Biber Duke D, Brandenburg Gina
Department of Health Promotion and Physical Education, Wellstar College of Health and Human Services, Kennesaw State University, United States.
Employee Well-being and Student Health, University System of Georgia, Atlanta, GA, United States.
Prev Med Rep. 2023 Feb 11;32:102137. doi: 10.1016/j.pmedr.2023.102137. eCollection 2023 Apr.
The purpose of this study was to analyze the Sources of Strength program implemented at a high school in the southeastern United States using the RE-AIM framework. Students ( = 1,250) were recruited from one high school in the southeastern United States that was implementing Sources of Strength. College undergraduate students mentored high school peer leaders to implement Sources of Strength to promote opioid and suicide protective factors for the high school. This was a cross-sectional design in which a post-implementation survey assessed program effectiveness, satisfaction, and feedback for maintenance. Analysis used the RE-AIM framework of reach, effectiveness, adoption, implementation, and maintenance. 100 % of students participated in at least one campaign. Mean protective factor scores were 3.83 for happiness; 3.93 for knowledge of coping skills, and 3.38 for practice of coping skills. One high school and 100 % of classrooms participated in at least one campaign. 18 high school peer leader meetings were facilitated by the undergraduate mentors. High school students qualitatively provided input on future campaign needs, and the program was continued following this RE-AIM analysis. The Sources of Strength program promoted suicide and opioid protective factors in high school students during COVID-19. Future research should compare the efficacy of Sources of Strength at baseline and follow-up with multiple high school sites.
本研究的目的是使用RE-AIM框架分析美国东南部一所高中实施的“力量之源”项目。从美国东南部一所正在实施“力量之源”项目的高中招募了1250名学生。大学本科生指导高中同伴领袖实施“力量之源”项目，以促进高中学生的阿片类药物和自杀预防保护因素。这是一项横断面设计，其中实施后调查评估了项目效果、满意度和维持反馈。分析使用了RE-AIM框架中的覆盖范围、效果、采用率、实施情况和维持情况。100%的学生至少参加了一项活动。幸福的平均保护因素得分为3.83；应对技能知识得分为3.93，应对技能实践得分为3.38。一所高中和100%的教室至少参加了一项活动。本科导师促成了18次高中同伴领袖会议。高中学生定性地提供了关于未来活动需求的意见，并且在这项RE-AIM分析之后该项目得以继续。“力量之源”项目在新冠疫情期间促进了高中生的自杀和阿片类药物预防保护因素。未来的研究应该比较多个高中场所基线和随访时“力量之源”项目的效果。
