STRIPES 试验——支持印度农村公共教育系统。

The STRIPES trial--support to rural India's public education system.

机构信息

The London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.

出版信息

Trials. 2010 Feb 1;11:10. doi: 10.1186/1745-6215-11-10.

DOI:10.1186/1745-6215-11-10

PMID:20122153

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2825512/

Abstract

BACKGROUND

Performance of primary school students in India lags far below government expectations, and major disparity exists between rural and urban areas. The Naandi Foundation has designed and implemented a programme using community members to deliver after-school academic support for children in over 1,100 schools in five Indian states. Assessments to date suggest that it might have a substantial effect. This trial aims to evaluate the impact of this programme in villages of rural Andhra Pradesh and will compare test scores for children in three arms: a control and two intervention arms. In both intervention arms additional after-school instruction and learning materials will be offered to all eligible children and in one arm girls will also receive an additional 'kit' with a uniform and clothes.

METHODS/DESIGN: The trial is a cluster-randomised controlled trial conducted in conjunction with the CHAMPION trial. In the CHAMPION trial 464 villages were randomised so that half receive health interventions aiming to reduce neonatal mortality. STRIPES will be introduced in those CHAMPION villages which have a public primary school attended by at least 15 students at the time of a baseline test in 2008. 214 villages of the 464 were found to fulfil above criteria, 107 belonging to the control and 107 to the intervention arm of the CHAMPION trial. These latter 107 villages will serve as control villages in the STRIPES trial. A further randomisation will be carried out within the 107 STRIPES intervention villages allocating half to receive an additional kit for girls on the top of the instruction and learning materials. The primary outcome of the trial is a composite maths and language test score.

DISCUSSION

The study is designed to measure (i) whether the educational intervention affects the exam score of children compared to the control arm, (ii) if the exam scores of girls who receive the additional kit are different from those of girls living in the other STRIPES intervention arm. One of the goals of the STRIPES trial is to provide benefit to the controls of the CHAMPION trial. We will also conduct a cost-benefit analysis in which we calculate the programme cost for 0.1 standard deviation improvement for both intervention arms.

TRIAL REGISTRATION

Current controlled trials ISRCTN69951502.

摘要

背景

印度小学生的表现远低于政府预期，城乡之间存在巨大差距。楠迪基金会（Naandi Foundation）设计并实施了一个项目，利用社区成员为五个印度邦的 1100 多所学校的儿童提供课后学术支持。迄今为止的评估表明，该项目可能产生重大影响。本试验旨在评估该计划在安得拉邦农村村庄的效果，并将比较三个组的儿童的测试成绩：对照组和两个干预组。在两个干预组中，所有符合条件的儿童都将获得额外的课后指导和学习材料，而在一个组中，女孩还将收到一个额外的“工具包”，其中包括制服和衣服。

方法/设计：该试验是一项与 CHAMPION 试验同时进行的整群随机对照试验。在 CHAMPION 试验中，464 个村庄被随机分配，其中一半接受旨在降低新生儿死亡率的健康干预措施。STRIPES 将在 2008 年基线测试时至少有 15 名学生就读的 CHAMPION 试验的村庄中引入。在 464 个村庄中，有 214 个符合上述标准，其中 107 个属于 CHAMPION 试验的对照组，107 个属于干预组。这些后者的 107 个村庄将作为 STRIPES 试验的对照组。在 STRIPES 干预组的 107 个村庄中，将进行进一步的随机分组，将一半分配到为女孩提供额外工具包的组中，该工具包是在指导和学习材料之上提供的。试验的主要结果是综合数学和语言测试成绩。

讨论

该研究旨在衡量：（i）教育干预是否会影响与对照组相比儿童的考试成绩，（ii）是否接受额外工具包的女孩的考试成绩与 STRIPES 干预组的其他女孩的考试成绩不同。STRIPES 试验的目标之一是为 CHAMPION 试验的对照组提供收益。我们还将进行成本效益分析，其中我们计算两个干预组的 0.1 标准差提高的方案成本。