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

Leventhal 2015.

Study characteristics
Methods Study design: RCT
Duration of study: the study commenced in 2013.
Country: India
Income classification: low‐middle‐income country from 2013 to date of publication
Geographical scope: rural, state of Bihar
Healthcare setting: girls' schools
Participants 1. Age: 12.99 (1.17) years
2. Gender: female
3. Socioeconomic background: not specified
4. Educational background: not specified
Inclusion criteria:
all girls attending VII‐VIII Standards (Stds.; equivalent to US 7/8 grades) in the selected schools.
Exclusion criteria:
none reported.
Note: at baseline, the intervention and control group scores for the Patient Health Questionnaire‐9 (PHQ‐9) were, respectively, 7.23 and 8.05.
Stated purpose: to examine the effects of Girls First, a combined psychosocial (Girls First Resilience Curriculum [RC]) and adolescent physical health (Girls First Health Curriculum [HC]) intervention (RC, HC) versus its individual components (i.e. RC, HC) and a control group.
Interventions Name: resilience curriculum; resilience curriculum and physical health curriculum
Title/name of PW and number: facilitators (number not specified)
1. Selection: they had to be women, aged 18 years or older.
2. Educational background: at least a Standard X education (equivalent to US 10th grade)
3. Training: PFs were then trained over 5 days to facilitate RC. MTs and PFs received a 3‐day follow‐up training midway through the programme. MTs provided PFs with supervision and refresher trainings approximately twice per month throughout the intervention. This was carried out by Master Trainers with a Master’s level degree in psychology, social work, or a similar discipline.
4. Supervision: supervision and refresher trainings approximately twice per month throughout the intervention by master trainers
5. Incentives/remuneration: not specified
Prevention type: indicated – participants presented with some level of distress as indicated by the PHQ‐9 scores.
Intervention details
Girls First Resilience curriculum: consisted of 23 weekly sessions designed to improve girls’ psychosocial resilience, or their ability to bounce back from challenges. RC includes a strong focus on goals and planning (grouping 1), social support (grouping 3), and identity (grouping 13).
Girls First Resilience curriculum + Physical Health curriculum: 2 interventions were tested that together made up Girls First: RC and HC. Both interventions used a facilitated peer‐support pedagogy that included case studies, small group activities, and group discussion.
Control: usual care; girls received no intervention beyond attending their middle school academic classes.
Outcomes Participants’outcomes of interest for this review
  1. Depressive symptoms – PHQ‐9

  2. Anxiety symptoms – Generalized Anxiety Disorder Assessment‐7 (GAD‐7)


Note: we included data from the Girls First Resilience curriculum and Girls First Resilience curriculum + Physical Health curriculum intervention and control group.
Carers’outcomes of interest for this review
Nil
Economic outcomes
Nil
Time points: baseline, post‐intervention (1‐6 months)
Notes Source of funding: not reported
Notes on validation of instruments (screening and outcomes): the selected measures are widely adopted and validated across contexts.
Additional information: none
Handling the data: not applicable
Prospective trial registration number: not reported