Depression Clinical Trial
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
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.
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