CClinicalTrials.gg
CompletedNCT00328445Updated Jan 12, 2017

Randomized Trial of the Positive Action Program in Hawaii Schools

An interventional study of Positive Action in Character, Violence and Substance Use, sponsored by National Institute on Drug Abuse (NIDA). Completed at 3 sites in United States. Open to participants aged 6 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-01-12.

Sponsored by National Institute on Drug Abuse (NIDA) · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
2,500
Allocation
Randomized
Ages
6 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the effectiveness of the Positive Action program on reducing negative behaviors, increasing positive behaviors and improving academic achievement of elementary school students.

Read the detailed description

This project will: 1) evaluate the efficacy of a comprehensive, multi-grade, multi-year program, the Positive Action program (PA) designed to reduce student problem behaviors (including drug use and violence), disciplinary referrals and suspensions, and academic underachievement; 2) evaluate the effects of the program on the presumed/theoretical mediator variables; and 3) assess which of these changes in mediator variables actually mediate the effects of the program on behavior and school performance. The Hawaiian school district has agreed to implement a randomized trial of the PA program. We randomly assigned schools to PA or control conditions from strata matched on multiple indicators of risk. PA schools will receive the full PA program for four years (the 2002-03 through 2005-06 school years). This includes all materials for all students (at all grades), families, teachers, and principal, plus community kits; training for teachers and other interested staff; and continuous technical support and monitoring by a PA staff person. Data on behavior and academic achievement will be obtained from school archival records for all students for all years and, where appropriate for several years prior to the study. Students in grades 1 and 3 in the 2001-02 school year and their parents and teachers will also be followed through the project with surveys every year. The subject population will contain equal portions of males and females, and proportionate numbers of the major ethnic groups on Oahu (Hawaiian or part-Hawaiian, white, Asian, Other). Analyses will test for program effects on all hypothesized mediating variables and outcomes, and the hypothesized mediational pathways.

02

Conditions studied

  • Character
  • Violence
  • Substance Use
  • Pro-social Behavior
  • Academic Achievement

Keywords

  • Curriculum
  • Classroom management
  • School-wide climate
  • Parent involvement
03

In context

Substance-Related Disorders

2,124 studies on the registry are indexed under Substance-Related Disorders; 393 are open to participants now.

This study's enrollment of 2,500 is above the median of 108 across 1,727 interventional studies indexed under Substance-Related Disorders.

Browse Substance-Related Disorders studies →

Lead sponsor

National Institute on Drug Abuse (NIDA) is the lead sponsor of 388 studies on the registry; 19 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 5 (42%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Public elementary schools K-5 or K-6
  • All students in the study cohorts

Exclusion criteria

Exclusion Criteria:

  • Schools performing in top 50%
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
2,500 participants (actual)

Study arms

  • No intervention
    Control

    Business as usual

  • Experimental
    Treatment

    Positive Action

    Behavioral: Positive Action

Interventions

  • BehavioralPositive Action

    See publications

06

What researchers measure

Primary outcomes

  1. Self-reported attitudes and behaviors

    Time frame: 2001-2006

  2. Teacher reports of behaviors

    Time frame: 2001-2006

  3. Parent reports of student behaviors

    Time frame: 2001-2006

Secondary outcomes

  1. School-level academic achievement test scores

    Time frame: 2000-2007

  2. School-level reports of disciplinary referrals

    Time frame: 2000-2007

  3. School-level reports of school quality

    Time frame: 2000-2007

07

Study locations

3 sites
  • Positive Action, Inc.
    Twin Falls, Idaho 83301, United States
  • University of Illinois at Chicago
    Chicago, Illinois 60607, United States
  • Oregon State University
    Corvallis, Oregon 97331, United States
08

References and documents

Publications

  • Beets MW, Flay BR, Vuchinich S, Acock AC, Li KK, Allred C. School climate and teachers' beliefs and attitudes associated with implementation of the positive action program: a diffusion of innovations model. Prev Sci. 2008 Dec;9(4):264-75. doi: 10.1007/s11121-008-0100-2. Epub 2008 Sep 9. PubMed 18780182 ↗
  • Beets MW, Flay BR, Vuchinich S, Snyder FJ, Acock A, Li KK, Burns K, Washburn IJ, Durlak J. Use of a social and character development program to prevent substance use, violent behaviors, and sexual activity among elementary-school students in Hawaii. Am J Public Health. 2009 Aug;99(8):1438-45. doi: 10.2105/AJPH.2008.142919. Epub 2009 Jun 18. PubMed 19542037 ↗
  • Snyder F, Flay B, Vuchinich S, Acock A, Washburn I, Beets M, Li KK. Impact of a social-emotional and character development program on school-level indicators of academic achievement, absenteeism, and disciplinary outcomes: A matched-pair, cluster randomized, controlled trial. J Res Educ Eff. 2010 Jan;3(1):26-55. doi: 10.1080/19345740903353436. PubMed 20414477 ↗
  • Snyder FJ, Vuchinich S, Acock A, Washburn IJ, Flay BR. Improving elementary school quality through the use of a social-emotional and character development program: a matched-pair, cluster-randomized, controlled trial in Hawai'i. J Sch Health. 2012 Jan;82(1):11-20. doi: 10.1111/j.1746-1561.2011.00662.x. PubMed 22142170 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 12, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00328445
Lead sponsor
National Institute on Drug Abuse (NIDA)
Responsible party
Principal investigator
First posted
May 22, 2006
Start date
Apr 2001
Primary completion
Jun 2006
Completion
Jun 2006
Last update
Jan 12, 2017

Study contacts

Brian R Flay, D.Phil.
principal investigator · Oregon State University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2014. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion