Evaluation of Right To Play's Positive Child and Youth Development Program in Middle Schools in Hyderabad, Pakistan
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|ClinicalTrials.gov Identifier: NCT03448523|
Recruitment Status : Active, not recruiting
First Posted : February 28, 2018
Last Update Posted : March 1, 2018
|Condition or disease||Intervention/treatment||Phase|
|Peer Violence Depression||Behavioral: Right To Play's Positive Child and Youth Development program||Not Applicable|
Peer violence is an important violence exposure for young adolescents and has been linked to later perpetration or experience of violence in intimate relationships. It is an obstacle to learning and may impact school students' mental health. Prevention of peer violence requires an intervention that empowers youth and teaches them empathy and stronger social skills. The non-governmental organisation Right To Play operates in 18 countries and has a flagship programme that is used in all countries that has never been subject to most rigorous evaluation. It is a multi-faceted programme that has at its heart an intervention that is delivered throughout the school year in two 35 minute sessions games following activities from the manual Red Ball Child Play that focus on 4 areas of youth development: physical, cognitive, social, and emotional components. These structural activities are designed to improve critical thinking, confidence and resilience. They are complimented by a range of additional activities including junior leader training for selected promising young leaders, week long summary camps, sports days and activities to engage parents and members of the community. The main intervention is delivered by coaches employed by Right To Play and given a 3 week training initially, with subsequent regular refresher engagement. They are supported by junior leaders in the games after junior leader training. Training to teachers on the intervention is also provided.
A two-arm, cluster randomised controlled trial based in middle schools in Hyderabad, Sindh province, Pakistan is evaluating this intervention. It is being conducted in 40 schools, half are boys schools (20) and half (20) girls'. Twenty of the schools have been randomised to the intervention arm and twenty to the control (delayed intervention) arm. The outcomes will be addressed using quantitative methods with data collected from students in Grade 6 at the start of the trial. These measures will be conducted pre-intervention and 12, and 24 month follow up periods.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||1752 participants|
|Intervention Model:||Parallel Assignment|
|Intervention Model Description:||open label, randomised, efficacy study|
|Masking:||None (Open Label)|
|Official Title:||Evaluation of Right To Play's Positive Child and Youth Development Program: A Cluster Randomised Controlled Trial of a School Play-based Intervention to Prevent Peer Violence and Depression in Hyderabad, Pakistan|
|Actual Study Start Date :||December 1, 2015|
|Estimated Primary Completion Date :||March 9, 2018|
|Estimated Study Completion Date :||August 31, 2018|
Experimental: Right To Play's Positive Child and Youth Development program
Behavioral: Right To Play's Positive Child and Youth Development program
No Intervention: Control
No intervention; intervention to be offered after end line assessment
- Peer violence victimisation in the past 4 weeks [ Time Frame: assessment 2 years post-baseline ]Mean score on the sixteen questions on peer violence victimisation
- Peer violence perpetration in the past 4 weeks [ Time Frame: assessment 2 years post-baseline ]Mean score on the sixteen questions on peer violence perpetration
- Depression [ Time Frame: Over last 2 weeks ]Score on the 28 items Children's Depression Inventory 2 (CDI 2)
- School performance [ Time Frame: 2 years post baseline ]Mean score on four items asking about performance in reading, writing, maths and Pakistan studies . Responses per item are 1=fail, 2=average, 3=excellent
- Days of school missed in last 4 weeks [ Time Frame: 2 years post-baseline ]Mean
- preparations for marriage [ Time Frame: 2 years post baseline ]Based on two questions "have you been promised for marriage' and (if so) 'has your family started other preparation for your marriage?' An affirmative response to the latter will be compared to a negative response combined with the category of students who have not been promised in marriage.
- Corporal punishment in the past 4 weeks [ Time Frame: 2 years post baseline ]Mean score across the 6 questions
- Physical punishment at home in past 4 weeks [ Time Frame: 2 years post baseline ]Based on two items with four response categories. The mean score will be calculated.
- Gender attitudes (13 items measuring acceptability of spousal violence, girls schooling, male respect for women in decision-making and appropriateness of women's participation) [ Time Frame: 2 years post baseline ]Mean score