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Promoting social inclusion in schools: A group-randomized trial of effects on student health risk behavior and well-being

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  • Patton, G.C.
  • Bond, L.
  • Carlin, J.B.
  • Thomas, L.
  • Butler, H.
  • Glover, S.
  • Catalano, R.
  • Bowes, G.

Abstract

Objectives. We sought to test the efficacy of an intervention that was designed to promote social inclusion and commitment to education, in reducing among students health risk behaviors and improving emotional well-being. Methods. The design was a cluster-randomized trial in 25 secondary schools in Victoria, Australia. The subjects were 8th-grade students (aged 13 to 14 y) in 1997 (n = 2545) and subsequent 8th-grade students in 1999 (n = 2586) and 2001 (n = 2463). The main outcomes were recent substance use, antisocial behavior, initiation of sexual intercourse, and depressive symptoms. Results. At 4-year follow-up, the prevalence of marked health risk behaviors was approximately 20% in schools in the comparison group and 15% in schools in the intervention group, an overall reduction of 25%. In ordinal logistic regression models a protective effect of intervention was found for a composite measure of health risk behaviors in unadjusted models (odds ratio [OR] = 0.69; 95% confidence interval [CI] = 0.50, 0.95) and adjusted models (OR = 0.71; CI = 0.52, 0.97) for potential confounders. There was no evidence of a reduction in depressive symptoms. Conclusion. The study provides support for prevention strategies in schools that move beyond health education to promoting positive social environments.

Suggested Citation

  • Patton, G.C. & Bond, L. & Carlin, J.B. & Thomas, L. & Butler, H. & Glover, S. & Catalano, R. & Bowes, G., 2006. "Promoting social inclusion in schools: A group-randomized trial of effects on student health risk behavior and well-being," American Journal of Public Health, American Public Health Association, vol. 96(9), pages 1582-1587.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.047399_4
    DOI: 10.2105/AJPH.2004.047399
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    Cited by:

    1. Albert Lee, 2009. "Health-promoting schools," Applied Health Economics and Health Policy, Springer, vol. 7(1), pages 11-17, March.
    2. Sara Heller & Harold A. Pollack & Roseanna Ander & Jens Ludwig, 2013. "Preventing Youth Violence and Dropout: A Randomized Field Experiment," NBER Working Papers 19014, National Bureau of Economic Research, Inc.
    3. Pound, Pandora & Campbell, Rona, 2015. "Exploring the feasibility of theory synthesis: A worked example in the field of health related risk-taking," Social Science & Medicine, Elsevier, vol. 124(C), pages 57-65.
    4. Gladys Uzoechina & Pearl Nwabuogo Okoye, 2020. "Relationship between School Connectedness and Secondary School Students’ Academic Outcomes in English Language in Anambra State, Nigeria," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 4(10), pages 393-397, October.
    5. Sergio Longobardi & Margherita Maria Pagliuca & Andrea Regoli, 2022. "School climate and academic performance of Italian students: the role of disciplinary behaviour and parental involvement," Statistical Methods & Applications, Springer;Società Italiana di Statistica, vol. 31(5), pages 1355-1373, December.
    6. Maryna Prus, 2020. "Optimal designs in multiple group random coefficient regression models," TEST: An Official Journal of the Spanish Society of Statistics and Operations Research, Springer;Sociedad de Estadística e Investigación Operativa, vol. 29(1), pages 233-254, March.
    7. Terry Guirado & Camille Chambonnière & Jean-Philippe Chaput & Lore Metz & David Thivel & Martine Duclos, 2021. "Effects of Classroom Active Desks on Children and Adolescents’ Physical Activity, Sedentary Behavior, Academic Achievements and Overall Health: A Systematic Review," IJERPH, MDPI, vol. 18(6), pages 1-31, March.

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