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“好学校工具包”对学校员工心理健康、工作满意度和学校氛围感知的影响:一项集群随机试验的二次分析。

Effect of the good school toolkit on school staff mental health, sense of job satisfaction and perceptions of school climate: Secondary analysis of a cluster randomised trial.

机构信息

Ministry of Health, Public Health Emergency Operations Centre, Kampala, Uganda.

Institute for Global Health, University College of London, UK.

出版信息

Prev Med. 2017 Aug;101:84-90. doi: 10.1016/j.ypmed.2017.05.022. Epub 2017 Jun 2.

Abstract

The Good School Toolkit, a complex behavioural intervention delivered in Ugandan primary schools, has been shown to reduce school staff-perpetrated physical violence against students. We aimed to assess the effect of this intervention on staff members' mental health, sense of job satisfaction and perception of school climate. We analysed data from a cluster-randomised trial administered in 42 primary schools in Luwero district, Uganda. The trial was comprised of cross-sectional baseline (June/July 2012) and endline (June/July 2014) surveys among staff and students. Twenty-one schools were randomly selected to receive the Toolkit, whilst 21 schools constituted a wait-listed control group. We generated composite measures to assess staff members' perceptions of the school climate and job satisfaction. The trial is registered at clinicaltrials.gov (NCT01678846). No schools dropped out of the study and all 591 staff members who completed the endline survey were included in the analysis. Staff in schools receiving the Toolkit had more positive perspectives of their school climate compared to staff in control schools (difference in mean scores 2.19, 95% Confidence Interval 0.92, 3.39). We did not find any significant differences for job satisfaction and mental health. In conclusion, interventions like the Good School Toolkit that reduce physical violence by school staff against students can improve staff perceptions of the school climate, and could help to build more positive working and learning environments in Ugandan schools.

摘要

《优质学校工具包》是一种在乌干达小学实施的复杂行为干预措施,已被证明可以减少学校工作人员对学生的体罚。我们旨在评估该干预措施对工作人员心理健康、工作满意度和对学校氛围的看法的影响。我们分析了在乌干达卢韦罗区的 42 所小学进行的一项集群随机试验的数据。该试验包括工作人员和学生的横断面基线(2012 年 6 月/7 月)和终线(2014 年 6 月/7 月)调查。随机选择了 21 所学校接受工具包,而 21 所学校构成了候补对照组。我们生成了综合措施来评估工作人员对学校氛围和工作满意度的看法。该试验在 clinicaltrials.gov 注册(NCT01678846)。没有学校退出研究,所有完成终线调查的 591 名工作人员均被纳入分析。与对照组相比,接受工具包的学校的工作人员对学校氛围有更积极的看法(平均得分差异为 2.19,95%置信区间为 0.92,3.39)。我们没有发现工作满意度和心理健康方面的任何显著差异。总之,像《优质学校工具包》这样的干预措施可以减少学校工作人员对学生的体罚,可以改善工作人员对学校氛围的看法,并有助于在乌干达学校建立更积极的工作和学习环境。

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