Evaluation of school‐based AIDS education curricula in San Francisco

Students in 3 middle (n=385) and 3 high schools (n=254) in the San Francisco Unified School District participated in the evaluation of an AIDS education curriculum. Classes within‐schools were designated as either intervention classes or nonintervention classes. Students in intervention classes received 3 class periods of AIDS instruction with a newly developed curriculum. Students in nonintervention classes did not receive any special AIDS instruction. All students completed a pretest and posttest AIDS knowledge and attitude survey. The results indicated that AIDS instruction classes demonstrated a significant knowledge‐advantage, as well as change in attitudes (e.g., reflecting greater tolerance for attending class with students who may have AIDS or HIV infection).     

Evaluation of <Emphasis Type="Italic">Safer,Smarter Kids:</Emphasis> Child Sexual Abuse Prevention Curriculum for Kindergartners

This study assessed the effectiveness of the Safer, Smarter Kids kindergarten sexual abuse prevention curriculum in meeting its educational objectives of increasing children’s knowledge of safety risks and self-protection strategies. The study utilized a two-phase non-probability convenience sample of public school kindergarten students. The sample consisted of 1169 students in four school districts in Florida. Using an alpha level of .05, a paired-samples t test was calculated to compare the mean pretest scores to the mean posttest scores of the youth participants. The mean difference was significantly greater than zero (p-value ≤.001). The measurement instrument used to assess student gains functioned well in terms of reliability (α = .82). The effect size was large with a Cohen’s d effect size of 1.09. The results indicated that completion of the Safer, Smarter Kids curriculum was followed by a significant increase in students’ knowledge of key prevention concepts with a 77 % increase in scores post intervention.     

Effects of a single-lesson tobacco prevention curriculum on knowledge, skill identification and smoking intention

One in five students report experimenting with tobacco before the age of 13 and most prevention efforts take place in the school setting. This study measures the effect of a single-lesson tobacco prevention curriculum, conducted by a health education center, focusing on knowledge of tobacco, ability to identify refusal techniques, and intent not to smoke. Data were collected, via electronic keypads, from students visiting a non-school, health education center in Michigan (n = 704 intervention and 85 comparison). Contingency table Chi-squared tests and t-tests demonstrated that a single lesson can improve general knowledge and ability to identify appropriate refusal techniques. Improvement in intent not to smoke was not significant because both groups had very high intent prior to implementation. Similar to results from other programs, multivariate logistic regression of gender, general knowledge, and skill identification revealed that only the skill variable was associated with intent not to smoke at pretest. Recommendations are given for further research and for designing more effective curricula or programs.     

Capitalizing on the human-animal bond to teach ethics to youth

The purpose of this study was to evaluate the effectiveness of a livestock ethics curriculum developed for high school students in agricultural education classes. The curriculum was developed in response to numerous unethical occurrences at major livestock shows in recent years. These have included drug violations, physical alteration of animals, and excessive involvement of professional livestock handlers. The curriculum was taught to 305 students enrolled in eight Indiana high school agriculture programs. Data were collected using a pretest and posttest. Eighty-six percent of participants improved their score from the pretest to the posttest. Participants increased their awareness and knowledge of the overall principles involved in making ethical choices when faced with decisions in youth livestock programs. Students improved their understanding of the consequences associated with making unethical choices when faced with decisions in the youth livestock program. Participants were more likely to make an ethical choice when faced with a scenario featuring an ethical dilemma. Participants who had previously been enrolled in 4-H, Future Farmers of America, or an animal project had higher scores than those who had not been previously enrolled, but the amount of change from pre- to posttest was similar for those with and without such prior exposure. Future research should examine whether mastery of this kind of ethics curriculum will lead to better ethical choices in real-life situations.     

An evaluation of immediate outcomes and fidelity of a drug abuse prevention program in continuation high schools: project towards no drug abuse (TND)

The present study provides an implementation fidelity, process, and immediate outcomes evaluation of Project Towards No Drug Abuse (TND), a drug prevention program targeting continuation high school youth (n=1426) at risk for drug abuse. A total of 24 schools participated in three randomized conditions: TND Only, TND and motivational interviewing follow-up, and no treatment control. Fidelity was high: across program schools the curriculum was implemented as intended and was received favorably by students. Relative to controls, intervention conditions produced effects on hypothesized mediators, including greater gains in program related knowledge, greater reductions in drug use intentions, and positive changes in motivation. However, few generalizations to attitudes and intentions regarding risky sexual behavior were found. The pattern of results suggests that the experimental manipulations worked as intended.     

