Youth First: A Longitudinal Impact Evaluation
Long-term Evaluation of the Effects of Youth First on Social and Emotional Development, Gender Equity, and Health of Adolescents in Rural Bihar, India
調査の概要
詳細な説明
This protocol is designed to answer key questions about the effects of Youth First on mental and sexual reproductive health, educational wellbeing and substance use. A mixed-methods, cluster randomized trial will assess the impact of the Youth First program over time. This component of the Youth First impact evaluation will take place across 70 schools (40 schools that are new to the Youth First intervention, 30 control schools) with 7th and 8th Standard students located within two districts in the state of Bihar, India, specifically Patna and Darbhanga.
This study will follow two cohorts of students: one of 8th Standard students and the other 7th Standard. This will include surveys conducted at baseline and at three follow-up time periods across a period of 32 months post-baseline (follow-up data collection at 8 (T1), 20 (T2), 32 (T3) months) to determine the short and long-term impact and additive effects of multiple years of Youth First. Eighth standard students will be followed through the end of 10th standard; the 7th standard cohort will be followed through the end of 9th. Both students who stay in school and those who leave will be followed up.
Quantitative data will be collected from 7th Standard (n=4500) and 8th Standard (n=3690) boys and girls across 100 schools in the two sub-studies, for a total study population of N=8190 students. Monitoring data from schools (e.g. number of sessions implemented, adherence to curriculum, etc.) collected as part of program implementation will inform a process evaluation of program quality and fidelity. Qualitative data will be collected from students after the completion of the Youth First program at the end of 8th Standard and at the end of T3.
Findings from this program are expected to provide much-needed evidence about the long-term effects of programs to address the psychosocial needs of youths in India, as well as information on the scalability of such a program within the school setting. It is expected that the findings from this study will be used by policy makers to inform decision making around the implementation of Youth First or similar programs within the state of Bihar and nationwide.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
-
-
-
New Delhi、インド
- CorStone India Foundation
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- All students enrolled in 7th or 8th grades at one of the schools selected for the study.
School Selection Criteria are:
- Government-run schools classified as rural and located in Darbhanga or Patna districts
- Have a minimum of 30 students enrolled in each of 7th and 8th Standards
- Have a high level of commitment from the principal to implement Youth First in both 7th and 8th grades, including willingness to have their teachers attend the training sessions and take the time to carry out the weekly sessions with the students.
- Have a high level commitment from the teachers of 7th and 8th Standards to participate in Youth First sessions, which includes taking part in all 3 trainings and holding weekly Youth First sessions.
- Have a physical space regularly available in which sessions could be held (relatively private and quiet, clean and uncluttered)
- Have a regular student teacher ratio of 50:1 or below (based on data reported in U-DISE)
- Accessible by a bus or taxi ride not greater than 3 hours from the nearest urban center.
- Classified as rural school by the Bihar Education Program Council
Exclusion Criteria:
- No exclusion criteria for students.
School exclusion criteria are:
- Have experienced a delay in starting the school year in AY2017/18.
- Have experienced extensive flooding in AY2017/18.
- Currently implementing a similar emotional resilience or life skills program in the middle school levels.
- Located in Naxal-affected area
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:防止
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的:Youth First Curriculum
The full Youth First curriculum provides holistic training of both emotional resilience and adolescent health concepts. The curriculum is comprised of a 15-session emotional resilience curriculum and a 10-session adolescent health program. The resilience curriculum aims to increase both internal assets (such as self-esteem, coping skills, health knowledge, and conflict-resolution skills) and external assets (such as positive bonds with peers and family). The adolescent health curriculum provides in-depth training in physical health and wellness topics such as sexual and reproductive health, common diseases, nutrition, gender equality, and substance use. The curriculum is imparted by school teachers are trained and certified by CorStone. |
A 25 session emotional resilience and health curriculum designed for 7th and 8th grade students.
他の名前:
|
|
介入なし:School as usual
This arm is comprised of students attending school as usual and receiving the established government-designed curriculum.
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Number of student reporting being enrolled and regularly attending school
時間枠:32 months
|
Participants are enrolled in a grade-appropriate school at the end of the study period
|
32 months
|
|
Substance use
時間枠:32 months
|
Self-reported use of tobacco, alcohol or drugs.
|
32 months
|
|
Mental health
時間枠:32 months
|
Strengths and Difficulties Questionnaire, internalizing problems subscale: Sum of 10 items, score range of 0-20, with lower score indicating better outcomes. KIDSCREEN psychological wellbeing: sum of 5 items, score range of 0-20 with higher score indicating better outcomes. |
32 months
|
|
Physical Health
時間枠:32 months
|
KIDSCREEN Physical wellbeing subscale: sum of 5 items, score range of 0-20 with higher score indicating better outcomes.
|
32 months
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Gender equitable attitudes
時間枠:8, 20 and 32 months
|
Global Early Adolescent gender equity measure
|
8, 20 and 32 months
|
|
Emotional Resilience
時間枠:8, 20 and 32 months
|
Connor-Davidson Resilience measure: measure of emotional resilience.
Sum of 10 items.
Scale range from 0-40.
Higher score indicates better outcomes.
|
8, 20 and 32 months
|
|
Self-efficacy
時間枠:8, 20 and 32 months
|
Schwarzer's Self-Efficacy Scale: Sum of 10 items.
Scale range from 0-40.
Higher score indicates better outcome.
|
8, 20 and 32 months
|
|
Social Wellbeing
時間枠:8, 20 and 32 months
|
KIDSCREEN Social Wellbeing: sum of 5 items, score range of 0-20 with higher score indicating better outcomes.
|
8, 20 and 32 months
|
協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (予想される)
研究の完了 (予想される)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- 01-YF-IN-2018-V1
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
Youth First Curriculumの臨床試験
-
The Hospital for Sick ChildrenUniversity Health Network, Torontoまだ募集していません
-
University of WashingtonNational Institute of Mental Health (NIMH); Kenyatta National Hospital; University of Nairobi,...募集実装科学 | 思春期の HIV 感染症 | 実装戦略 | 成人向けケアへの移行ケニア
-
University of WashingtonEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)完了
-
Hürriyet YılmazMedipol University完了
-
Montana State University完了
-
University of AmsterdamZonMw: The Netherlands Organisation for Health Research and Development; YIM Foundation Netherlands... と他の協力者募集