0144/2020 - Reducing alcohol-related risks among adolescents: A feasibility study of the SHAHRP program in Brazilian schools. Reducing alcohol-related risks among adolescents: A feasibility study of the SHAHRP program in Brazilian schools.
Introdução: O programa SHAHRP foi eficaz na Austrália, mas precisa de adaptação transcultural para replicação em outro país. Este estudo teve como objetivo avaliar a viabilidade do SHAHRP no Brasil com base na sua implementação e aceitação. Métodos: Utilizou-se métodos mistos: quantitativo para a implementação do programa e da avaliação e qualitativo para aceitação. O desenho quantitativo foi o piloto de um estudo clínico andomizado. Participaram escolas particulares: quatro intervenção (n = 160) e quatro controle (n = 188). Os alunos tinham 12,7 anos em média. A fidelidade da implementação e possíveis medidas de resultados foram avaliadas. Os dados qualitativos sobre aceitação foram relatados por alunos e professores. Resultados: A fidelidade de implementação variou de 62,5% a 87,5%. Comportamentos como danos causados pelo uso de álcool, precisam de uma amostra maior e de mais tempo para avaliação. A abordagem de redução de riscos e as atividades do programa foram bem aceitas por alunos e professores. Os resultados quantitativos e qualitativos sobre conhecimento e tomada de decisão indicaram possível melhora nas escolas intervenção. Conclusão: O programa é viável e bem aceito no cenário brasileiro, abrindo caminho para avaliação e disseminação mais abrangentes.
Palavras-chave:
Consumo de bebidas alcoólicas; Adolescente; Prevenção; Redução do danos; Educação
Abstract:
Introduction: The SHAHRP program was effective reducing drinking and alcohol- harmsin Australia, but cross-cultural adaptation is required before replication. This study aimed at assessing the feasibility of SHAHRP in Brazil focused on implementation and acceptability. Methods:A mixed-methodsdesign was used: quantitative for implementing the program and evaluation and qualitative for acceptability.The quantitative design was a pilot of a randomized controlled trial. Private schools were randomly divided into four intervention (n=160) and four control (n=188) schools. Student\'s mean age was 12.7 years. The fidelity of implementation and likely outcome measures were assessed.Qualitative data on acceptability were provided by students and teachers. Results: The percentage of implementation varied62.5% to 87.5%. Behaviours such as alcohol-harms requiresa larger cohort and longer follow-up to be adequately evaluated. The risk reduction approach and activities had good acceptabilitystudents and teachers. Quantitative and qualitative outcomes on knowledge and decision-making indicatedpossible improvement in SHAHRP schools.Conclusions: The program is feasible and well accepted in a Brazilian setting, opening the way for a more comprehensive evaluation and dissemination.
Reducing alcohol-related risks among adolescents: A feasibility study of the SHAHRP program in Brazilian schools.
Resumo (abstract):
Introduction: The SHAHRP program was effective reducing drinking and alcohol- harmsin Australia, but cross-cultural adaptation is required before replication. This study aimed at assessing the feasibility of SHAHRP in Brazil focused on implementation and acceptability. Methods:A mixed-methodsdesign was used: quantitative for implementing the program and evaluation and qualitative for acceptability.The quantitative design was a pilot of a randomized controlled trial. Private schools were randomly divided into four intervention (n=160) and four control (n=188) schools. Student\'s mean age was 12.7 years. The fidelity of implementation and likely outcome measures were assessed.Qualitative data on acceptability were provided by students and teachers. Results: The percentage of implementation varied62.5% to 87.5%. Behaviours such as alcohol-harms requiresa larger cohort and longer follow-up to be adequately evaluated. The risk reduction approach and activities had good acceptabilitystudents and teachers. Quantitative and qualitative outcomes on knowledge and decision-making indicatedpossible improvement in SHAHRP schools.Conclusions: The program is feasible and well accepted in a Brazilian setting, opening the way for a more comprehensive evaluation and dissemination.
Amato, T.C, Opaleye, E.S., McBride, N, Faria, A.R.N. Reducing alcohol-related risks among adolescents: A feasibility study of the SHAHRP program in Brazilian schools.. Cien Saude Colet [periódico na internet] (2020/jun). [Citado em 27/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/reducing-alcoholrelated-risks-among-adolescents-a-feasibility-study-of-the-shahrp-program-in-brazilian-schools/17626?id=17626
