Feasibility and Acceptability of Implementing and Scaling up a Culturally Adapted Universal Socio-emotional Intervention for School-going Adolescents in Rawalpindi, Pakistan: A Feasibility Cluster Randomized Controlled Trial (cRCT)
概览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- National University of Science and Technology, Pakistan
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Social Emotional Abilities and Learning (SEAL)
概览
简要总结
The aim of the study is to improve socioemotional learning skills of adolescents in public school settings of Rawalpindi, Pakistan. The objective of the present study is to evaluate the feasibility and acceptability of culturally adapted social and emotional learning intervention through feasibility cluster randomized controlled trial.
In the current study, 4 schools will be randomized to intervention and control arms, stratified by gender.
The study participants will be adolescents studying in government schools.
详细描述
The current study is a two-arm, single-blinded, feasibility cluster randomized controlled trial that will be conducted in 4 middle and high schools in Rawalpindi, Pakistan. 4 schools, stratified by gender, will be randomized on a 1:1 allocation ratio into intervention (n = 2) and enhanced treatment-as-usual (n=2) arms. Approximately 120 adolescents of both genders, aged 10-14, studying in grade 6 of elementary public schools will be included in the study. A facilitator will deliver the intervention in the classrooms. The intervention components are empirically supported and include emotional regulation, stress management, problem solving, assertiveness, drug and alcohol knowledge, and interpersonal skills. The treatment as usual across both arms will be enhanced by conducting a 40-minute awareness-raising seminar on promoting mental health among adolescents through schools. The objective of the study is to evaluate the feasibility and acceptability of culturally adapted social and emotional learning intervention along with evaluating the preliminary impact of the culturally adapted intervention on the knowledge, attitude, and practice of Social and Emotional Abilities (SEA) in school-going adolescents in Rawalpindi, Pakistan.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 10 Years 至 14 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Students enrolled in Grade 6
- •Present at school on the day of the baseline assessment, the endpoint outcome assessment, or both
排除标准
- •The adolescents will be excluded if the they
- •are at high risk of imminent suicide as reported by the students themselves or parents/primary caregivers, or identified by the trained assessment team during assessments.
- •have acute medical conditions who require immediate or ongoing inpatient medical or psychiatric care, as reported by students themselves or parents/primary caregivers or identified by the trained assessment team during assessments.
- •have deafness, blindness and speech difficulties or with severe mental, neurological or substance use disorders (e.g., psychosis, mutism, intellectual disability, autism or drug dependence) identified by the trained assessment team during assessments.
研究组 & 干预措施
Magnificent Mei & Friends Intervention
It is a multicomponent universal intervention that has been designed to promote socioemotional life skills among adolescents 10-14. Based on evidence based effective program components, the intervention has potential to improve adolescent mental health and reduce risky behavior. It is resource-effective where the facilitator learns skills through self-study and reflection. The intervention comprises empirically supported strategies, delivered via group sessions in classroom. Each session is further subdivided; the individual subdivided session lasts from 20 minutes to 30 minutes. The intervention material consists of 1. Magnificent Mei and Friends Comic Series 2. Facilitator's Guide to the Magnificent Mei & Friends Comic Series. The comics represent life scenarios and situations young adolescents face in their daily lives. With the help of the comics, the facilitator teaches social and emotional skills to adolescents.
干预措施: Magnificent Mei & Friends Comic Series (Behavioral)
Enhanced Treatment-as-usual
Mental health services are not available in public schools of Pakistan to promote mental health and wellbeing of children and adolescents; therefore, the treatment as usual across both arms will be enhanced by conducting a 40 minutes awareness raising seminar on promoting mental health among adolescents through schools. In these seminars the teachers and adolescents will receive mental health awareness information from the study lead.
结局指标
主要结局
Social Emotional Abilities and Learning (SEAL)
时间窗: From baseline to one day post-intervention
It is 36 items tool designed to measure socioemotional abilities of adolescents. The items are rated on three-point Likert scale, where yes has the highest score (2), No has the score of (1) and maybe has the lowest score of (0) (UNICEF, 2021).Higher scores indicate stronger socio-emotional knowledge, skills, and positive practices, while lower scores indicate poorer socio-emotional competencies and awareness.
次要结局
- Pediatric Symptoms Checklist(from baseline to one day post-intervention)
- Revised Children's Anxiety and Depression Scale (RCADS)(From baseline to one day post-intervention)
- Short Warwick Edinburgh Mental Wellbeing Scale (SWEMWS)(from baseline to one day post-intervention)
- Bullying Victimization Questionnaire(from baseline to one day post-intervention)
- Study Specific Feasibility Assessment Questionnaire(one day post intervention)
- Qualitative Evaluation of Intervention Acceptability(one day post intervention)
研究者
Syeda Wajeeha Zafar
PhD candidate
National University of Science and Technology, Pakistan