Adaptation and feasibility assessment of a dating violence prevention program for girls in foster care.

BACKGROUND: Dating violence in adolescence is a serious public health issue due to its significant impact on mental health and its significant predictive value for intimate partner violence in adulthood. Universal and selective programs can contribute to the prevention of this issue. Nonetheless, there are few selective programs with evidence of feasibility in contexts of social vulnerability. OBJECTIVE: The present study examined evidence of the feasibility of a dating violence selective prevention program for girls in foster care by monitoring process indicators during the implementation phase of a pilot study. METHODS: The program, originally designed for adolescents in the general population, was adapted to the context of girls at risk. The pilot study was conducted in the southern region of Brazil and involved the participation of six girls aged between 15 and 17. Both quantitative and qualitative measures were used, and the data were explored through frequency analysis, the Jacobson and Truax test, and content analysis. RESULTS: The study identified favorable evidence regarding demand, acceptability, and adaptation of the intervention. On the other hand, contextual and institutional barriers hindered recruitment and restricted the reach of the intervention. CONCLUSION: Although there are changes to be made to improve the program's applicability in its specific context, it should be emphasized that this study provides evidence to maintain the methods and content of the intervention.

A collective autoethnography of coproduction in mental health research by academic researchers and young people in Brazil.

INTRODUCTION: Coproduction of mental health research and interventions involving researchers and young people is increasingly common. However, this model raises challenges, related, for instance, to communication, power and control. This paper narrates-from a collective first-person perspective-the lived experience of coproduction of a digital intervention by institutional researchers and young citizen researchers in Brazil. METHOD: This study employed a collaborative autoethnographic methodology, utilising autobiographical data such as meeting recordings, individual notes and collective guided reflections on the coproduction process. Our analysis focused on challenges and solutions that arose during the process. RESULTS: Throughout the project, we created formal and informal mechanisms for accountability, transparency and fair inclusion of multiple voices. We engaged in mutual capacity-building, invested in building interpersonal knowledge, and implemented practices to reduce overload and promote equitable participation. Through ongoing reflection and readjustment in response to challenges, we progressively embraced more democratic and egalitarian values. The collective care invested in the process fostered synergy, trust, and intergroup friendship. CONCLUSION: Our experience points to the value of creating a space for multiple research identities: the citizen young person and the institutional researcher, both of whom critically reflect on their roles in the research process. Our focus on coproduced care calls into question participation metaphors that represent the process via a single axis-young people-who linearly progress from minimal participation to full autonomy. Instead, our analysis highlights the importance of a social and caring bond that supports the radical co-production of innovative health solutions in contexts of vulnerability.

Application of Direct and Systematic Observation of Interaction with Teenage Mother-Son Dyads / Aplicação de Observação Direta e Sistemática da Interação com Díades Mãe-Filho Adolescente / Aplicación de la Observación Directa y Sistemática de la Interacción con Díadas Madre-Hijo Adolescente

Abstract The observation of parent/child interaction is an effective method for identifying, evaluating, and monitoring adolescents and families who need or are undergoing intervention. This study aims to (1) describe a method of direct and systematic observation of dyadic interaction and (2) discuss its application in research with families with adolescents in northeastern Brazil. The data collection and analysis procedures are presented, indicating their possibilities and limits based on the lessons learned from this experience. The experience of applying the method is discussed through potential advances and challenges for the field of observational research in Psychology. It is concluded that the method of direct and systematic observation of dyadic interaction is, on the one hand, expensive in terms of expertise, time, and resources, and, on the other hand, it is a rich source of data for understanding interaction patterns in multiple contexts.

Resumo A observação da interação pai/mãe e filha/o é um método efetivo para identificação, avaliação e monitoramento de adolescentes e famílias que necessitem ou estejam em intervenção. Este artigo tem como objetivos: (1) descrever um método de observação direta e sistemática da interação diádica; e (2) discutir sobre sua aplicação em uma pesquisa junto a famílias com adolescentes do nordeste brasileiro. Apresentam-se os procedimentos de coleta e análise de dados, indicando suas possibilidades e limites a partir das lições aprendidas com esta vivência. Discute-se a experiência de aplicação do método por meio dos potenciais avanços e desafios para o campo da pesquisa observacional em Psicologia. Conclui-se que o método da observação direta e sistemática da interação diádica é, por um lado, dispendioso em termos de expertise, tempo e recursos e, por outro, consiste em rica fonte de dados para a compreensão dos padrões de interação em múltiplos contextos.

Resumen La observación de la interacción padre/hijo es un método efectivo para identificar, evaluar y monitorear a los adolescentes y familias que necesitan o están siendo intervenidos. Objetivos: (1) describir un método de observación directa y sistemática de la interacción diádica y (2) discutir su aplicación en una investigación junto a familias con adolescentes en el noreste brasileño. Se presentan los procedimientos de recolección y análisis de datos, indicando sus posibilidades y límites a partir de las lecciones aprendidas de esta experiencia. Se discute la experiencia de aplicación del método a través de potenciales avances y desafíos para el campo de la investigación observacional en Psicología. Se concluye que el método de observación directa y sistemática de la interacción diádica es, por un lado, costoso en términos de experiencia, tiempo y recursos y, por otro, es una rica fuente de datos para comprender los patrones de interacción en múltiples contextos.

