0165/2022 - Revisão sistemática sobre o efeito do programa escolar de prevenção ao uso de drogas Keepin’it REAL: traduzido e implementado no Brasil pelo PROERD A systematic review of the effect of the school-based drug prevention program Keepin’it REAL: translated and implemented in Brazil by PROERD
O Programa Educacional de Resistência às Drogas (PROERD) é o programa escolar de prevenção mais disseminado no Brasil, seu atual currículo é baseado no programa norte-americano Keepin’it REAL (kiR). Não há na literatura evidência de efetividade do PROERD na prevenção ao uso de drogas, sendo necessários estudos complementares que auxiliem a compreensão desses achados. O objetivo do presente estudo é realizar uma síntese das evidências do efeito do currículo que deu origem ao PROERD: o kiR. Através de revisão sistemática encontrou-se 17 estudos que reportaram resultados de efeito de diferentes versões do kiR no uso de drogas e/ou violência. Com exceção do estudo Brasileiro, não foram encontrados estudos que avaliassem o efeito no uso de drogas da versão aplicada por policiais (DARE-kiR), a mesma implementada pelo PROERD. Foram encontradas evidências favoráveis do kiR na prevenção ao uso de drogas para o currículo do 7ºano, que contrariam os resultados de efeito nulo do PROERD. Não foram encontradas evidencias internacionais do efeito do kiR no currículo do 5ºano, assim como o estudo do PROERD. Sugere-se que revisões no currículo do 7º ano do PROERD para que ele possa refletir os resultados internacionais e que o currículo do 5º ano posso ser repensado considerando as evidencias negativas internacionais.
Palavras-chave:
Prevenção primária, Uso de Substâncias, revisão sistemática.
Abstract:
The Drug Resistance Educational Program (PROERD) is Brazil\'s most widespread school-based prevention program; its current curriculum is based on the North American Keepin\'it REAL (kiR) program. There is no evidence of the effectiveness of PROERD in preventing drug use, pointing to the need for further studies to understand these findings. The aim of the study was to synthesis the evidence of the effect of the kiR curriculum (PROERD) through a systematic review. We found 17 studies that reported the effects of different versions of kiR on drug use and/or violence. Except for the Brazilian study, no studies were found that assessed the effect on drug use of the version applied by police officers (DARE-kiR), the same one implemented by PROERD. Favorable evidence of kiR in drug use prevention was found for the 7th-grade curriculum, which contradicts the PROERD\'s null-effect results. No international evidence of the effect of kiR was found in the 5th-grade curriculum, in the same line as the PROERD’s study. It is suggested that PROERD’s 7th grade curriculum should be revised to reflect international results and that the 5th-grade curriculum should be reconsidered in light of the negative international evidence.
A systematic review of the effect of the school-based drug prevention program Keepin’it REAL: translated and implemented in Brazil by PROERD
Resumo (abstract):
The Drug Resistance Educational Program (PROERD) is Brazil\'s most widespread school-based prevention program; its current curriculum is based on the North American Keepin\'it REAL (kiR) program. There is no evidence of the effectiveness of PROERD in preventing drug use, pointing to the need for further studies to understand these findings. The aim of the study was to synthesis the evidence of the effect of the kiR curriculum (PROERD) through a systematic review. We found 17 studies that reported the effects of different versions of kiR on drug use and/or violence. Except for the Brazilian study, no studies were found that assessed the effect on drug use of the version applied by police officers (DARE-kiR), the same one implemented by PROERD. Favorable evidence of kiR in drug use prevention was found for the 7th-grade curriculum, which contradicts the PROERD\'s null-effect results. No international evidence of the effect of kiR was found in the 5th-grade curriculum, in the same line as the PROERD’s study. It is suggested that PROERD’s 7th grade curriculum should be revised to reflect international results and that the 5th-grade curriculum should be reconsidered in light of the negative international evidence.
Valente, J. Y., Galvão, P. P. O., Gusmoes, J.D.S.P., Sanchez, Z. M.. Revisão sistemática sobre o efeito do programa escolar de prevenção ao uso de drogas Keepin’it REAL: traduzido e implementado no Brasil pelo PROERD. Cien Saude Colet [periódico na internet] (2022/jul). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/revisao-sistematica-sobre-o-efeito-do-programa-escolar-de-prevencao-ao-uso-de-drogas-keepinit-real-traduzido-e-implementado-no-brasil-pelo-proerd/18421?id=18421
