The Positive Action Program: Outcomes and Mediators
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 2,500
- Locations
- 6
- Primary Endpoint
- Parent reports of student behaviors
Study Overview
Brief Summary
The purpose of this study is to determine the effectiveness of the Positive Action program on reducing negative behaviors, increasing positive behaviors and improving academic achievement of elementary school students.
Detailed Description
This project will: 1) evaluate the efficacy of a comprehensive, multi-grade, multi-year program, the Positive Action program (PA) designed to reduce student problem behaviors (including drug use and violence), disciplinary referrals and suspensions, and academic underachievement; 2) evaluate the effects of the program on the presumed/theoretical mediator variables; and 3) assess which of these changes in mediator variables actually mediate the effects of the program on behavior and school performance. The Hawaiian school district has agreed to implement a randomized trial of the PA program. We randomly assigned schools to PA or control conditions from strata matched on multiple indicators of risk. PA schools will receive the full PA program for four years (the 2002-03 through 2005-06 school years). This includes all materials for all students (at all grades), families, teachers, and principal, plus community kits; training for teachers and other interested staff; and continuous technical support and monitoring by a PA staff person. Data on behavior and academic achievement will be obtained from school archival records for all students for all years and, where appropriate for several years prior to the study. Students in grades 1 and 3 in the 2001-02 school year and their parents and teachers will also be followed through the project with surveys every year. The subject population will contain equal portions of males and females, and proportionate numbers of the major ethnic groups on Oahu (Hawaiian or part-Hawaiian, white, Asian, Other). Analyses will test for program effects on all hypothesized mediating variables and outcomes, and the hypothesized mediational pathways.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 6 Years to — (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Public elementary schools K-5 or K-6
- •All students in the study cohorts
Exclusion Criteria
- •Schools performing in top 50%
Outcomes
Primary Outcomes
Parent reports of student behaviors
Time Frame: 2001-2006
Self-reported attitudes and behaviors
Time Frame: 2001-2006
Teacher reports of behaviors
Time Frame: 2001-2006
Secondary Outcomes
- School-level academic achievement test scores(2000-2007)
- School-level reports of disciplinary referrals(2000-2007)
- School-level reports of school quality(2000-2007)
Investigators
Principal Investigator
National Institute on Drug Abuse (NIDA)
