The HYP program - Targeted motivational interviewing for adolescent violations of school tobacco policy

Objective. To evaluate the efficacy of a short-term tobacco-focused intervention for high school students referred by school administrators because of tobacco use. Method. A sample of 56 adolescents (66% male, mean age 15 years) was recruited through referrals from three state high schools. Participants were randomly assigned to a one-hour motivational interview (MI) session or to standard care (advice/education). The two groups were followed up at one, three, and six-month intervals. Results. The MI intervention resulted in significant short-term reductions in quantity and frequency of smoking relative to standard care, however, effects were not maintained at 3- and 6-month follow-up. Improvements in refusal self-efficacy were significant relative to standard care. Conclusion. For adolescents who are established smokers and at high risk of other problems, motivational interviewing was associated with modest short-term gains relative to standard care. (c) 2006 Elsevier Inc. All rights reserved.

DOS MUROS DA ESCOLA À ABERTURA PARA A CIDADE

A prática educativa na escola está carregada de uma postura tradicional e bancária , conforme aparece em várias obras de Freire, ainda que novas tecnologias sejam introduzidas em seu cotidiano pedagógico. A ênfase à informação em detrimento da construção do conhecimento e saberes, na verdade, afasta o aluno, particularmente nas escolas públicas, de apropriar-se dos instrumentos significativos de sua elaboração. Nesse sentido, dentro da linha de Políticas e Gestões Educacionais, esse trabalho se propõe à reflexão do espaço da escola no diálogo com a cidade, isto é, à possibilidade de protagonismo social no desenvolvimento do aluno. O procedimento da pesquisa fundamenta-se no estudo dos projetos de educação ambiental desenvolvidos na rede municipal de Mauá através dos registros e relatos descritivos das avaliações das escolas dessas atividades, de seus Projetos Políticos Pedagógicos e do Programa de Educação Ambiental de Mauá da Secretaria Municipal de Educação. O trabalho Dos muros da escola à abertura para a cidade foi desenvolvido de forma a entendermos o espaço geográfico, considerando sua territorialização e o conceito de espaço simbólico. Dessa forma, podemos compreender como a relação escola/espaço território e o Programa de Educação Ambiental desenvolvido em escolas da rede pública da cidade de Mauá aparece na atuação de um em relação ao outro. A metodologia de trabalho usada foi exploratória, de natureza bibliográfica e documental. A pesquisa buscou perceber a abordagem dialógica que se estabelece com a cidade a partir da conceituação do espaço simbólico da escola no processo ensino-aprendizagem. O Programa de Educação Ambiental e as escolas, de acordo com seus Projetos Políticos Pedagógicos se propõem, ainda que empiricamente, a trabalhar nessa direção. A prática pedagógica, como demonstraram algumas atividades, mesmo tratando do tema de forma sem a consciência diferenciada , aponta um avanço nesse sentido. Os textos coletivos, a participação solidária, são elementos que nos permitem concluir dessa forma. As respostas das crianças foram significativas, embora tenhamos apontado as dificuldades na execução dos procedimentos pedagógicos. Por tratar-se de algo novo, não só como proposta, o Programa de Educação Ambiental exigiu a capacidade de lidar com ações integrada e integradora, ou seja, mudança de subjetividade dos distintos atores envolvidos no processo. O tema poderia se tornar por demais abrangente e, dessa forma, perder-se em generalidades. Assim, alguns aspectos relevantes foram apontados sem, no entanto, partir para um maior aprofundamento a fim de garantir a objetividade do trabalho. A instituição escolar está presente de corpo e alma na cidade e, ainda que, a temática ambiental esteja presente em seu cotidiano ela se faz de maneira formal e informativa. Todos falam em meio ambiente, entretanto poucos internalizam os valores de um ambiente saudável e próprio para o desenvolvimento humano da maioria que produz a riqueza das nações. Consideradas as observações apontadas, o trabalho apresentou elementos que devem ser analisados com maior propriedade, isto é, com maior extensão, como proposta de continuidade da pesquisa.

Epidemiology of myopia in a United Kingdom urban child population

The Aston Eye Study (AES) was instigated in October 2005 to determine the distribution of refractive error and associated ocular biometry in a sample of UK urban school children. The AES is the first study to compare outcome measures separately in White, South Asian and Black children. Children were selected from two age groups (Year 2 children aged 6/7 years, Year8 children aged 12/13 years of age) using random cluster sampling of schools in Birmingham, West Midlands UK. To date, the AES has examined 598 children (302 Year 2,296 Year 8). Using open-field cycloplegic autorefraction, the overall prevalence of myopia (=-0.50D SER in either eye) determined was 19.6%, with a higher prevalence in older (29.4%) compared to younger (9.9%) children (p<0.001). Using multiple logistic regression models, the risk of myopia was higher in Year 8 South Asian compared to White children and higher in children attending grammar schools relative to comprehensive schools. In addition, the prevalence of uncorrected ametropia was found to be high (Year 8: 12.84%, Year 2: 15.23%), which will be of concern to bodies responsible for the implementation of school vision screening strategies. Biometric data using non-contact partial coherence interferometry revealed a contributory effect of axial length (AL) and central corneal radius (CR) on myopic refraction, resulting in a strong coefficient of determination of the AL/CR ratio on refractive error. Ocular biometric measures did not vary significantly as a function of ethnicity, suggesting a greater miscorrelation of components in susceptible ethnic groups to account for their higher myopia prevalence. Corneal radius was found to be steeper in myopes in both age groups, but was found to flatten with increasing axial length. Due to the inextricable link between myopia and axial elongation, the paradoxical finding of the cornea demands further longitudinal investigation, particularly in relation to myopia onset. Questionnaire analysis revealed a history of myopia in parents and siblings to be significantly associated with myopia in Year 8 children, with a dose-dependent rise in the odds ratio of myopia evident with increasing number of myopic parents. By classifying socioeconomic status (SES) using Index of Multiple Deprivation values, it was found that Year 8 children from moderately deprived backgrounds were more at risk of myopia compared with children located at both extremities of the deprivation spectrum. However, the main effect of SES weakened following multivariate analysis, with South Asian ethnicity and grammar schooling remaining associated with Year 8 myopia after adjustment.

Motivational state and process within the sociolinguistic context : an Anglo-French comparative study of school pupils learning foreign languages

The aim of this study was to investigate the effect of the socio-cultural environment upon the motivation school children have to learn foreign languages. Motivation was therefore considered from a sociolinguistic, rather than from a psycholinguistic perspective, giving primary importance to contextual, as opposed to personal factors. In order to examine the degree of relationship between motivational intensity and the contextual factors of parental attitudes, amount of foreign language exposure and the employment related value of foreign language learning (FLL), data obtained from school children living in two distinct sociolinguistic environments (Mulhouse, France and Walsall, England) were compared and contrasted. A structured sample drawn from pupils attending schools in Mulhouse and Walsall supplied the data base for this research. The main thrust of the study was quantitative in approach, involving the distribution of almost 1000 questionnaires to pupils in both towns. This was followed up by the use of qualitative methods, in the form of in-depth interviews with an individually matched sample of over 50 French/English pupils. The findings of the study indicate that FLL orientations, attitudes and motivation vary considerably between the two sociolinguistic environments. Levels of motivation were generally higher in the French sample than in the English one. Desire to learn foreign languages and a commitment to expend effort in order to fulfil this desire were key components of this motivation. The study also found evidence to suggest that the importance accorded to FLL by the socio-cultural context, communicated to the child through the socialisation agents of the family, the mass media and prospective employers, is of key importance in FLL motivation.