Manual de implementação do programa famílias fortes: um guia para gestores públicos, profissionais e agentes comunitários / Strong families program implementation manual: a guide for public managers, professionals and community agents

Este manual destina-se a informar gestores públicos, profissionais e agentes comunitários acerca do processo de implementação do Programa Famílias Fortes, um programa preventivo cuja finalidade é favorecer a qualidade da relação familiar e prevenir problemas decorrentes do abuso de substâncias em adolescentes. A implementação do Programa Famílias Fortes foi iniciada pela Coordenação de Saúde Mental, Álcool e Outras Drogas do Ministério da Saúde em 2013 e, posteriormente, realizada em conjunto com a Secretaria Nacional de Políticas sobre Drogas (SENAD) e operacionalizada pela Fundação Oswaldo Cruz. Entre 2015 e 2020, a SENAD fomentou um estudo conduzido pela Universidade de Brasília com o objetivo de avaliar a efetividade, qualidade da implementação e validade social do Programa Famílias Fortes em quatro estados da região Nordeste do Brasil, que gerou diversos produtos, dentre os quais o presente manual. Assim, as diretrizes para implementação do Programa Famílias Fortes ora descritas derivam de dados de pesquisa, experiência prática e teoria. São consideradas barreiras e facilitadores contextuais e providas diretrizes para gestores, profissionais e agentes comunitários a fim de facilitar a preparação do contexto para receber o Programa Famílias Fortes e maximizar as chances de êxito no processo de implementação. Este manual está organizado em duas partes. A primeira parte é conceitual e discute o que é prevenção, descreve a prevenção baseada na família e apresenta o Programa Famílias Fortes. A segunda parte é prática e descreve como o Programa Famílias Fortes pode ser implementado, desde sua entrada no espaço ao qual se destina, passando pela mobilização dos atores interessados na comunidade, a preparação dos facilitadores, o recrutamento das famílias, a organização da logística da execução, a execução do Programa Famílias Fortes propriamente dita, até o planejamento de sua continuidade. A segunda parte apresenta ainda ferramentas de apoio e leituras sugeridas.

Scoping review of 30 years of suicide prevention in university students around the world: efficacy, effectiveness, and cost-effectiveness.

A scoping review of systematic reviews was carried out to identify evidence of efficacy, effectiveness, and cost-effectiveness of universal and selective suicide prevention programs among university students worldwide. Five databases were reviewed using terms in English, Spanish, and Portuguese. The following were the inclusion criteria: systematic review or meta-analysis or meta-synthesis, suicide prevention in college students, evaluation of the efficacy, effectiveness and/or cost-effectiveness of interventions, and peer-reviewed studies. The quality of reviews was assessed. The field of study features three decades of publication in high-income countries. The strategy used, the components of the program, and the target audience to which they are delivered interfere with efficacy. In the psychoeducation strategy, the experiential and didactic components are more efficacious in the knowledge about suicide. And the motivational enhancement component promotes greater self-efficacy in suicide prevention. Programs that take a multimodal approach are effective in increasing short-term attitudes related to suicide and reducing rates of completed suicide. The gatekeeper strategy delivered to peer counselors is the most effective one in the outcomes, including short-term and long-term knowledge about suicide and its prevention and self-efficacy in suicide prevention. A greater number of evaluated studies of gatekeeper interventions were identified, indicating a trend in this research field. No review addressed the effects on subgroups that were classified based on sex, racial or sexual minorities, and special (indigenous) populations. Only one study addressed cost-effectiveness, pointing out that the psychoeducation and gatekeeper strategies have relevant net benefit rates, but the gatekeeper strategy has a higher cost-benefit ratio compared to the psychoeducation strategy. The findings indicate that psychoeducation and gatekeeper interventions tend to be more efficacious when they combine education and skills training to intervene in suicidal behavior. The components of the intervention and the target audience to which it is delivered influence efficacy. Multimodal interventions evaluate completed suicide outcomes, but require greater implementation efforts, in terms of human and financial resources and more time for the evaluation.

