TY - JOUR PY - 2020// TI - Broader impacts of an intervention to transform school environments on student behaviour and school functioning: post hoc analyses from the INCLUSIVE cluster randomised controlled trial JO - BMJ open A1 - Bonell, Christopher A1 - Dodd, Matthew A1 - Allen, Elizabeth A1 - Bevilacqua, Leonardo A1 - McGowan, Jennifer A1 - Opondo, Charles A1 - Sturgess, Joanna A1 - Elbourne, Diana A1 - Warren, Emily A1 - Viner, Russell M. SP - e031589 EP - e031589 VL - 10 IS - 5 N2 - BACKGROUND: We have previously reported benefits for reduced bullying, smoking, alcohol and other drug use and mental health from a trial of 'Learning Together', an intervention that aimed to modify school environments and implement restorative practice and a social and emotional skill curriculum. OBJECTIVES: To conduct post hoc theory-driven analyses of broader impacts. DESIGN: Cluster randomised trial. SETTINGS: 40 state secondary schools in southern England. PARTICIPANTS: Students aged 11/12 years at baseline. OUTCOMES: Student self-reported measures at 24 and 36 months of: cyberbullying victimisation and perpetration; observations of other students perpetrating aggressive behaviours at school; own perpetration of aggressive behaviours in and outside school; perceived lack of safety at school; participation in school disciplinary procedures; truancy and e-cigarette use. RESULTS: We found evidence of multiple impacts on other health (reduced e-cigarette use, cyberbullying perpetration, perpetration of aggressive behaviours) and educational (reduced participation in school disciplinary procedures and truancy) outcomes. CONCLUSION: These analyses suggested that the intervention was effective in bringing about a broader range of beneficial outcomes, adding to the evidence that the intervention is a promising approach to promote adolescent health via an intervention that is attractive to schools. TRIAL REGISTRATION NUMBER: ISRCTN10751359.
Language: en
LA - en SN - 2044-6055 UR - http://dx.doi.org/10.1136/bmjopen-2019-031589 ID - ref1 ER -