Juliana Y Valente, Bianca Franciosi, Rodrigo Garcia-Cerde, Tania Pietrobon, Zila M Sanchez
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引用次数: 0
Abstract
Background: The widely implemented prevention program in Brazil, PROERD (a translated version of the DARE-kiR program), showed no evidence of effect in preventing drug use in a recent trial. The lack of cultural adaptation and instructors' deviations from the curriculum were identified as potential reasons for its ineffectiveness. This study aims to identify points of inadequacy of the PROERD program for the Brazilian culture, suggesting strategies for revising the curriculum to improve implementation.
Methods: We triangulated data obtained from three different groups of study participants: semi-structured interviews with the law enforcement officer who implemented the program, focus groups with students who participated in the program, and questionnaires completed by external experts in the prevention field who evaluated the program's manuals. Data was analyzed using thematic analysis based on the Ecological Validity Model theory, which encompasses three main axes: methodology, content, and language to identify the main points for cultural adaptation.
Results: Regarding the program's methodology, there is an excess of activities with little interactivity involving literacy skills that do not match Brazilian students' cognitive development and require equipment unavailable in Brazilian public schools. Regarding content, activities were considered appropriate for evidence-based prevention; however, there were some contradictions related to the drug content. The language presented in the program's manuals was considered inappropriate for the culture of Brazilian youth (vocabulary, examples, and images).
Conclusions: In conclusion, this study strongly recommends revising the PROERD curriculum Caindo na Real, ensuring it will align with the international prevention standards and Brazilian Culture.
背景：在巴西广泛实施的预防项目PROERD （DARE-kiR项目的翻译版本）在最近的一项试验中没有显示出预防药物使用的效果。缺乏文化适应和教师对课程的偏差是课程无效的潜在原因。本研究旨在找出PROERD计划在巴西文化方面的不足之处，并提出修改课程以改善实施的策略。方法：我们对来自三组不同研究参与者的数据进行三角分析：对实施该计划的执法人员进行半结构化访谈，对参与该计划的学生进行焦点小组访谈，以及由评估该计划手册的预防领域外部专家完成的问卷调查。采用基于生态效度模型理论的主题分析方法，从方法论、内容和语言三个方面对数据进行分析，以确定文化适应的要点。结果：关于项目的方法，有太多的活动，很少涉及读写技能的互动，不符合巴西学生的认知发展，需要巴西公立学校无法提供的设备。关于内容，活动被认为适合以证据为基础的预防；然而，在药物含量方面存在一些矛盾。该计划手册中的语言被认为不适合巴西年轻人的文化（词汇、例子和图像）。结论：总之，本研究强烈建议修改PROERD课程Caindo na Real，确保其与国际预防标准和巴西文化保持一致。
期刊介绍：
Substance Abuse Treatment, Prevention, and Policy is an open access, peer-reviewed journal that encompasses research concerning substance abuse, with a focus on policy issues. The journal aims to provide an environment for the exchange of ideas, new research, consensus papers, and critical reviews, to bridge the established fields that share a mutual goal of reducing the harms from substance use. These fields include: legislation pertaining to substance use; correctional supervision of people with substance use disorder; medical treatment and screening; mental health services; research; and evaluation of substance use disorder programs.
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