Right To Play's intervention to reduce peer violence among children in public schools in Pakistan: a cluster-randomized controlled trial.
Right To Play's intervention to reduce peer violence among children in public schools in Pakistan: a cluster-randomized controlled trial.
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DOI：
10.1080/16549716.2020.1836604
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发表时间：
2020-12-31
影响因子：
2.6
通讯作者：
Jewkes R
中科院分区：
文献类型：
--
作者：
Karmaliani R;McFarlane J;Khuwaja HMA;Somani Y;Shehzad S;Saeed Ali T;Asad N;Chirwa ED;Jewkes R
同伴暴力在全球范围内很常见，但在低收入和中等收入国家很少有人研究。本研究对巴基斯坦海得拉巴学校实施的基于游戏的生活技能干预进行了为期两年的随机对照试验的评估。确定干预对在校儿童中基于学校的同伴暴力(受害和实施)和抑郁的影响。40所单一性别的公立学校被随机分成两组(每组20所，每组10所)。共有1752名六年级学生(929名来自干预组，823名来自对照学校)参加了试验。为期两年的干预是一场由教练带领的两周一次的结构化比赛，随后进行30分钟的批判性反思和讨论。主要结果(通过受害、犯罪和抑郁表现出的同伴暴力暴露)使用广义线性混合模型进行评估。在被录取的儿童中(N=1.1752)，91%的儿童提供了数据进行分析。自我报告的同伴暴力受害、实施和抑郁显著减少。在同伴暴力受害方面，干预和控制武器的减少分别为：男孩33.3%比27.8%，女孩58.5%比21.3%。在同伴暴力方面，在干预组和控制组中，男孩分别减少了25.3%和11.1%，女孩分别减少了55.6%和27.6%。平均抑郁得分显著下降(男孩7.2%对4.8%干预和对照组，女孩9.5%对5.6%干预和对照组)。在巴基斯坦公立学校提供的精心设计和实施的以游戏为基础的生活技能干预措施能够显著减少同伴暴力。
Peer violence is common globally, but a little researched topic in low-and middle-income countries. This study presents the evaluation of a two-year randomized controlled trial of a structured play-based life-skills intervention implemented in schools in Hyderabad, Pakistan. To determine the impact of the intervention on school-based peer violence (victimization and perpetration) and depression among school children. 40 single-sex public schools were randomized into two study arms (20 per arm 10 of each sex). A total of 1752 grade 6 students (929 from intervention and 823 from control schools) were enrolled in the trial. The two-year intervention was a biweekly structured game led by a coach followed by critical reflection and discussion for 30 minutes. Primary outcomes (exposure to peer violence exhibited through victimization and perpetration and depression) were evaluated using generalized linear-mixed models. Of the enrolled children (N = 1752) 91% provided data for analysis. There were significant decreases in self-reported peer violence victimization, perpetration and depression. For peer violence victimization, the reductions in the intervention and control arms were: 33.3% versus 27.8% for boys and 58.5% versus 21.3% for girls. For peer violence perpetration, the reductions were: 25.3% versus 11.1% for boys and 55.6% versus 27.6% for girls in the intervention and control arms, respectively. There were significant drops in mean depression scores (boys 7.2% versus 4.8% intervention and control and girls 9.5% versus 5.6% intervention and control). A well-designed and implemented play-based life-skills intervention delivered in public schools in Pakistan is able to effect a significant reduction in peer violence.
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影响因子：
2.6
作者：
Sankoh O;Byass P
通讯作者：
Byass P
影响因子：
9.3
作者：
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通讯作者：
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5.5
作者：
Fottrell, Edward;Byass, Peter
通讯作者：
Byass, Peter
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通讯作者：
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3.3
作者：
Tensou, Biruk;Araya, Tekebash;Reniers, Georges
通讯作者：
Reniers, Georges