Mecanismos de empoderamento de mulheres negras: um estudo qualitativo / Black women empowering mechanisms: a quality study

Propostas de promoção de empoderamento, que visam maximizar as possibilidades de ação no ambiente de vida, podem contribuir para a mudança dessa realidade ao aumentar as chances de alcançar acesso mais igualitário a recursos que favorecem condições dignas de vida, garantias de direitos, bem-estar e saúde. Nesse sentido, o objetivo deste estudo foi investigar, a partir da visão das participantes, elementos que podem funcionar como mecanismos favorecedores de empoderamento para as mulheres negras. Participaram do estudo 23 mulheres de três estados brasileiros. A coleta de dados foi realizada por meio de entrevistas e a análise do material se deu por meio de Análise Temática, baseada em uma compreensão multidimensional de empoderamento. Os resultados apontam os mecanismos de empoderamento de mulheres negras localizados em três níveis de análise micro/pessoal, meso/comunitário e macro/social. Isso vai ao encontro de abordagens que compreendem o conceito a partir de uma perspectiva multidimensional e ressalta a importância de não se adotar apenas um foco individual. Os achados do estudo apontam ainda elementos que remetem a vivências interseccionadas por raça, gênero e classe.

Proposals to foster empowerment, aiming to increase people's possibilities of taking action in their living environment, may contribute to change this reality by increasing the chances for more equalitarian access to resources favoring more dignifying living conditions, the guarantee of rights, health and welfare. Thus, the goal of this study was to investigate, beginning from the participants' point of view, elements that could work as black women empowerment mechanisms. 23 women from three Brazilian states took part in the study. Data was collected through interviews with an open question and a sociodemographic questionnaire. The material analysis was performed using Thematic Analysis based on a multidimensional understanding of empowerment. The results point to black women empowerment mechanisms in three levels of analysis: micro/personal, meso/community, and macro/social levels. This is in accordance with approaches which understand the aforementioned concept by means of a multidimensional perspective, also emphasizing the importance of not using an individual focus, solely. The study findings also indicate elements which refer to intersectional experiences of race, gender and class.

Age Diversity Management in Organizations Scale: development and evidence of validity / Escala Gestão da Diversidade Etária nas Organizações: desenvolvimento e evidências de validade / Escala Gestión de la Diversidad de Edades en las Organizaciones: desarrollo y evidencias de validez

This study aimed to develop the Age Diversity Management in Organizations scale for the Brazilian context and verify its evidence of validity. The process included five steps: proposal of its definition and development of the items according to the literature; content and semantic validity by judges; semantic validity by the target population; exploratory factorial analysis (EFA); and confirmatory factorial analysis (CFA). The EFA sample consisted of 674 workers from different organizations and the CFA of 722 workers. The final version of the scale was composed of 20 items (α =.91), divided into four factors: retirement preparation practices (5 items, α =.93); equal treatment for workers of different ages (6 items, a=.85), training to promote age diversity (5 items, α =.81), and management practices for older workers (4 items, α =.72). The theoretical and practical implications as well as the limitations of this measure are discussed. (AU)

Este estudo objetivou desenvolver e identificar os indícios de validade da escala Gestão da Diversidade Etária nas Organizações (GeDEO) para o contexto brasileiro. Esse processo incluiu cinco etapas: proposição do conceito e redação dos itens à luz da literatura; validade de conteúdo e semântica por juízes; validação semântica pelo público-alvo; análise fatorial exploratória (AFE) e análise fatorial confirmatória (AFC). A amostra da AFE foi composta por 674 trabalhadores de diversas organizações e, a da AFC, por 722. A versão final possui 20 itens (α = 0,91), com quatro fatores: práticas de preparação para aposentadoria (5 itens, α = 0,93); tratamento equânime a trabalhadores de diferentes idades (6 itens, α = 0,85); treinamento para promoção da diversidade etária (5 itens, α = 0,81) e práticas de gestão de pessoas a trabalhadores mais velhos (4 itens, α = 0,72). As implicações teórico-práticas e as limitações desta medida são discutidas. (AU)

El objetivo fue desarrollar e identificar las evidencias de validez de la escala de Gestión de la Diversidad de Edades en las Organizaciones para el contexto brasileño. Este proceso incluyó cinco pasos: propuesta del concepto y desarrollo de los ítems; validez de contenido y semántica por los jueces; validez semántica por parte de la población objetivo; análisis factorial exploratorio (AFE) y análisis factorial confirmatorio (AFC). La muestra de AFE consistió en 674 trabajadores de diferentes organizaciones, y la de AFC, en 722. La versión final contiene 20 ítems (α = 0,91), divididos en cuatro factores: prácticas de preparación para la jubilación (5 ítems, α = 0,93); igualdad de trato pata los trabajadores de diferentes edades (6 ítems, α = 0,85), capacitación para promover la diversidad de edades (5 ítems, α = 0,81) y prácticas de gestión para trabajadores mayores (4 ítems, α = 0,72). Se discuten las implicaciones teóricas y prácticas, así como las limitaciones de esta medida. (AU)

"Eu quero um amor": violência no namoro e medida socioeducativa / "I want love": violence in dating and socio-educative confinement / "Quiero un amor": violencia en relación amorosa yencarcelamiento socioeducativo