Evaluation of the High School Relationship Curriculum Connections: Dating and Emotions

Interest in relationship education for high school students has grown since the Deficit Reduction Act of 2005 provided funding for Healthy Marriage Initiative programs. This study used a pretest and posttest design and measures of relationship knowledge and attitudes to evaluate a relationship curriculum taught in required health education classes to a sample of 139 students. Comparison of students’ pretest and posttest scores showed slight gains in knowledge about relationships. Analysis based on characteristics associated with risk and protective factors for relationship outcomes (gender, academic performance and parental divorce history) found significant differences. Implications for expanding high school relationship education and recommendations for social work involvement in these programs are discussed.     

College student perceptions on campus alcohol policies and consumption patterns

Environmental strategies for colleges and universities to reduce alcohol consumption among their students include the development and enforcement of campus alcohol policies. This study examines students' knowledge and attitudes toward campus alcohol policies and how they relate to alcohol consumption and alcohol social norms. A sample of 422 freshman students was surveyed during their first month at a 4-year public college. Findings indicated that the majority of students (89%) were aware of campus policies, yet of those who were aware, less than half (44%) were accepting of these campus rules and regulations. In addition, the majority (79%) of students drank at social events, despite this behavior being in direct violation of campus alcohol policies. However, those who supported campus rules consumed significantly less alcohol at social events than those who opposed or had no opinion of the rules. Also, those who supported the rules perceived that their peers and students in general consumed significantly less alcohol at social events than those who were opposed or had no opinion. This outcome supports the premise established by several theories of behavior change including the theory of planned behavior, which state that behavior is influenced less by knowledge than by attitude and intention.     

An impact evaluation of student teacher training in HIV/AIDS education in Zimbabwe

Zimbabwe introduced a nation-wide program to teach AIDS education in 1994. This paper evaluates changes in student teachers' level of knowledge about transmission, symptoms and prevention of STDs and HIV/AIDS; their attitude towards persons living with AIDS; and their sensitivity to the impact of the epidemic and to discussing and teaching about these issues. There was an increase in knowledge of HIV prevention and in teachers' ability to discuss reproductive health and sexual issues. However, as students were exposed to other HIV material outside the programme, not all of this change is due to the programme. Course attendance needed to be enforced and the curriculum needed to be updated with student participation. Peer educators and participatory techniques are needed to get students to internalise positive attitudes and behaviour. The education materials need to address the lack of female empowerment in making decisions and negotiating for safer sex.     

Promoting Career and College Readiness,Aspirations, and Self‐Efficacy: Curriculum Field Test

To address the need for enhanced career and college readiness, a classroom guidance curriculum was studied using a pretest–posttest nonequivalent groups quasi‐experimental design. Data from 163 ninth‐grade students enrolled in a low‐performing high school were analyzed via hierarchical linear modeling. The analyses indicated a treatment effect on postsecondary education‐going knowledge and career and college readiness self‐efficacy, accounting for 100% of the variance explained by classroom‐level factors and indicating potential for the classroom guidance curriculum. The findings encourage career and professional school counselors to proactively employ similar classroom guidance programs aimed at encouraging high school students to consider postsecondary education opportunities. Future research could focus on component analyses of the curriculum, broadening the target populations, using mixed‐method designs, and additional validity studies of the dependent measures.     

The Role of Learning Context in High School Students’ Financial Knowledge and Behavior Acquisition

Using social construction theory, associations between student and classroom characteristics and high school students’ financial knowledge and behavior acquisition after studying a financial planning curriculum were examined. Prior to curriculum study, Whites, those growing up in a farm family business, and those who were working had higher financial knowledge; male and female knowledge differed by content. After curriculum study, females, those not growing up in a farm family business, and those who were not working gained most from curriculum study. While Whites, those who were working, and males exhibited more positive behaviors prior to curriculum study, after curriculum study, students living in states having financial mandates and those who did not grow up in a farm family business increased their positive behaviors most.     

