Trial Outcomes & Findings for Good Schools Study (NCT NCT01678846)

Results Overview

past week experience of any physical violence from school staff

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

3820 participants

Primary outcome timeframe

2-year follow-up

Results posted on

2016-01-26

Participant Flow

Cross-sectional baseline and endline surveys were conducted in 42 schools in June/July 2012 and June/July 2014. A simple random sample of up to 130 P5, 6 and 7 students were invited for individual interviews. If there were fewer than 130 P5-7 students in a school, all were invited for interview.

Participant milestones

Participant milestones
Measure	Good School Toolkit Schools in the intervention arm will receive the Good Schools Toolkit materials and implementation support. Good School Toolkit: The Toolkit uses a six step process to create a school wide intervention that engages teachers, students, administration, and parents to reflect on how they can promote quality of education in their school. The Toolkit articulates complex ideas (what is a good learning environment, a good teacher, how to create positive discipline without using violence) through booklets, posters and school initiated learning processes. Specific modules on alternative discipline techniques and how staff can use positive discipline are included in the Toolkit. The intervention includes sessions on knowledge, attitudes and opportunities to practice new behavioural skills. Work is led by teachers and students, and supported by visits from Raising Voices staff. The Toolkit can be reviewed at (http://www.raisingvoices.org/children/good\_school\_toolkit.php).	Control Schools in this arm will receive the Good Schools Toolkit materials and some implementation support after the end of the trial.
Overall Study STARTED	1921	1899
Overall Study COMPLETED	1921	1899
Overall Study NOT COMPLETED	0	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Good Schools Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Good School Toolkit n=1824 Participants Schools in the intervention arm will receive the Good Schools Toolkit materials and implementation support. Good School Toolkit: The Toolkit uses a six step process to create a school wide intervention that engages teachers, students, administration, and parents to reflect on how they can promote quality of education in their school. The Toolkit articulates complex ideas (what is a good learning environment, a good teacher, how to create positive discipline without using violence) through booklets, posters and school initiated learning processes. Specific modules on alternative discipline techniques and how staff can use positive discipline are included in the Toolkit. The intervention includes sessions on knowledge, attitudes and opportunities to practice new behavioural skills. Work is led by teachers and students, and supported by visits from Raising Voices staff. The Toolkit can be reviewed at (http://www.raisingvoices.org/children/good\_school\_toolkit.php).	Control n=1882 Participants Schools in this arm will receive the Good Schools Toolkit materials and some implementation support after the end of the trial.	Total n=3706 Participants Total of all reporting groups
Age, Continuous	13.1 years STANDARD_DEVIATION 1.5 • n=93 Participants	13.0 years STANDARD_DEVIATION 1.5 • n=4 Participants	13.0 years STANDARD_DEVIATION 1.5 • n=27 Participants
Sex: Female, Male Female	927 Participants n=93 Participants	1010 Participants n=4 Participants	1937 Participants n=27 Participants
Sex: Female, Male Male	897 Participants n=93 Participants	872 Participants n=4 Participants	1769 Participants n=27 Participants

PRIMARY outcome

Timeframe: 2-year follow-up

past week experience of any physical violence from school staff

Outcome measures

Outcome measures
Measure	Good School Toolkit n=1921 Participants Schools in the intervention arm will receive the Good Schools Toolkit materials and implementation support. Good School Toolkit: The Toolkit uses a six step process to create a school wide intervention that engages teachers, students, administration, and parents to reflect on how they can promote quality of education in their school. The Toolkit articulates complex ideas (what is a good learning environment, a good teacher, how to create positive discipline without using violence) through booklets, posters and school initiated learning processes. Specific modules on alternative discipline techniques and how staff can use positive discipline are included in the Toolkit. The intervention includes sessions on knowledge, attitudes and opportunities to practice new behavioural skills. Work is led by teachers and students, and supported by visits from Raising Voices staff. The Toolkit can be reviewed at (http://www.raisingvoices.org/children/good\_school\_toolkit.php).	Control n=1899 Participants Schools in this arm will receive the Good Schools Toolkit materials and some implementation support after the end of the trial.
Physical Violence From School Staff	595 participants	924 participants

SECONDARY outcome

Timeframe: 2-year follow-up

score on the Strengths and Difficulties Questionnaire (SDQ): 20 questions. Total difficulties score, divided by the number of completed items. Modelled as a continuous variable. Range 0 (no difficulties) to 2 (high difficulties).