A presente pesquisa teve por objetivo compreender como se manifesta a violência em relacionamentos amorosos de adolescentes do sexo feminino no contexto de internação socioeducativa. A pesquisa foi realizada tendo a inserção ecológica como método. O pesquisador realizou 32 visitas a uma unidade de internação mista, com média de 3h por visita. Considerou-se participante da pesquisa 25 pessoas (14 adolescentes e 11 servidoras). Os dados foram analisados por meio da análise temática e apontaram para a presença da violência em relacionamentos amorosos das adolescentes, tanto atuais como pregressos. A violência cumpre várias funções no relacionamento amoroso e afeta o desenvolvimento de competências psicossociais. A unidade não dispunha de intervenção que abordasse prevenção à violência no namoro, apesar de relacionamentos amorosos aparecerem como um componente do projeto de vida. É fundamental a compreensão das múltiplas violências às quais o público feminino está submetido para qualificação do atendimento socioeducativo. (AU)

La presente investigación tuvo como objetivo entender como se manifiesta la violencia en relaciones románticas de las adolescentes en el contexto de lo encarcelamiento socioeducativo. La investigación se realizó utilizandoinserción ecológica como método. El investigador realizó 32 visitas a una unidad mixta de detención, con un promedio de 3 horas por visita. Se consideró participante del estudio a 25 personas (14 adolescentes y 11 sirvientes). Los datos se analizaron mediante análisis temático y señalaron la presencia de violencia en las relaciones sentimentales, tanto actuales como pasadas. La violencia cumple varias funciones en la relación sentimental y afecta el desarrollo dehabilidades psicosociales. La unidad no contó conintervención que abordara la prevención de la violencia en el noviazgo, aunque las relaciones amorosas aparecen como un componente del proyecto de vida. Comprender la violencia múltiple a la que está sometido el público femenino es fundamental para calificar la asistencia socioeducativa. (AU)

The present article aims to comprehend how is manifested the violence in amorous relationships of female adolescents in the context of socio-educative confinement. The research was carried out with the use of ecological insertion as a method.The researcher undertook 32 visits to the facility, with an average of 3 hours per visit. Were considered as participants in the research 25 people (14 adolescents and 11 servants). The data were analyzed through thematic analysis and point to the presence ofviolence in both current and previous amorous relationships. Violence fulfills several functions in the relationship and affects the development of psychosocial skills. The facility did not haveintervention that approached prevention to violence in dating, although amorous relationships appear as a component to the project of life. These can contribute to the visibility of the female public that fulfills socio-educative confinementand to the qualification of the care provided.(AU)

Adaptation of the Communities That Care Youth Survey for use in Brazil: A pilot study.

Substance use and violence are serious problems affecting Brazilian youth, prompting local authorities to invest in adapting and implementing evidence-based prevention programs developed abroad. To ensure that interventions are effective, valid and reliable measures of risk factors for substance use and violence are needed. We conducted a pilot examination of the measurement properties of risk factors in the Communities That Care Youth Survey (CTCYS), a school-based survey developed in the United States. The Brazilian-adapted CTCYS included 25 risk factors as well as measures of substance use and antisocial behaviors. The survey was translated into Brazilian Portuguese and adapted for use in Brazil, incorporating suggestions from local experts. The survey was administered to 926 students in one Brazilian community. Results indicate that scale internal consistency was acceptable for all but two scales: (i) Academic Failure and (ii) Rebelliousness. Confirmatory factor analyses suggested good model fit for most measurement models albeit with minor modifications for most scales. Findings from this pilot study provide a foundation for the use of the CTCYS in Brazil to assess community levels of adolescent risk and evaluate prevention programs.

Difusão de Programas Preventivos em Saúde Mental: Notas Teóricas / Diffusion of Preventive Programs in Mental Health: Theoretical Notes

Resumo Transtornos mentais causam incapacidades e mortes prematuras, além de representarem custos psicológico, social e econômico elevados. Embora programas de prevenção e promoção em saúde mental com evidências de efetividade estejam disponíveis, são pouco difundidos mundo afora e, em particular, no Brasil. Este artigo tem o propósito de discutir a difusão de programas de prevenção e promoção em saúde mental, segundo as lentes da Teoria da Difusão de Inovações e os desdobramentos contemporâneos. Ênfase será dada às etapas de disseminação, adoção, implementação e sustentabilidade. Implicações para o ensino, a pesquisa e a gestão são discutidas.

Abstract Mental disorders cause disability and premature death, as well as represent psychological, social and economic high costs. Although prevention and promotion programs in mental health with effectiveness evidence is available, they are less disseminated worldwide, particularly in Brazil. This article aims to discuss the diffusion of prevention and promotion programs in mental health, according to the lens of the Theory of Diffusion of Innovation and contemporary developments. Emphasis will be given to the phases of dissemination, adoption, implementation and sustainability. Implications for teaching, research and management are discussed.

