Childhood Development
Conditions
Interventions
This is a nonrandomized controlled study conducted in two municipalities in the state of São Paulo, with allocation by municipality: Salesópolis as the intervention group and Biritiba-Mirim as the con
a Consolidation Phase of approximately ten weeks with monthly on-site supervision and remote support between visits to deepen program use and tailor it to context
and an Expansion Phase of approximately seven weeks with a return to biweekly on-site supervision to consolidate teacher autonomy and consistent delivery, plus continuous remote suppor
Sponsors
Departamento de Psiquiatria
Departamento de Psiquiatria
Eligibility
Age
5 Years to 17 Years
Inclusion criteria
Inclusion criteria: Eligible participants include children enrolled in grades 1–5 of elementary school who attend participating municipal schools in Salesópolis or Biritiba-Mirim; participation requires a signed informed consent form from parents or legal guardians and child assent; homeroom teachers of participating classes will also take part because they are involved in training and classroom observations
Exclusion criteria
Exclusion criteria: Participants will be excluded if a signed informed consent form from the legal guardians and the child’s assent are not provided
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| We expect to reduce disruptive behavior during instructional time. Assessments will occur at three time points: baseline, immediate post-intervention, and 6-month follow-up. Primary measure: the Teacher Observation of Classroom Adaptation—Revised, the Brazilian-adapted version, which captures aggression, disruptive behavior, on-task engagement, socialization, and self-control.Complementary measure: standardized observation of school environment quality using the Instrument for Observing the Quality of Elementary Education I, yielding age-appropriate behavioral and emotional indicators | — |
Secondary
| Measure | Time frame |
|---|---|
| We expect increased on-task engagement, more frequent prosocial and concentration behaviors, and reduced emotional symptoms, conduct problems, and hyperactivity/inattention. We also anticipate improvements in classroom climate and overall engagement. All outcomes will be measured with validated, age-appropriate instruments at baseline, immediate post-intervention, and 6-month follow-up | — |
Countries
Brazil
Contacts
Public ContactSheila Caetano
Universidade Federal de São Paulo
Outcome results
None listed