基于学校的普遍预防的实施策略:对增强和标准复制有效计划的定性试点研究
Andria B Eisman1, Christine Koffkey1, Judy Fridline2
1Division of Kinesiology, Health, and Sport Studies, College of Education, Wayne State University, Detroit, MI, USA.
Implementation research and practice
|April 2, 2025
概括
增强复制有效计划 (REP) 通过纳入创伤敏感内容来改善基于学校的健康计划. 教师的反表明,提高了可行性和适用性,尽管行政支持对于成功实施至关重要.
科学领域:
- 公共卫生 公共卫生
- 教育心理学教育心理学
- 实施科学 实施科学
背景情况:
- 基于学校的普遍预防计划,如密歇根健康模式 (MMH),旨在改善年轻人的行为健康,但面临实施障碍.
- 之前的研究强调,需要在MMH内对创伤敏感的内容来解决优先考虑的学生问题.
- 增强复制有效计划 (REP) 战略提供了一种多元组件方法,以支持计划提供者解决青年健康优先事项.
研究的目的:
- 评估与标准REP相比,增强REP在提供MMH时的可行性,可接受性和适当性.
- 评估高中对低收入学生实施战略的教师看法.
主要方法:
- 一个试点集群随机对照试验在八所高中进行.
- 该研究比较了增强REP (量身定制的课程,培训,创伤敏感内容的便利化) 与标准REP (标准课程,初步培训,根据需要的援助).
- 在三个时间点与教师进行的半结构面试收集了关于实施感知的数据.
主要成果:
- 教师认为增强的REP是令人满意的,适合提供MMH.
- 与标准REP相比,学校环境因素,特别是行政支持,对可行性产生了重大影响.
- 使用增强式REP的教师在满足学生需求方面比使用标准REP的教师更成功.
结论:
- 虽然标准的REP在某些情况下可能足够,但许多学校需要更密集的策略,如增强的REP,以有效实施.
- 增强的REP展示了定制课程交付和支持的潜力,但组织和领导力支持对成功至关重要.
- 未来的研究应该探索组织层面的策略,并比较强化与标准REP的有效性.
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