ArticleSubstance abuse treatment, prevention, and policy2016
Process evaluation of the implementation of the Unplugged Program for drug use prevention in Brazilian schools.
Article in Substance abuse treatment, prevention, and policy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Implementing lung health interventions in low- and middle-income countries: a FRESH AIR systematic review and meta-synthesis.The European respiratory journal · 2020Pooled it
- Effects of a School-Based Drug Prevention Program on Sexual Risk Behavior Among Adolescents in Brazilian Schools.Archives of sexual behavior · 2021Trial
- Evaluating the effects of parenting styles dimensions on adolescent drug use: secondary analysis of #Tamojunto randomized controlled trial.European child & adolescent psychiatry · 2020Trial
- Trial
- The #Tamojunto Drug Prevention Program in Brazilian Schools: a Randomized Controlled Trial.Prevention science : the official journal of the Society for Prevention Research · 2017Trial
- The HOPE program: protocol for a stratified cluster randomized controlled trial to prevent psychoactive substance use and promote health in Moroccan middle school students.Addiction science & clinical practice · 2026Article
- Formative evaluation of the online version of the strengthening families program in Brazil.BMC public health · 2026Article
- Methodological characteristics of evaluative studies of drug prevention programs in Brazil: scoping review.Revista latino-americana de enfermagem · 2025Article
- Addressing the needs for cultural adaptation of DARE-keepin' it REAL among Brazilian students: strategies to improve implementation.Substance abuse treatment, prevention, and policy · 2024Article
- Healthcare students' prevention training in a sanitary service: analysis of health education interventions in schools of the Grenoble academy.BMC medical education · 2023Article
- Implementation fidelity of a Brazilian drug use prevention program and its effect among adolescents: a mixed-methods study.Substance abuse treatment, prevention, and policy · 2022Article
- Effectiveness evaluation of the school-based drug prevention program #Tamojunto2.0: protocol of a cluster randomized controlled trial.BMC public health · 2019Article
- Needs assessment for cultural adaptation of Strengthening Families Program (SFP 10-14-UK) in Brazil.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2018Article
- Studies evaluating of health interventions at schools: an integrative literature review.Revista latino-americana de enfermagem · 2018Review
- Qualitative process evaluation of an Australian alcohol media literacy study: recommendations for designing culturally responsive school-based programs.BMC public health · 2017Article
- Implementing Task-Shared Child and Adolescent Psychological Interventions in Low- and Middle-Income Countries: A Scoping Review.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMost Brazilian schools do not have a continuous program for drug use prevention. To address this gap, the Ministry of Health adapted the European evidence-based program Unplugged to improve the drug use prevention efforts of Brazilian public schools. The aim of this study was to evaluate the process of program implementation in three Brazilian cities among middle school students between 6(th) and 9(th) grade (11 to 14 years old).
methodsMixed methods were used in this process evaluation study, including focus groups, fidelity forms, and satisfaction questionnaires. Study participants included 36 teachers, 11 school administrators, 6 coaches, 16 stakeholders, and 1267 students from 62 classes in 8 schools.
resultsThe 12 Unplugged lessons were all implemented in 94 % of the classes. However, only 57 % of the classes were completed as described in the program's manual. The decision to exclude activities because of time constraints was made without a common rationale. Teachers reported difficulties due to the amount of time necessary to plan the lessons and implement the activities. In addition, they mentioned that the lack of support from school administrators was an obstacle to proper program implementation. The majority of students and teachers responded positively to the program, reporting changes in the classroom environment and in personal skills or knowledge.
conclusionsThe Unplugged program can be feasibly implemented in Brazilian public schools. However, it is necessary to reduce the number of activities per class and to restructure the format of the standard teaching schedule to ensure that the normal academic content is still taught while Unplugged is being implemented.
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