The #tamojunto drug prevention program in brazilian schools: a randomized controlled trial

Sanchez, Zila M.; Valente, Juliana Y.; Sanudo, Adriana; Pereira, Ana Paula D.; Cruz, Joselaine I.; Schneider, Daniela; Andreoni, Solange

doi:10.1007/s11121-017-0770-8

Cited by 97Substance Abuse Treatment and OutcomesYouth, Drugs, and ViolenceSchool Health and Nursing Education

The #tamojunto drug prevention program in brazilian schools: a randomized controlled trial

Sanchez, Zila M., Valente, Juliana Y., Sanudo, Adriana, Pereira, Ana Paula D., Cruz, Joselaine I., Schneider, Daniela, Andreoni, Solange·2017·Prevention Science

DOI 10.1007/s11121-017-0770-8

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Abstract

A randomized controlled trial was conducted in 2014 with 7th and 8th grade students from 72 public schools in 6 Brazilian cities. This trial aimed to evaluate the effects of an adapted European school-based drug prevention program Unplugged, called #Tamojunto in Brazil, which was implemented by the Ministry of Health as part of public policy. The experimental group (n = 3340) attended 12 classes in the #Tamojunto program, and the control group (n = 3318) did not receive a school prevention program. Baseline data were collected prior to program implementation, and follow-up data were collected 9 months later, allowing a matching of 4213 adolescents in both waves. The substances examined were alcohol, tobacco, marijuana, inhalants, cocaine, and crack. Multilevel analyses were used to evaluate the changes in consumption of each drug between time points and between groups. The intervention and control groups had similar baseline characteristics. The mean age of the adolescents was 12.5 ± 0.7 years, and 51.3% were female. The program seemed to increase alcohol use initiation (first alcohol use); students in the experimental group had a 30% increased risk of initiating alcohol use during the 9-month follow-up (aRR = 1.30, 95% confidence interval (95%CI) 1.13-1.49, p < 0.001) compared to the control group. The opposite was found for the first inhalant use: the risk of using inhalants for the first time after baseline was lower in the experimental group (aRR = 0.78, 95%CI 0.63-0.96, p = 0.021) than the control group. The results of the #Tamojunto program suggest that the content and lessons regarding alcohol may enhance curiosity about its use among adolescents. We suggest a re-evaluation of the expansion of the #Tamojunto program in schools while analyzing why the program's effects were inconsistent with those of previous European studies.

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Of the health promotion and education RCTs, 2 were based in the workplace, 5 in the community, 6 in schools, and 7 in clinics, of which 1 focused on women sex workers.
“Of these, 2 were based in the workplace [26,38], 5 in the community [23,37,43,84], 6 in schools [33,40,65,85,86], and 7 in clinics [39,55–57], of which 1 was focused on women sex workers [95].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [85]

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Additional file 1 of Acceptability, feasibility and fidelity of the culturally adapted version of Unplugged (“Yo Se Lo Que Quiero”), a substance use preventive program among adolescents in Chile: a pilot randomized controlled study
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Additional file 3 of Acceptability, feasibility and fidelity of the culturally adapted version of Unplugged (“Yo Se Lo Que Quiero”), a substance use preventive program among adolescents in Chile: a pilot randomized controlled study
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Additional file 2 of Acceptability, feasibility and fidelity of the culturally adapted version of Unplugged (“Yo Se Lo Que Quiero”), a substance use preventive program among adolescents in Chile: a pilot randomized controlled study
Maldonado, G. S., Gaete, J., Gana, S., Valenzuela, D., & Araya, R. (2024) · Figshare · doi:10.6084/m9.figshare.26401988
Additional file 4 of Acceptability, feasibility and fidelity of the culturally adapted version of Unplugged (“Yo Se Lo Que Quiero”), a substance use preventive program among adolescents in Chile: a pilot randomized controlled study
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Authors: Sanchez, Z. M., Valente, J. Y., Sanudo, A., Pereira, A. P. D., Cruz, J. I., Schneider, D., & Andreoni, S.
Affiliations: Universidade Federal de São Paulo (BR)
Universidade Federal de Santa Catarina (BR)
Corresponding author: Sanchez, Zila M.
ORCID: Sanchez, Zila M.
Valente, Juliana Y.
Pereira, Ana Paula D.
Cruz, Joselaine I.
Schneider, Daniela
Andreoni, Solange
Venue: Prevention Science
Publisher: Springer Science and Business Media LLC
Published: 2017-03-31
Volume: 18
Issue: 7
Pages: 772-782
ISSN: 1389-4986 (ISSN-L)
1573-6695
DOI: 10.1007/s11121-017-0770-8
OpenAlex: W2603851548
Cited by: 97
References: 60
Citations by year: 2026: 6 · 2025: 7 · 2024: 11 · 2023: 7 · 2022: 17 · 2021: 19 · 2020: 14 · 2019: 7 · 2018: 4 · 2017: 3
FWCI: 6.00
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (unspecified)
Locations: Prevention Science (publishedVersion)
PubMed (publishedVersion)
UNIFESP Institutional Repository (Universidade Federal de São Paulo) (submittedVersion)
Funders: Brazilian Ministry of Health (89-2014)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Demography › Youth, Drugs, and Violence
Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Keywords: school-based drug prevention, Unplugged program, adolescent substance use, alcohol use initiation, inhalant use, tobacco use, cannabis use, public health policy, program evaluation
MeSH terms: Adolescent, Brazil, Child, Female, Humans, Male, Preventive Health Services, School Health Services, Schools, Substance-Related Disorders

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The #tamojunto drug prevention program in brazilian schools: a randomized controlled trial

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