尼加拉瓜学校干预的可持续性挑战

IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Education Pub Date : 2021-03-24 DOI:10.1108/HE-12-2020-0115
Jonathan Pettigrew, Robert J. Razzante, Joshua Allsup, Yu Lu, Colter D. Ray
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引用次数: 2

摘要

目的:本研究确定了在中美洲尼加拉瓜的七年级和八年级学生中,维持Dale se Real (DsR)作为一项基于学校的与毒品和暴力有关的教育干预计划的成功和局限性。随着以证据为基础的干预措施跨越国界的运输和输入,围绕其适应性和可持续性的问题成为调查的重要目标。设计/方法/方法与来自七所院校的九名关键信息提供者(如学校校长、实施者)进行了访谈,其中四所院校持续发展发展战略,三所院校没有。本研究探讨了DsR与院校使命和常规、项目适应性、更广泛的社区支持和可持续性规划的契合度。研究结果显示了尼加拉瓜学校可持续性的两种新观点:赤字方法和赋权方法。这两种方法意味着不同的机构激励结构,也导致了实际的发现,即开发人员和培训人员需要提供结构化或正式的方式,授权学校在员工不再定期联系他们后继续实施项目。原创性/价值本研究提供了一个特殊的案例,说明是什么促进和阻碍了学校干预措施的可持续性,可以为拉丁美洲国家未来的干预研究提供信息。
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Challenging sustainability in school-based intervention in Nicaragua
PurposeThe current study identifies successes and limitations of sustaining Dale se Real (DsR) as a school-based educational intervention program related to drugs and violence for 7th and 8th grade students in Nicaragua, Central America. As evidence-based interventions are transported and imported across national borders, issues surrounding their adaptation and sustainability become important targets for investigation.Design/methodology/approachInterviews were conducted with nine key informants (e.g. school directors, implementers) from seven institutions, four of which sustained DsR and three of which did not. This study explores DsR's fit with the institutions' missions and routines, program adaptability, broader community support and sustainability planning.FindingsFindings demonstrate two emerging views of sustainability within the Nicaraguan schools: a deficit approach and an empowerment approach. These two approaches imply different motivational structures for institutions and also led to the practical finding that developers and trainers need to provide structured or formal ways of empowering schools to continue implementing a program after staff no longer routinely contact them.Originality/valueThis study contributes a particular case on what facilitates and impedes sustainability of school-based interventions that can inform future intervention research in Latin American countries.
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来源期刊
Health Education
Health Education PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.90
自引率
0.00%
发文量
17
期刊介绍: The range of topics covered is necessarily extremely wide. Recent examples include: ■Sex and sexuality ■Mental health ■Occupational health education ■Health communication ■The arts and health ■Personal change ■Healthy eating ■User involvement ■Drug and tobacco education ■Ethical issues in health education ■Developing the evidence base
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