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The design and preliminary evaluation of an intervention to reduce risk-taking behaviour among adolescents : the potential for protective behaviour toward friends

机译:减少青少年冒险行为的干预措施的设计和初步评估:对朋友的保护行为的潜力

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摘要

Many adolescents are at risk of injury as a result of lifestyle, with high morbidity and mortality rates primarily affected by engagement in risk-taking behaviour (AIHW, 2004b). The study aimed to reduce injury through the design, implementation and evaluation of an intervention to affect risk-taking behaviour. The intervention was guided by theory,(Theory of Planned Behavior, TPB Ajzen, 1985) and selectively focused on increasing protective behaviour toward friends. To meet the aim, the intervention focused on the following risk-taking behaviours: alcohol use, interpersonal violence, being a passenger of, and own risky use of a motor vehicle or bicycle. The average age of participants of the study was fourteen. The program of research was divided into three stages that, as a whole, met the aim of designing and evaluating an intervention to reduce risk-taking behaviour among adolescents. ududThe aim of the first stage was to provide the detail required for the program design (Stage 2). Stage 1 comprised a number of research processes including (i) a comprehensive literature review. The literature review included the rationale for reducing injury and risk-taking behaviour among adolescents, examination of the friendship relationship and assessing key issues and components of previously evaluated behaviour change programs. Stage 1 also included (ii) an assessment and operationalisation of the theoretical design (Theory of Planned Behavior and cognitive behavioural strategies). It was also found, in this Study 1, that the constructs of the TPB could explain friends' protective behaviour. Further, Stage 1 included (iii) Study 2, a qualitative evaluation of injury, risk-taking behaviour and key risk and protective factors for risk-taking behaviour from the perspective of young people conducted through focus groups. The information gathered in Stage 1 was used to develop the design of the program which comprised Stage 2. The next stage (Stage 3) involved an impact evaluation of the program. Firstly, in Study 3, a qualitative study was conducted to assess intervention participants' and teachers' perceptions of the program and adolescents' change in behaviour and attitudes. Intervention participants felt that they reduced their risk-taking behaviour and increased their protective behaviour toward their friends. Overall, adolescents and teachers viewed the program favourably. Secondly, in Study 4, a quantitative evaluation was conducted. Preliminary investigations found significant differences in change and behaviours among individuals from different ethnic backgrounds and, as such, analyses were conducted with the majority, Caucasian group only. The results indicated a reduction in risk-taking behaviours from baseline to follow-up in the intervention group and an increase in the comparison group. There was no support for the prediction that intervention students would increase their protective behaviour relative to the control group. Overall, the findings indicated challenges associated with designing and implementing an effective program to reduce risk-taking behaviour among adolescents.
机译:许多青少年由于生活方式而受到伤害的危险,其高发病率和死亡率主要受从事冒险行为的影响(AIHW,2004b)。该研究旨在通过设计,实施和评估影响冒险行为的干预措施来减少伤害。干预以理论为指导(计划行为理论,TPB Ajzen,1985),并有选择地集中于增加对朋友的保护行为。为了实现该目标,干预措施着重于以下冒险行为:酗酒,人际暴力,乘车和自驾车或自行车的冒险行为。研究参与者的平均年龄为十四岁。整个研究计划分为三个阶段,这些阶段总体上达到了设计和评估旨在减少青少年冒险行为的干预措施的目的。 ud ud第一阶段的目的是提供程序设计所需的详细信息(阶段2)。第一阶段包括许多研究过程,包括(i)全面的文献综述。文献综述包括减少青少年伤害和冒险行为的理由,检查友谊关系以及评估先前评估过的行为改变计划的关键问题和组成部分。第一阶段还包括(ii)理论设计(计划行为理论和认知行为策略)的评估和实施。在这项研究1中,还发现TPB的构造可以解释朋友的保护行为。此外,第一阶段包括(iii)研究2,通过焦点小组从年轻人的角度对伤害,冒险行为和关键风险以及冒险行为的保护因素进行定性评估。在阶段1中收集的信息用于开发包括阶段2在内的程序设计。下一阶段(阶段3)涉及对程序的影响评估。首先,在研究3中,进行了定性研究,以评估干预参与者和教师对计划的理解以及青少年行为和态度的变化。干预参与者认为他们减少了冒险行为,增加了对朋友的保护行为。总体而言,青少年和教师对该计划持乐观态度。其次,在研究4中,进行了定量评估。初步调查发现,来自不同种族背景的个体在变化和行为上存在显着差异,因此,仅对大多数白种人进行了分析。结果表明干预组从基线到随访的冒险行为减少,而对照组则增加。没有关于干预学生相对于对照组会增加其保护行为这一预测的支持。总体而言,调查结果表明,与设计和实施有效的计划以减少青少年的冒险行为相关的挑战。

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    Buckley Lisa;

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  • 年度 2008
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  • 原文格式 PDF
  • 正文语种 {"code":"en","name":"English","id":9}
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