Scoping review of 30 years of suicide prevention in university students around the world: efficacy, effectiveness, and cost-effectiveness

A scoping review of systematic reviews was carried out to identify evidence of efficacy, effectiveness, and costeffectiveness of universal and selective suicide prevention programs among university students worldwide. Five databases were reviewed using terms in English, Spanish, and Portuguese. The following were the inclusion criteria: systematic review or meta-analysis or meta-synthesis, suicide prevention in college students, evaluation of the efficacy, effectiveness and/or cost-effectiveness of interventions, and peer-reviewed studies. The quality of reviews was assessed. The field of study features three decades of publication in high-income countries. The strategy used, the components of the program, and the target audience to which they are delivered interfere with efficacy. In the psychoeducation strategy, the experiential and didactic components are more efficacious in the knowledge about suicide. And the motivational enhancement component promotes greater self-efficacy in suicide prevention. Programs that take a multimodal approach are effective in increasing short-term attitudes related to suicide and reducing rates of completed suicide. The gatekeeper strategy delivered to peer counselors is the most effective one in the outcomes, including short-term and long-term knowledge about suicide and its prevention and self-efficacy in suicide prevention. A greater number of evaluated studies of gatekeeper interventions were identified, indicating a trend in this research field. No review addressed the effects on subgroups that were classified based on sex, racial or sexual minorities, and special (indigenous) populations. Only one study addressed cost-effectiveness, pointing out that the psychoeducation and gatekeeper strategies have relevant net benefit rates, but the gatekeeper strategy has a higher cost-benefit ratio compared to the psychoeducation strategy. The findings indicate that psychoeducation and gatekeeper interventions tend to be more efficacious when they combine education and skills training to intervene in suicidal behavior. The components of the intervention and the target audience to which it is delivered influence efficacy. Multimodal interventions evaluate completed suicide outcomes, but require greater implementation efforts, in terms of human and financial resources and more time for the evaluation. (AU)

Preditores de Barreiras à Criatividade de Estudantes de Engenharia / Predictors of Barriers to Creativity of Engineering Students / Predictores de Barreras a la Creatividad de Estudiantes de Ingeniería

Na formação de engenheiros, a criatividade é valorizada por estar relacionada com inovação, mas há muitos desafios para serem enfrentados a fim de encorajá-la nesse contexto. Buscando oferecer condições para o desenvolvimento da criatividade no ensino superior, a literatura investiga a existência de fatores pessoais e ambientais que podem facilitar ou inibir a expressão criativa dos universitários. O objetivo foi identificar preditores de barreiras à criatividade de estudantes de engenharia, considerando variáveis pessoais e acadêmicas. Participaram 374 universitários, que responderam ao Questionário para Caracterização da Amostra e ao Inventário de Barreiras à Criatividade Pessoal. Regressão logística múltipla foi usada para tratamento dos dados. A variável resposta (se concordam ou não com fatores que refletem barreiras à criatividade) foi explicada levando em consideração um conjunto de variáveis preditoras (idade, gênero, curso de engenharia, período de curso e se trabalha). Os principais resultados sugerem que as variáveis gênero feminino e primeiro ano do curso foram preditoras para a barreira Inibição/Timidez; e as variáveis primeiro e segundo ano do curso foram preditoras para a barreira Repressão Social. Discutiu-se a importância desses resultados na ampliação de recursos pessoais e no fortalecimento de uma cultura institucional voltada para a valorização e o desenvolvimento da criatividade. (AU)

In engineering education, creativity is valued for being related to innovation, but there are challenges to be faced in order to encourage it in the undergraduate context. Seeking to offer conditions for the development of creativity in higher education, the literature investigates the existence of personal and environmental factors that can facilitate or inhibit the creative expression. The objective was to identify predictors of barriers to creativity in engineering students, considering personal and academic variables. Three hundred and seventy-four students participated, responding to the Questionnaire for Sample Characterization and Inventory of Barriers to Personal Creativity. Multiple logistic regression was used for data processing. The response variable (whether or not they agree with factors that reflect barriers to personal creativity) was explained taking into account predictor variables (age, gender, type of course, period of course and job). The main results suggest variables like female gender and first year of the course are predictors for the Inhibition/Shyness barrier; and first and second years of the course are predictors for the Social Repression barrier. These results are important to expand personal resources and strengthen an institutional culture focused on the appreciation and development of creativity. (AU)

En la formación educación de ingenieros en ingeniería, la creatividad se valora por estar relacionada con la innovación, pero hay muchos desafíos para enfrentar el debe fomento arse en ese contexto. Buscando ofrecer condiciones para el desarrollo de la creatividad en la educación superior, la literatura investiga la existencia de factores que pueden facilitar o inhibir la expresión creativa de los estudiantes universitarios. El objetivo fue identificar predictores de barreras a la creatividad en estudiantes de ingeniería, considerando variables personales y académicas. Participaron 374 estudiantes, que quienes respondieron el Cuestionario para la Caracterización de Muestras y el Inventario de Barreras a la Creatividad Personal. La regresión logística múltiple se utilizó para el análisis de los datos. La variable respuesta (si están o no de acuerdo con factores que reflejan barreras para la creatividad) se explicó teniendo en cuenta las variables predictivas (edad, género, curso, período de curso y trabajo). Los resultados sugieren que las variables género femenino y primer año del curso fueron predictores de la barrera de inhibición/timidez; y primer y segundo año del curso fueron predictores de la barrera de represión social. La importancia de estos resultados se discute en la expansión de los recursos personales y en el fortalecimiento de una cultura institucional dirigida a valorar y desarrollar la creatividad. (AU)

