Modeling ecological risk, health promotion, and prevention program effects for rural adolescents

Qi Wu, Katie C. Stalker, Shenyang Guo, Caroline B.R. Evans, Paul R. Smokowski, Martica Bacallao

Research output: Contribution to journalArticle

Abstract

Objective: Universal prevention programs such as Positive Action (PA) mitigate risk factors and enhance promotive factors, often leading to improved adolescent functioning and school climate. The current study used 5 waves of data to assess the impact of PA on adolescent mental health and perceptions of school climate 1 year after completion of the program in a sample of low-income, rural youth. Method: Following multiple imputation and propensity score analysis, we ran 4 (2-level) hierarchal linear models to examine program effects. Results: PA program participants reported significant increases in self-esteem and significant decreases in school hassles relative to youths who did not participate in PA. Participation in PA did not have a significant impact on internalizing symptoms or aggression. Risk factors across the adolescents’ ecology had a strong negative impact on the outcomes, and some promotive factors modestly bolstered adolescent functioning. Conclusions: Findings highlight the profound influence that risk factors— especially negative interpersonal conflicts—have on adolescent outcomes and indicate that, although PA can help improve adolescents’ perceptions of themselves and their school climate, the program might need to be tailored for use in low-income, rural areas.

Original languageEnglish (US)
JournalJournal of the Society for Social Work and Research
DOIs
StatePublished - Jan 1 2019

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health promotion
adolescent
school climate
low income
linear model
aggression
self-esteem
ecology
rural area
mental health
participation
school

Keywords

  • Adolescent functioning
  • Positive action
  • Rural
  • School-based intervention

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Sociology and Political Science

Cite this

Modeling ecological risk, health promotion, and prevention program effects for rural adolescents. / Wu, Qi; Stalker, Katie C.; Guo, Shenyang; Evans, Caroline B.R.; Smokowski, Paul R.; Bacallao, Martica.

In: Journal of the Society for Social Work and Research, 01.01.2019.

Research output: Contribution to journalArticle

Wu, Qi ; Stalker, Katie C. ; Guo, Shenyang ; Evans, Caroline B.R. ; Smokowski, Paul R. ; Bacallao, Martica. / Modeling ecological risk, health promotion, and prevention program effects for rural adolescents. In: Journal of the Society for Social Work and Research. 2019.
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