This is a RCT conducted with 1752 children in 40 public middle schools in Hyderabad Pakistan with the goal of evaluating the effectiveness of the international non-governmental organisation Right To Play's Positive Child and Youth Development program on reducing peer violence perpetration and victimisation and child depression in a two arm trial where this intervention is compared to a no intervention arm.
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
Allocation
RANDOMIZED
1. Right To Play's Red Ball Child Play manual provided for 60 hours per annum for two years 2. Training of junior leaders 3. Related play-based activities such as sports days 4. Quarterly awareness sessions with community groups and parents 5. Summer camps for children 6. training of teachers on Right To Play's foundational resources, positive disciplining, and gender and child protection
Peer violence victimisation in the past 4 weeks
Mean score on the sixteen questions on peer violence victimisation
Time frame: assessment 2 years post-baseline
Peer violence perpetration in the past 4 weeks
Mean score on the sixteen questions on peer violence perpetration
Time frame: assessment 2 years post-baseline
Depression
Score on the 28 items Children's Depression Inventory 2 (CDI 2)
Time frame: Over last 2 weeks
School performance
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
Time frame: 2 years post baseline
Days of school missed in last 4 weeks
Mean
Time frame: 2 years post-baseline
preparations for marriage
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.
Time frame: 2 years post baseline
Corporal punishment in the past 4 weeks
Mean score across the 6 questions
Time frame: 2 years post baseline
Physical punishment at home in past 4 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Purpose
PREVENTION
Masking
NONE
Enrollment
1,752
Based on two items with four response categories. The mean score will be calculated.
Time frame: 2 years post baseline
Gender attitudes (13 items measuring acceptability of spousal violence, girls schooling, male respect for women in decision-making and appropriateness of women's participation)
Mean score
Time frame: 2 years post baseline