Evaluating the Impact of Trauma-Informed Care (TIC) Perspective in Social Work Curriculum

A trauma-informed care (TIC) curriculum was integrated into a school of social work master’s level program. Measures assessed the impact of the curriculum on first and advanced-year students’ knowledge, attitude, self-efficacy, and behavioral intention at the beginning and end of a semester. Initial comparisons show advanced-year students as having more knowledge about TIC, more positive attitudes toward TIC, higher levels of self-efficacy to use TIC approaches, and greater likelihood to engage in TIC behaviors than first-year students. However, by the end of the semester, the latter were equivalent with advanced students on all measures. Results suggest the first-year curriculum provides sufficient background in TIC approaches to allow for significant gains across all areas assessed. However, integration of the TIC perspective within advanced courses needs further assessment.     

Living Arrangements,Knowledge of Health Risks,and Stress as Determinants of Health-Risk Behavior Among College Students

Abstract

The association of knowledge of health risks, living arrangements, and perceived stress with health-risk behaviors was examined in a sample of college students included in the Health Promotion and Disease Prevention Supplement of the National Health Interview Survey. Regressions of each health-risk behavior (dependent variable) were performed on the predicted correlates. Although knowledge was not associated with participation in physical activity or smoking, the study found that students who knew more about the harmful effects of alcohol drank less, and those with greater knowledge of health risks practiced fewer risky behaviors. Students living independently were more likely to smoke, and those living in residence halls were less like to do so. Drinking, however, was more common among students living in residence halls or independently than among those living at home. Hall residents engaged in more group physical activity than other students did, but their physical activity was unrelated to health-risk behaviors. Stress was associated with smoking but not with other health practices. The findings suggest that smoking may be less influenced by health knowledge and more associated than drinking is with a response to stress. Drinking appears to be a social activity associated with living among peers and is potentially modifiable by increased knowledge about the effects of alcohol on health.     

Living arrangements, knowledge of health risks, and stress as determinants of health-risk behavior among college students.

The association of knowledge of health risks, living arrangements, and perceived stress with health-risk behaviors was examined in a sample of college students included in the Health Promotion and Disease Prevention Supplement of the National Health Interview Survey. Regressions of each health-risk behavior (dependent variable) were performed on the predicted correlates. Although knowledge was not associated with participation in physical activity or smoking, the study found that students who knew more about the harmful effects of alcohol drank less, and those with greater knowledge of health risks practiced fewer risky behaviors. Students living independently were more likely to smoke, and those living in residence halls were less like to do so. Drinking, however, was more common among students living in residence halls or independently than among those living at home. Hall residents engaged in more group physical activity than other students did, but their physical activity was unrelated to health-risk behaviors. Stress was associated with smoking but not with other health practices. The findings suggest that smoking may be less influenced by health knowledge and more associated than drinking is with a response to stress. Drinking appears to be a social activity associated with living among peers and is potentially modifiable by increased knowledge about the effects of alcohol on health.     

Evaluation of an Online Group Intervention to Improve Test-Taking Self-Efficacy and Reduce Licensure Test Anxiety

We evaluated whether a synchronous online group intervention, using the Association for Social Work Boards Group Review Practice Test© items, increased students’ LMSW licensure test-taking confidence and decreased their test anxiety. A non-equivalent comparison group study was used to measure change in 59 graduate students’ confidence in test-taking and test anxiety. Almost 45% of students reported test anxiety in the clinical range at pretest. Using a repeated measures GLM, we found that students in the intervention group experienced a significant increase in confidence from pretest posttest. For overall anxiety, impairment anxiety, and worry anxiety, students in the intervention group experienced less anxiety over time, and students in the comparison group experienced more anxiety over time. Implications for programs are discussed.     

Short-term stability and prospective correlates of bullying in middle-school students: an examination of potential demographic, psychosocial, and environmental influences

Stability and change of bullying over a four-month interval was examined in 516 middle school students (grades 6-8). The stability coefficient was .65 for the entire sample. There was a significant increase in bullying behavior from Time 1 to Time 2 for 6th grade students; no significant change in bullying was found among 7th or 8th graders. For 6th graders, a greater confidence in using non-violent strategies was associated with less bullying at Time 2, while beliefs supportive of violence and misconduct, less positive adult influences, and more negative peer influences were associated with greater likelihood of bullying at Time 2. Higher levels of impulsivity, anger, and depression were also associated with greater levels of bullying over time. Several explanations for the increase in bullying behaviors among 6th graders are discussed and linked to intervention efforts.     

