London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK.
Trials. 2013 Jul 24;14:232. doi: 10.1186/1745-6215-14-232.
We aim to evaluate the effectiveness of the Good School Toolkit, developed by Raising Voices, in preventing violence against children attending school and in improving child mental health and educational outcomes.
METHODS/DESIGN: We are conducting a two-arm cluster randomised controlled trial with parallel assignment in Luwero District, Uganda. We will also conduct a qualitative study, a process evaluation and an economic evaluation. A total of 42 schools, representative of Luwero District, Uganda, were allocated to receive the Toolkit plus implementation support, or were allocated to a wait-list control condition. Our main analysis will involve a cross-sectional comparison of the prevalence of past-week violence from school staff as reported by children in intervention and control primary schools at follow-up.At least 60 children per school and all school staff members will be interviewed at follow-up. Data collection involves a combination of mobile phone-based, interviewer-completed questionnaires and paper-and-pen educational tests. Survey instruments include the ISPCAN Child Abuse Screening Tools to assess experiences of violence; the Strengths and Difficulties Questionnaire to measure symptoms of common childhood mental disorders; and word recognition, reading comprehension, spelling, arithmetic and sustained attention tests adapted from an intervention trial in Kenya.
To our knowledge, this is the first study to rigorously investigate the effects of any intervention to prevent violence from school staff to children in primary school in a low-income setting. We hope the results will be informative across the African region and in other settings.
clinicaltrials.gov NCT01678846.
我们旨在评估由“发声”组织开发的“好学校工具包”在预防针对在校儿童的暴力行为、改善儿童心理健康和教育成果方面的有效性。
方法/设计：我们正在乌干达卢韦罗区开展一项两臂整群随机对照试验，采用平行分组设计。我们还将开展一项定性研究、一项过程评估和一项经济评估。共有 42 所学校被分配到干预组，接受工具包和实施支持，或分配到等待名单对照组。我们的主要分析将涉及对干预和对照小学中儿童报告的上一周来自学校工作人员的暴力行为的流行率进行横断面比较。在随访时，每个学校至少有 60 名儿童和所有学校工作人员将接受访谈。数据收集包括基于移动电话、由调查员完成的问卷和纸笔教育测试相结合的方式。调查工具包括 ISPCAN 儿童虐待筛查工具，以评估暴力经历；困难问卷，以衡量常见儿童精神障碍的症状；以及从肯尼亚的一项干预试验改编的字词识别、阅读理解、拼写、算术和持续注意力测试。
据我们所知，这是第一项在低收入环境中严格调查任何干预措施预防学校工作人员对小学生实施暴力行为的影响的研究。我们希望这些结果在整个非洲地区和其他环境中具有信息性。
clinicaltrials.gov NCT01678846。
