Bonell, Christopher; Dodd, Matthew; Allen, Elizabeth; Bevilacqua, Leonardo; McGowan, Jennifer; Opondo, Charles; Sturgess, Joanna; Elbourne, Diana; Warren, Emily; Viner, Russell M; (2020) Broader impacts of an intervention to transform school environments on student behaviour and school functioning: post hoc analyses from the INCLUSIVE cluster randomised controlled trial. BMJ open, 10 (5). e031589-. ISSN 2044-6055 DOI: https://doi.org/10.1136/bmjopen-2019-031589
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Abstract
BACKGROUND: We have previously reported benefits for reduced bullying, smoking, alcohol and other drug use and mental health from a trial of 'Learning Together', an intervention that aimed to modify school environments and implement restorative practice and a social and emotional skill curriculum. OBJECTIVES: To conduct post hoc theory-driven analyses of broader impacts. DESIGN: Cluster randomised trial. SETTINGS: 40 state secondary schools in southern England. PARTICIPANTS: Students aged 11/12 years at baseline. OUTCOMES: Student self-reported measures at 24 and 36 months of: cyberbullying victimisation and perpetration; observations of other students perpetrating aggressive behaviours at school; own perpetration of aggressive behaviours in and outside school; perceived lack of safety at school; participation in school disciplinary procedures; truancy and e-cigarette use. RESULTS: We found evidence of multiple impacts on other health (reduced e-cigarette use, cyberbullying perpetration, perpetration of aggressive behaviours) and educational (reduced participation in school disciplinary procedures and truancy) outcomes. CONCLUSION: These analyses suggested that the intervention was effective in bringing about a broader range of beneficial outcomes, adding to the evidence that the intervention is a promising approach to promote adolescent health via an intervention that is attractive to schools. TRIAL REGISTRATION NUMBER: ISRCTN10751359.
Item Type | Article |
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Faculty and Department |
Faculty of Public Health and Policy > Public Health, Environments and Society Faculty of Epidemiology and Population Health > Dept of Medical Statistics Faculty of Public Health and Policy > Dept of Health Services Research and Policy |
Research Centre |
Clinical Trials Unit Centre for Maternal, Reproductive and Child Health (MARCH) |
PubMed ID | 32414817 |
Elements ID | 147746 |
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