Avaliação do processo de implantação do programa Unplugged de Prevenção ao Uso de Drogas em escolas de São Paulo e Santa Catarina

• Ano de defesa: 2016
• Autor(a) principal: Medeiros, Pollyanna Fausta Pimentel de [UNIFESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Process evaluation; Unplugged Program; Prevention of drug use; Adolescence; School; Avaliação de Processo; Programa Unplugged; Prevenção ao uso de Drogas; Adolescente; Escola; Saúde Coletiva
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=3803782; http://repositorio.unifesp.br/handle/11600/41877

Objective: To evaluate the implementation process of the Prevention Program Unplugged in middle schools (6th to 9th grade) of Florianópolis (SC), São Paulo and São Bernardo do Campo (SP); to analyze the implementation fidelity of program Unplugged according to teachers that delivered the program; to assess the acceptability of the Unplugged program from the perspective of those involved in the process; to analyze the perception of teachers, students and school administrators about the implantation of the Unplugged program to understand the difficulties, facilities and capabilities of the program. Methods: Mixed methods were used in this process evaluation study. The program was implemented in 8 public schools in three Brazilian cities and delivered in 62 classes by 36 teachers to 1833 students from 6th to 9th grade, in 2013. In the quantitative phase, teachers filled out the fidelity check list (class by class) and students and teachers answered to the global satisfaction questionnaires after classroom program implementation. Qualitative data were collected through focus groups with semi-structured guide, categorized into five areas: Previous experience with prevention; joints; Implantation; Immediate results and future of the project, considering the aspects of fidelity, acceptability and feasibility of the program. The focus groups were conducted at the end of the implantation process. 14 focus groups were conducted with 100 subjects among teachers, stakeholders, school managers, coaches and students. Results: The program was delivered in appropriate proportions in schools and have been completed -12 lessons - in 94% of classes. Teachers realize an enrichment of their teaching skills with the application of Unplugged. We identified a good interaction and relationship between students and teachers. Teachers described most of the difficulties encountered in the process of program implantation. There was great emphasis on the lack of time to devote to the program, from the preparation of lessons to the application of them. Teachers and managers pointed out the importance of including the program in political-pedagogical project of the school. Most of students (77.9%) were satisfied or very satisfied with the program and suggested continuity (76.5%) in the next school year. The training of teachers to work with the methodology in the classroom and the dialogue between the coaches, stakeholders and the school staff appeared as an important aspect of the program implantation. Conclusions: According to the results, Unplugged is a program feasible to be implanted and expanded in Brazilian schools. However, to ensure continuity without compromising the academic curriculum content it will require logistical and process changes in the school environment. The study results helped to identify critical operational aspects, as well as the opportunities, difficulties and facilities to support the prevention of drug use as a public policy.