Teachers' delivery skills and substance use prevention program outcomes: the moderating role of students' need for cognition and impulse decision making

The purpose of this study was to extend the literature in both substance use implementation and persuasive health communication by examining the extent to which students' need for cognition and impulsive decision-making moderated the relationship between teachers' classroom communication behavior and program outcomes in an evidence-based middle school substance use prevention curriculum. Participants included 48 teachers and their respective 7th grade students who participated in a randomized trial testing the effectiveness of personal coaching as a means to improve the quality with which teachers implemented the All Stars curriculum. Need for cognition and impulse decision-making were both associated with positive changes in lifestyle incongruence and commitments to not use substances for students whose teachers displayed greater interactive teaching. Further, need for cognition was associated with lower alcohol use rates while impulse decision making related to lower rates of marijuana use in classes with interactive teaching.     

Effect of instructional videotapes on AIDS knowledge and attitudes

The effectiveness of four commercial videotape presentations in changing AIDS knowledge and attitudes among 584 college students was evaluated in a pre-post design with control group and follow-up. AIDS knowledge and attitudes were measured prior to, immediately after, and 4 to 6 weeks following presentation of the informational videotapes. In addition, subjects rated each videotape on several specific dimensions, including overall quality. The effects of age, sex, prior exposure to AIDS information, and presence v absence of post-presentation discussion were measured as covariates. In general, there was a significant immediate increase in AIDS knowledge attributable to all four videotapes (p less than .001). These gains persisted until follow-up, with no erosion for three of the four tapes. With the exception of perceived effectiveness of AIDS prevention methods (p less than .001), attitudes toward AIDS showed no change as a result of exposure to any of the videotapes (p greater than .05). Viewer ratings showed two of the videotapes to be superior in terms of perceived overall quality (p less than .05). There were also differences in ratings of videos on other dimensions. Among the covariates, there was no relationship at time of follow-up between post-presentation discussion v no discussion and either knowledge gain or attitude change. Sex was related to one attitude component, with women perceiving the AIDS epidemic as more severe than men (p less than .001).     

Evaluation of a tobacco prevention program on knowledge, attitudes, intention and behavior of tobacco use among fourth grade students--a preliminary study

This was a preliminary study to evaluate the effectiveness of a tobacco prevention program on knowledge, attitude, intention, and behavior of tobacco use among fourth-grade students in four north central Florida counties. The results suggest that the program was effective in improving students' knowledge, attitudes, and intention toward not using tobacco products. Data analysis showed that students in the education group had a greater improvement in knowledge than the comparison group. Students in the education group also improved their attitude and intention scores while the comparison group did not show any improvement. The results also indicated positive responses from the students. In addition, teachers also gave a very positive response to the program.     

Project Northland in Croatia: results and lessons learned

As part of an international public health partnership formed in 2001 we assessed the impact of Project Northland in Croatia--an adolescent alcohol school-based prevention intervention implemented in Split--on students. The curriculum was implemented in 13 randomly selected schools with another 13 schools serving as controls. The evaluation included quantitative and qualitative methods, using pre/post-tests to compare intervention and controls and follow-up focus groups with parents and teachers. Quantitative data showed the intervention was more successful in changing attitudes in the first two years, but had less impact on older students. Qualitative data suggest benefits from the program overall. Given the intervention was successful in the earlier grades it should be initiated earlier to have a greater impact. Challenges and lessons learned are offered.     

Impact evaluation of Drug Abuse Resistance Education (DARE).

The purpose of this study was to assess the impact of Drug Abuse Resistance Education (DARE) on fifth-grade students in the Long Beach Unified School District in Long Beach, California. The research suggests that DARE does not significantly change the amount of drug use, which is minimal at the fifth grade level. In general, children receiving DARE during the study period maintained existing levels of drug abuse. Approximately 3,000 students participated in the study. A pretest and posttest self-report survey was utilized during the Fall 1989 semester for experimental and control groups. As DARE programs gain popularity in other school districts, school administrators need more information on the program to decide if DARE should be presented in their schools. Administrative decision-making must consider program effectiveness and curriculum time constraints.