A Experiência Brasileira de Prevenção Escolar e Comunitária do Uso de Álcool e Outras Drogas: Registro Histórico de Adaptação, Implementação e Avaliação entre os Anos de 2013 a 2018 / The Brazilian Experience of School and Community Prevention of the Use of Alcohol and Other Drugs: Historical Record of Adaptation, Implementation and Evaluation between the Years 2013 to 2018

O livro A Experiência Brasileira de Prevenção Escolar e Comunitária do Uso de Álcool e Outras Drogas: Registro Histórico de Adaptação, Implementação e Avaliação entre os Anos de 2013 a 2018 apresenta um conjunto de ações inovadoras de prevenção escolar e comunitária de problemas decorrentes do uso de álcool e outras drogas. Tratou-se de uma iniciativa da Coordenação de Saúde Mental, Álcool e Outras Drogas, do Ministério da Saúde, em parceria com o Escritório das Nações Unidas sobre Drogas e Crimes (UNODC), que foi, em seguida, implementada, intersetorialmente, com a participação da Secretaria Nacional de Políticas sobre Droga, do Ministério da Justiça e da Fundação Oswaldo Cruz. Essas ações se deram no âmbito do "Plano de Ação e Enfrentamento ao Crack", do qual derivou o "Programa Crack: é Possível Vencer", com três eixos norteadores: segurança, cuidado e prevenção. Este livro versa sobre o terceiro eixo, prevenção, que foi operacionalizado por meio da adoção de três programas internacionais baseados em evidência para implementação em escolas e serviços de proteção social básica: Unplugged, que se tornou #Tamojunto; GoodBehavior Game, que foi adaptado e tornou-se Jogo Elos; e StrengtheningFamilies, nomeado, inicialmente, de Programa Fortalecendo Famílias e, posteriormente, de Programa Famílias Fortes. Enquanto os dois primeiros foram implementados no contexto escolar, o último destinava-se a famílias usuárias dos serviços de proteção social básica. O texto busca retratar as aprendizagens acumuladas, relativas à adaptação, implementação, avaliação e fortalecimento dos três programas preventivos referidos. Esperamos que as lições aprendidas e os processos que as geraram, descritos neste livro, possam manter viva a memória desses anos de intenso trabalho, seja nos espaços de formulação de políticas públicas, gestão, implementação, ensino ou pesquisa.

Promoção da Saúde e Prevenção de Agravos à Saúde: diálogos de Norte a Sul / Health Promotion and Prevention of Health Diseases: dialogues from North to South

A obra Promoção da Saúde e Prevenção de Agravos à Saúde: Diálogos de Norte a Sul é fruto de um processo de trabalho colaborativo entre a Associação Brasileira de Pesquisa em Prevenção e Promoção da Saúde (BRAPEP), a Associação Brasileira da Rede Unida e o Grupo Temático de Promoção da Saúde e Desenvolvimento Sustentável da Associação Brasileira de Saúde Coletiva (GT PS & DS ­ ABRASCO). O livro é composto por 16 capítulos organizados em seis seções: Diálogos Inter-regionais; Diálogos com o Norte; Diálogos com o Nordeste; Diálogos com o Centro-oeste; Diálogos com o Sudeste e Diálogos com o Sul. É notável, em cada uma destas seções, a robustez e relevância social das práticas e pesquisas, fortemente alicerçadas em metodologias qualitativas, articuladas a diferentes temas transversais e eixos operacionais da promoção da saúde e prevenção de agravos à saúde, bem como a movimentos e políticas diversas. Dentre os movimentos, destacam-se o Movimento por Municípios, Cidades e Comunidades Saudáveis; Movimento de Lésbicas, Gays, Bissexuais, Travestis e Transexuais; e o Movimento das Universidades Promotoras de Saúde. Dentre as políticas, incluem-se a Política Nacional de Promoção da Saúde, Política Nacional de Atenção Básica, Política Nacional de Enfrentamento à Violência contra as Mulheres, Política Nacional de Assistência Social, Política Nacional de Educação Ambiental e Política Nacional de Humanização. Os textos convidam ao fortalecimento de redes de pesquisadores, gestores, profissionais e interessados no campo da promoção da saúde e prevenção de agravos à saúde. A leitura encoraja, ainda, o investimento na produção, disseminação e uso do conhecimento em cada um destes campos, mas também no ponto em que ambos os campos se interligam, se conectam e dialogam.

