Methods: In 2014, the Teacher´s Manual and the training script were reviewed. The frequency of the federal multiplier´s meetings with teachers was reduced to biweekly basis. In some territories, the role of multipliers was attributed to the health and education professionals designated by the State or Municipal Secretaries. In some schools, the multipliers conducted meetings collectively with all teachers. MoH developed monitoring questionnaires filled in by teachers (358 records) and multipliers (174 records) in meetings.
In 2015, designation of the local multipliers from Health and/or Education sector became a condition for implementation and/or expansion of Jogo Elos. The MoH federal trainers delivered capacity building in 7 presential modules along the school year to local multipliers, who accompanied teachers biweekly.
Results: In 2014, the adapted Brazilian version expanded to 22 schools in 8 municipalities / 4 states, benefitting 1.875 children. Teachers assessed the support and monitoring visits of the federal multipliers as relevant (53% of multipliers´ records) and very relevant (47%). Teachers indicated significant contributions of multipliers in theses aspects of implementation: improvement in planning of Jogo Elos application (73%) and in teaching abilities (71%) and broadening their knowledge on prevention (47%).
In 2015, the MoH implemented Jogo Elos in partnership with the Ministry of Justice in 16 municipalities with 2.061 children.
Conclusions: The 2014-2015 experience with Jogo Elos indicates a) a pedagogical coordinator as the most adequate professional for the role of a multiplier; b) need of didactic revision of material to facilitate its comprehension by professionals; c) need of simplification of monitoring to facilitate data analysis and use; and d) need to strengthen the adoption process by local governments to guarantee technology and governance transfer.