Department for Health, University of Bath, Bath BA2 7AY, UK.
BMC Public Health. 2013 Jul 17;13:666. doi: 10.1186/1471-2458-13-666.
The 'Be the Best You Can Be' (BtBYCB) program is a school-based intervention designed to foster positive physical, psychological, and social development via empowering young people to take ownership over their own personal development. The aim of this work is to determine the effectiveness of the BtBYCB program on (i) pupils' well-being, self-perceptions, self-esteem, aspirations, and learning strategies; and (ii) changes in modifiable health-risk behaviors (i.e., physical activity, diet, smoking, and alcohol consumption).
METHODS/DESIGN: A two-arm cluster randomized controlled trial employing a wait-list control plus qualitative and mixed-method evaluations was used. Participants were school pupils from Years 7 and 8 (aged 11-13 years). Ten schools located in southwest England were randomly allocated to receive the BtBYCB intervention (n = 5 schools; 711 pupils) or a control condition (i.e., usual Personal, Social, and Health Education classes) (n = 5 schools; 622 pupils). Participants in the intervention condition received a program consisting of (i) a talk from an Olympian/Paralympian; (ii) 11 one-hour teacher-led PSHE classroom sessions in which pupils identified their aspirations, values, and interests and explored and acted on these via activities such as personal development planning, goal-setting, and peer-mentoring; and (iii) participated in a celebration event (e.g., second visit from Olympian/Paralympian and short individual presentations). Data were collected at baseline, post-intervention, and at 3-month follow-up.Focus groups (pupils and teachers) and individual interviews (headteachers) were conducted in the 5 intervention schools to (i) gain an in-depth understanding of mechanisms of change; (ii) explore ways in which the participants' motivation and engagement could be enhanced, and (iii) elicit user-feedback pertaining to how the program, content, and appeal could be improved.A mixed-method approach was used to describe and explain the differing experiences of particular groupings within and across the intervention schools; i.e., those for whom the program was effective, those that experienced little, if any change, and those for whom the program led to an inverse effect.
The findings of this work will provide insight into the effectiveness of an innovative and child-centered program. The research will inform improvements to the BtBYCB program as well as other interventions targeting child/youth health and wellness.
The trial is registered as Current Controlled Trials ISRCTN99443695.
“成为最好的自己”（BtBYCB）计划是一项基于学校的干预措施，旨在通过赋予年轻人对自身发展的所有权，促进他们的身心健康和社会发展。本研究旨在确定 BtBYCB 计划对以下方面的有效性：（i）学生的幸福感、自我认知、自尊、志向和学习策略；以及（ii）可改变的健康风险行为的变化（即体育活动、饮食、吸烟和饮酒）。
方法/设计：采用两臂随机对照试验，采用等待名单对照和定性及混合方法评估。参与者为来自英格兰西南部的 7 至 8 年级（11-13 岁）的学生。10 所学校被随机分配接受 BtBYCB 干预（n=5 所学校；711 名学生）或对照组（即通常的个人、社会和健康教育课程）（n=5 所学校；622 名学生）。干预组的参与者接受了包括以下内容的计划：（i）奥运选手/残奥选手的演讲；（ii）11 次由教师主导的 PSHE 课堂会议，学生在会议中确定自己的志向、价值观和兴趣，并通过个人发展规划、设定目标和朋辈指导等活动探索和付诸行动；以及（iii）参加庆祝活动（例如，奥运选手/残奥选手的第二次访问和个人简短演讲）。在基线、干预后和 3 个月随访时收集数据。在 5 所干预学校进行了焦点小组（学生和教师）和个人访谈（校长），以（i）深入了解变化的机制；（ii）探索如何提高参与者的动机和参与度；以及（iii）征求有关如何改进计划、内容和吸引力的用户反馈。采用混合方法来描述和解释干预学校内和之间特定群体的不同体验；即，那些对计划有效的人、那些几乎没有变化的人以及那些对计划产生相反效果的人。
这项工作的结果将提供对一项创新的以儿童为中心的计划有效性的深入了解。这项研究将为 BtBYCB 计划以及其他针对儿童/青少年健康和幸福的干预措施的改进提供信息。
该试验在当前对照试验 ISRCTN99443695 中注册。
