a global model for the Fast Track strategy. International Registered Report Identifier (IRRID) PRR1-10.2196/14816


2014 ◽  
Vol 29 (S3) ◽  
pp. 573-573
Author(s):  
J.-P. Kahn

IntroductionThe “Saving and Empowering Young Lives in Europe” (SEYLE) has gathered 12,395 high school students in 10 countries (including 1007 students in the Lorraine Region). It has been funded by the FP7 European program and coordinated by the Karolinska Institute. Its main goals were to encourage teenagers to adopt healthier behaviors by reducing risk behaviors and suicidal behaviors, to assess the benefits from various prevention programs and recommend evidence based and culturally adapted mental health promotion programs for teenagers.Inclusion and methodSEYLE is a randomized control trial evaluating 3 mental health prevention programs:– a program training school staff to identify and refer students at suicidal risk (QPR);– a mental health sensibilization program, aimed at the students (the Awareness program);– a mental health professional screening program, through self-report questionnaires and clinical interview.These prevention programs were compared to a minimal intervention control group. The students (aged 14–16 years old) filled a 127 items questionnaire at Baseline, M3 and M12.ResultsThe most salient results of this research have shown:– the efficacy on suicidal behaviors of prevention programs in schools, in particular the Awareness program (the mental health sensibilization universal program);– the existence of an invisible group of students at risk (highly sedentary students with poor sleep and media overexposure);– a high prevalence of depressive (10.5%) and (5.8%) anxious symptoms as well as non-suicidal injuries (7.8%) in European adolescents.Discussion and perspectivesThis study has provided evidence of the efficiency of mental health awareness programs in schools to decrease the number of suicides and suicidal behaviors in teenagers and to better identify “at risk” students.


Author(s):  
Ashok Parchani ◽  
Kimball I Maull ◽  
Nissar Sheikh ◽  
Mark Sebastian

ABSTRACT Objective We hypothesized that an analysis of the demographic profile of patients who suffered moderate and severe traumatic brain injury (TBI) would identify wide variation in injury mechanism by age and ethnicity. The objective is to utilize this data to target injury prevention programs for specific population. Methods All head injured patients admitted to the trauma ICU were studied (N = 764). Standard demographic data, nationality, and mechanism of injury were determined. All patients had moderate to severe TBI. Demographics were cross referenced with injury mechanism, nationality and age of exposure. Results Head injuries were more common in males, the expatriate population, and the age group from 21 to 40 years. Motor vehicle collision (MVC) was the most common injury mechanism followed by fall from height (FFH) with profound ethnic differences in both ages affected and populations at risk. Struck by falling objects (SFO) was the third most common injury mechanism. TBI mortality improved over the period of study, declining from 21 to 17%. Conclusion Prevention or reduction in TBI severity has profound implications for improving public health and reducing TBI-related health care costs. The defining of populations at risk by nationality, injury mechanism and peak age of exposure can provide a model for coordinated regional or national injury prevention programs. How to cite this article Parchani A, Maull KI, Sheikh N, Sebastian M. Injury Prevention Implications in an Ethnically Mixed Population: A Study of 764 Patients with Traumatic Brain Injury. Panam J Trauma Critical Care Emerg Surg 2012; 1(1):27-32.


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