Does the Good Schools Toolkit Reduce Physical, Sexual and Emotional Violence, and Injuries, in Girls and Boys equally? A Cluster-Randomised Controlled Trial.
Does the Good Schools Toolkit Reduce Physical, Sexual and Emotional Violence, and Injuries, in Girls and Boys equally? A Cluster-Randomised Controlled Trial.
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DOI：
10.1007/s11121-017-0775-3
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发表时间：
2017-10
期刊：
影响因子：
--
通讯作者：
Naker D
中科院分区：
文献类型：
--
作者：
Devries KM;Knight L;Allen E;Parkes J;Kyegombe N;Naker D
我们的目的是调查好学校工具包是否减少了乌干达小学工作人员对学生的情感暴力，严重的身体暴力，性暴力和伤害，以及同龄人之间的情感，身体和性暴力。我们进行了一项平行分组的两组随机对照试验。2012年，一个地区的42所学校被分配到干预组（n = 21）或等待名单控制组（n = 21）。我们在2012年和2014年进行了横断面基线和终点调查，在两次调查之间实施了18个月的好学校工具包干预。分析是通过意向治疗和调整集群内的学校和基线学校水平的比例的结果。该工具包与过去一周工作人员和/或同龄人对男性（aOR = 0.34，95%CI 0.22-0.53）和女性学生（aOR = 0.55，95%CI 0.36-0.84）的任何形式的暴力行为的总体减少有关。在男性（aOR = 0.36，95%CI 0.20-0.65）和女性学生（aOR = 0.51，95%CI 0.29-0.90）中，因学校工作人员暴力造成的伤害也较低。虽然该工具包似乎能有效减少对男女的暴力行为，但有人认为，该工具包对男孩的影响可能比女孩大。该工具包是一项很有希望的干预措施，可减少学校工作人员和学校同龄人之间各种不同形式的暴力行为，应立即考虑予以推广。需要进一步研究，以调查干预措施如何更成功地吸引女孩。
We aimed to investigate whether the Good School Toolkit reduced emotional violence, severe physical violence, sexual violence and injuries from school staff to students, as well as emotional, physical and sexual violence between peers, in Ugandan primary schools. We performed a two-arm cluster randomised controlled trial with parallel assignment. Forty-two schools in one district were allocated to intervention (n = 21) or wait-list control (n = 21) arms in 2012. We did cross-sectional baseline and endline surveys in 2012 and 2014, and the Good School Toolkit intervention was implemented for 18 months between surveys. Analyses were by intention to treat and are adjusted for clustering within schools and for baseline school-level proportions of outcomes. The Toolkit was associated with an overall reduction in any form of violence from staff and/or peers in the past week towards both male (aOR = 0.34, 95%CI 0.22–0.53) and female students (aOR = 0.55, 95%CI 0.36–0.84). Injuries as a result of violence from school staff were also lower in male (aOR = 0.36, 95%CI 0.20–0.65) and female students (aOR = 0.51, 95%CI 0.29–0.90). Although the Toolkit seems to be effective at reducing violence in both sexes, there is some suggestion that the Toolkit may have stronger effects in boys than girls. The Toolkit is a promising intervention to reduce a wide range of different forms of violence from school staff and between peers in schools, and should be urgently considered for scale-up. Further research is needed to investigate how the intervention could engage more successfully with girls.
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影响因子：
8
作者：
Devries, Karen M.;Child, Jennifer C.;Naker, Dipak
通讯作者：
Naker, Dipak
影响因子：
4.2
作者：
Abraham, Charles;Michie, Susan
通讯作者：
Michie, Susan
影响因子：
2.5
作者：
Devries KM;Allen E;Child JC;Walakira E;Parkes J;Elbourne D;Watts C;Naker D
通讯作者：
Naker D
影响因子：
4.8
作者：
Child, Jennifer Christine;Naker, Dipak;Devries, Karen M.
通讯作者：
Devries, Karen M.
DOI：
10.1080/13603116.2015.1059500
发表时间：
2015-12-02
影响因子：
2.2
作者：
Malak, Md. Saiful;Sharma, Umesh;Deppeler, Joanne M.
通讯作者：
Deppeler, Joanne M.