Social Validity of the Strengthening Families Program in Northeastern Brazil: the Voices of Parents, Adolescents, and Facilitators.

In 2013, Brazil's Ministry of Health adopted the Strengthening Families Program (SFP 10-14), developed internationally for preventing drug abuse by enhancing family bonds. The social validity of the objectives, procedures, and perceived impacts of the program were investigated for participants and facilitators in northeastern Brazil. Focus groups with parents/guardians (N = 199), adolescents (N = 111), and facilitators (N = 100) were implemented. Content analysis revealed that the program's objectives were considered socially relevant and that there was a positive short-term perceived impact on family cohesion, authoritative parenting style, adolescent life skills, and the facilitators' professional capacity. The parents/guardians and adolescents presented a positive perception of the appropriateness of the program's methodology, while facilitators indicated the need to adapt it to vulnerable families and improve its implementation conditions. Future studies may benefit from these findings when developing similarly viable and scalable interventions in low-resource settings. Brazilian Trial Register RBR-7q9xh5. Registered 5 August 2017, http://www.ensaiosclinicos.gov.br/rg/RBR-7q9xh5/.

Término de relacionamentos íntimos violentos: uma revisão da literatura / Término de relaciones de pareja violentas: una revisión de la literatura / Mettre fin aux relations intimes violentes: une revue de la littérature / Leaving violent intimate relationships: a literature review

Resumo Este artigo analisa avanços e limitações na produção científica acerca do processo de término de relações íntimas violentas. Realizou-se busca nas bases de dados Portal de Periódicos Capes e SciELO, com entradas em inglês, francês, espanhol e português. O critério de inclusão foi tratar do término de relações amorosas violentas ou de aspectos da decisão ficar versus sair. Encontraram-se catorze estudos publicados entre 1999 e 2015, dos quais metade tinha design quantitativo e a outra metade, qualitativo. Estas variáveis mostraram correlação com o avanço rumo ao término nos estudos quantitativos: nível de investimento, comprometimento, normas subjetivas, atribuir ao agressor a responsabilidade pela agressão, sentimento de raiva, barreiras e facilitadores estruturais. Para os sete estudos qualitativos, observaram-se: a proposta de novos modelos de compreensão, a maior variabilidade de recrutamento das amostras e a consideração do período pós-separação nas análises. Discutem-se recomendações para a prática profissional e a pesquisa.

Resumen Este artículo analiza los avances y las limitaciones en la producción científica sobre el proceso de término de relaciones de parejas violentas. Se realizaron búsquedas en las bases de datos Portal de Periódicos Capes y SciELO con entradas en inglés, español, francés y portugués. Los criterios de inclusión fueron tratar del término de relaciones de pareja violentas o de aspectos de la decisión de quedarse versus dejar. Se incluyeron 14 estudios publicados entre 1999 y 2015, los cuales la mitad fue de enfoque cuantitativo, y la otra mitad, cualitativo. Estas variables tuvieron correlación con el avance al término en los estudios cuantitativos: nivel de inversión, compromiso, normas subjetivas, atribuir responsabilidad al agresor por la agresión, sentimiento de rabia, barreras y facilitadores estructurales. Para los siete estudios cualitativos se observó: la propuesta de nuevos modelos de comprensión, la variabilidad de reclutamiento de los muestreos y la consideración del período que sigue la separación en los análisis. Se discuten recomendaciones para la práctica profesional e investigación.

Résumé Cet article analyse les avances et les limites de la production scientifique sur le processus de rompre des relations intimes violentes. On a mené une recherche dans les bases de données Portal Periódico Capes et SciELO, avec des mots-clés en anglais, français, espagnol et portugais. Les études discutant la fin des relations amoureuses violentes ou les aspects de la décision de rester ou de partir ont été incluses. On a trouvé 14 études publiées entre 1999 et 2015, dont la moitié avait une conception quantitative et l'autre moitié, qualitative. Dans les sept études quantitatives, les variables suivantes ont montré une corrélation avec la progression vers la fin de la relation : niveau d'investissement, engagement, normes subjectives, attribution de la responsabilité de l'agression à l'agresseur, colère, obstacles et facilitateurs structurels. Pour les sept études qualitatives, on a observé : la proposition de nouveaux modèles de compréhension, la plus grande variabilité dans le recrutement des échantillons et la prise en compte de la période post-séparation dans les analyses. Des recommandations pour la pratique professionnelle et la recherche sont discutées.

Abstract This article analyzes the advances and limitations in the scientific production regarding the process of leaving violent intimate relationships. For that, articles addressing leaving violent relationships or the stay/leave process as the main theme, written in English, Portuguese, Spanish, and French, were searched in Periódicos Capes and SciELO Web searches. The search resulted in 14 articles published between 1999 and 2015 - half with a quantitative design and the other half with a qualitative design. Investment, commitment, subjective norms, responsibility attribution, anger, and structural barriers and facilitators were correlated with the leaving process. These studies also understood the end of relationship as a process. Qualitative studies proposed new models, focused on strategies that enable the leaving process, and considered the post-separation period in the analysis. Thus, this study provides recommendations for professional practice and further research on the theme.

