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. 2023 Oct 24;2023(10):CD014722. doi: 10.1002/14651858.CD014722.pub2

Hull 2021.

Study characteristics
Methods Study design: cluster‐RCT
Duration of study: the study was conducted from early September 2011 to late May 2012.
Country: Belize
Income classification: upper‐middle income country in 2011‐2012
Geographical scope: Belize District
Healthcare setting: schools
Participants 1. Age: students aged 7‐9 years (standards 1‐3) and 10‐12 years (standards 4‐6)
2. Gender: both
3. Socioeconomic background: not specified
4. Educational background: students
Inclusion criteria:
each school was requested to participate for the duration of an entire school year with the understanding at the outset that there was a 50% probability any school may or may not be selected to implement the Positive Action programme.
Exclusion criteria:
not specified.
Note: at baseline, the intervention and control group scores for the Behaviour Assessment Systems for Children (BASC) were, respectively, 12.73 (2.55) and 12.69 (2.55).
Stated purpose: to examine post‐treatment positive youth development competencies (i.e. social‐emotional character development, peer affiliation, substance abuse and violence tendencies, moral beliefs, pro‐social behaviour, and school self‐esteem) in comparison to students in a randomly assigned control group of schools. The research question was: do students exposed to treatment in the form of Positive Action exhibit higher post‐treatment positive youth development competencies than students in a randomly assigned control group of schools?
Interventions Name: Positive Action programme
Title/name of PW and number: school teachers
1. Selection: not specified
2. Educational background: not specified
3. Training: teacher training programme related to social‐emotional/character development or behaviour management
4. Supervision: not specified
5. Incentives/remuneration: not specified
Prevention type: indicated – participants presented with some level of distress as indicated by the BASC.
Intervention details: Positive Action programme to address the physical, intellectual, social, and emotional domains that interact with different ecologies of the child: school, family, and community. This is grounded in the Theory of Triadic Influence (TTI). Whole‐school implementation across classrooms and grades [6 units], as well as parent resources so that transformation occurred in more than one setting—school, home, and family. Parent education occurred at the intervened schools on parent night, once per month at each school, led by social workers using instructions and activities from the 42 (30 to 45 minute) lessons in the Positive Action Family Kit. Social workers assigned to each school utilized Positive Action’s Bullying Prevention kit and Conflict Resolution kit for pull‐out instruction with children that met a higher tier of need for intervention.
Control: usual care (Health and Family Life Education curriculum)
Outcomes Participants’outcomes of interest for this review
  1. Anxiety symptoms – BASC

  2. Social outcomes – Prosocial Behavior subscale of the BASC


Carers’outcomes of interest for this review
Nil
Economic outcomes
Nil
Time points: baseline, post‐intervention (< 1 month)
Notes Source of funding: Inter‐American Development Bank and the Government of Japan
Notes on validation of instruments (screening and outcomes): validated questionnaires
Additional information: none
Handling the data: not applicable
Prospective trial registration number: ClinicalTrials.gov NCT03026335