Outcome measures

Outcome measures
Measure	Good School Toolkit n=1921 Participants Schools in the intervention arm will receive the Good Schools Toolkit materials and implementation support. Good School Toolkit: The Toolkit uses a six step process to create a school wide intervention that engages teachers, students, administration, and parents to reflect on how they can promote quality of education in their school. The Toolkit articulates complex ideas (what is a good learning environment, a good teacher, how to create positive discipline without using violence) through booklets, posters and school initiated learning processes. Specific modules on alternative discipline techniques and how staff can use positive discipline are included in the Toolkit. The intervention includes sessions on knowledge, attitudes and opportunities to practice new behavioural skills. Work is led by teachers and students, and supported by visits from Raising Voices staff. The Toolkit can be reviewed at (http://www.raisingvoices.org/children/good\_school\_toolkit.php).	Control n=1899 Participants Schools in this arm will receive the Good Schools Toolkit materials and some implementation support after the end of the trial.
Child Mental Health	0.44 units on a scale Standard Deviation 0.26	0.44 units on a scale Standard Deviation 0.26

SECONDARY outcome

Timeframe: 2-year follow-up

Word recognition in English(words per minute). Early Grade Reading Assessment, Uganda version. Calculated as number of words read correctly (out of a maximum of 50), divided by the time (out of a maximum of 60 seconds).

Outcome measures

Outcome measures
Measure	Good School Toolkit n=1921 Participants Schools in the intervention arm will receive the Good Schools Toolkit materials and implementation support. Good School Toolkit: The Toolkit uses a six step process to create a school wide intervention that engages teachers, students, administration, and parents to reflect on how they can promote quality of education in their school. The Toolkit articulates complex ideas (what is a good learning environment, a good teacher, how to create positive discipline without using violence) through booklets, posters and school initiated learning processes. Specific modules on alternative discipline techniques and how staff can use positive discipline are included in the Toolkit. The intervention includes sessions on knowledge, attitudes and opportunities to practice new behavioural skills. Work is led by teachers and students, and supported by visits from Raising Voices staff. The Toolkit can be reviewed at (http://www.raisingvoices.org/children/good\_school\_toolkit.php).	Control n=1899 Participants Schools in this arm will receive the Good Schools Toolkit materials and some implementation support after the end of the trial.
Educational Achievement: Word Recognition in English	48.6 words per minute Standard Deviation 27.7	49.7 words per minute Standard Deviation 27.7

SECONDARY outcome

Timeframe: At 2 year follow-up

Five questions. Each question asked with response options: all the time, most of the time, sometimes, never: I feel that my teachers care about me. I feel safe in school. I feel like I belong at school. I like to spend time at school. I am scared of my teachers (reverse coded). Scores summed, modelled as a continuous variable. Range 0 (low) to 15 (high). Higher score is better safety and well-being at school.

Outcome measures

Outcome measures
Measure	Good School Toolkit n=1921 Participants Schools in the intervention arm will receive the Good Schools Toolkit materials and implementation support. Good School Toolkit: The Toolkit uses a six step process to create a school wide intervention that engages teachers, students, administration, and parents to reflect on how they can promote quality of education in their school. The Toolkit articulates complex ideas (what is a good learning environment, a good teacher, how to create positive discipline without using violence) through booklets, posters and school initiated learning processes. Specific modules on alternative discipline techniques and how staff can use positive discipline are included in the Toolkit. The intervention includes sessions on knowledge, attitudes and opportunities to practice new behavioural skills. Work is led by teachers and students, and supported by visits from Raising Voices staff. The Toolkit can be reviewed at (http://www.raisingvoices.org/children/good\_school\_toolkit.php).	Control n=1899 Participants Schools in this arm will receive the Good Schools Toolkit materials and some implementation support after the end of the trial.
Safety and Well-being at School	11.7 units on a scale Standard Deviation 2.4	11.1 units on a scale Standard Deviation 2.5

Adverse Events

Good School Toolkit

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Control

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr Karen Devries

London School of Hygiene and Tropical Medicine

Phone: 0207958 8164

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place