Barriers and Facilitators in the Strengthening Families Program (SFP 10-14) Implementation Process in Northeast Brazil: A Retrospective Qualitative Study.

This study analyzed contextual barriers and facilitators in the implementation of Strengthening Families Program (SFP 10-14), Brazilian version, a family-based preventive program focused on the prevention of risk behaviors for adolescent health. SFP 10-14 was implemented between 2016 and 2017 for socioeconomically vulnerable families in four Northeast Brazilian states as a tool of the National Drug Policy. A retrospective qualitative study was carried out in which 26 implementation agents participated. Data from 16 individual interviews and two group interviews were analyzed through content analysis. The most recurrent barriers were the group facilitators' working conditions, weak municipal administration, precarious infrastructure, inadequate group facilitator training methodologies, low adherence of managers and professionals, and funding scarcity. The conditions highlighted as favorable to the implementation were proper intersectoral coordination, engagement of involved actors, awareness of public agency administrators, municipal management efficacy, and efficient family recruitment strategies. Favorable political contexts, engagement of implementation agents, and intersectoral implementation strategies were identified as central to the success of the implementation of SFP 10-14, especially in the adoption of the intervention, community mobilization, and intervention delivery stages. Further studies should combine contexts, mechanisms, and results for a broad understanding of the effectiveness of this intervention in the public sector.

Dating SOS: a systematic and theory-based development of a web-based tailored intervention to prevent dating violence among Brazilian youth.

BACKGROUND: Dating violence has an alarming prevalence among Brazilian adolescents. School-based preventive programs have been implemented, but remain isolated initiatives with low reach. Health communication strategies based on innovative technologies with a high potential of diffusion are urgent. This study aimed to develop a computer-tailored intervention to prevent victimization and perpetration of dating violence among Brazilian youth. METHODS: The intervention, called Dating SOS (SOS Namoro), is based on the I-Change Model and attachment theory and is a comprehensive preventive program targeted to young people with a current partner. The intervention design included the stages of needs assessment; definition of objectives of change; development of the library of messages; elaboration of a questionnaire for tailoring feedbacks according to the relevant variables; integration of the content in the software Tailor Builder; pre-testing; and usability and efficacy evaluation planning. Dating SOS is composed of four online sessions. The first session gives a tailored orientation on attachment style and risk perception of violence. The second session addresses knowledge on conflict management, positive and negative social models of intimate relationships and an action plan to improve everyday interactions. The third session covers social norms, self-efficacy and an action plan to cope with conflicts. The fourth session discusses attitudes, social support and an action plan to protect from violence. Improvements on the interface and tailoring refinement was done after pre-testing to improve attractiveness and decrease risk of iatrogenic effects. DISCUSSION: The principal merit of the present study resides in the development of an innovative strategy based on the qualified use of the internet for education surrounding romantic relationships and the prevention of dating violence among adolescent and young Brazilians, a hitherto unaddressed need in the field. The intervention usability and efficacy should be investigated in further studies. TRIAL REGISTRATION: Brazilian Registry of Clinical Trials. RBR-9frj8q. Prospectively registered on July 25, 2019. http://www.ensaiosclinicos.gov.br/rg/RBR-9frj8q/.

Applying intervention mapping approach to a program for early intervention in first-episode mental crisis of a psychotic type.

The holotropic mind perspective, an integral part of the framework of transpersonal psychology, has been considered a revolutionary approach to a certain spectrum of experiences in Non-ordinary states of consciousness (NOSC) which conventional approaches tend to treat indiscriminately as pathological processes, because PHM recognizes in these experiences their healing and evolutionary potential. This article describes the needs assessment, implementation, and evaluation of an experiential and educational program on the holotropic mind perspective and its praxis, Holotropic Breathwork® (HB), with students and professionals from the Group for Early Intervention in First-Episode Mental Crisis of a Psychotic Type of the University of Brasilia. The intervention aimed to establish change goals and objectives that would promote the adoption of the holotropic mind perspective's elements, such as a framework to broaden and strengthen mental health programs that assist people experiencing NOSC. The stages developed, inspired by the Intervention Mapping protocol, included a needs assessment; elaboration of change objective matrices; selection and description of methods based on theory and their applications; conception, planning, and implementation of the intervention; and results evaluation. Participants reported that the intervention allowed the expansion of their theoretical-conceptual and technical frameworks, giving them a less pathologizing understanding of and approach to NOSC and allowing them to perceive and manage such states, not as indiscriminately pathological expressions, but as phenomena inherent to the human condition that can be accepted and cared for without the exclusionary and exhaustive bias of mental disorders. Limitations and practical implications are discussed.