Trial reportGlobal health action2020
Right To Play's intervention to reduce peer violence among children in public schools in Pakistan: a cluster-randomized controlled trial.
Trial report in Global health action, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Life skills that promote school health in adolescents: a concept analysis.BMC public health · 2025Pooled it
- Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries.The Cochrane database of systematic reviews · 2023Pooled it
- Increasing disclosure of school-related gender-based violence: lessons from a systematic review of data collection methods and existing survey research.BMC public health · 2023Pooled it
- Research Review: Do antibullying interventions reduce internalizing symptoms? A systematic review, meta-analysis, and meta-regression exploring intervention components, moderators, and mechanisms.Journal of child psychology and psychiatry, and allied disciplines · 2022Pooled it
- The Good School Toolkit-Secondary to prevent violence against students: a pilot cluster randomised controlled trial.BMC public health · 2025Trial
- The EmpaTeach intervention for reducing physical violence from teachers to students in Nyarugusu Refugee Camp: A cluster-randomised controlled trial.PLoS medicine · 2021Trial
- The Effectiveness of Life Skills-Based School Violence Prevention Programs in Secondary Education: A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2026Review
- Delivering an effective violence prevention intervention at scale: testing an alternative delivery model for the Good School Toolkit in Uganda.BMJ global health · 2026Article
- Evidence for various interventions to reduce depressive symptoms for children and adolescents: protocol of a global evidence and gap map.Systematic reviews · 2025Article
- Embedding violence prevention in existing religious and education systems: initial learning from formative research in the Safe Schools Study in Zimbabwe.BMC public health · 2025Article
- Article
- Reducing the impact of peer victimization on adolescent insomnia: Which is more important, peers or family support?Frontiers in psychiatry · 2025Article
- Types of Digital Mindfulness: Improving Mental Health Among College Students - A Scoping Review.Journal of multidisciplinary healthcare · 2024Article
- A scoping review of the implementation and cultural adaptation of school-based mental health promotion and prevention interventions in low-and middle-income countries.Global mental health (Cambridge, England) · 2024Article
- Development and testing the feasibility of a sports-based mental health promotion intervention in Nepal: a protocol for a pilot cluster-randomised controlled trial.Pilot and feasibility studies · 2023Article
- The association between violence victimization and subsequent unplanned pregnancy among adolescent girls in Uganda: Do primary schools make a difference?PLOS global public health · 2023Article
- Understanding why EmpaTeach did not reduce teachers' use of violence in Nyarugusu Refugee Camp: A quantitative process evaluation of a school-based violence prevention intervention.PLOS global public health · 2023Article
- Bullying prevalence in Pakistan's educational institutes: Preclusion to the framework for a teacher-led antibullying intervention.PloS one · 2023Article
- Method of Nursing Interventions to Reduce the Incidence of Bullying and Its Impact on Students in School: A Scoping Review.Healthcare (Basel, Switzerland) · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeer violence is common globally, but a little researched topic in low-and middle-income countries. This study presents the evaluation of a two-year randomized controlled trial of a structured play-based life-skills intervention implemented in schools in Hyderabad, Pakistan.
objectiveTo determine the impact of the intervention on school-based peer violence (victimization and perpetration) and depression among school children.
methods40 single-sex public schools were randomized into two study arms (20 per arm 10 of each sex). A total of 1752 grade 6 students (929 from intervention and 823 from control schools) were enrolled in the trial. The two-year intervention was a biweekly structured game led by a coach followed by critical reflection and discussion for 30 minutes. Primary outcomes (exposure to peer violence exhibited through victimization and perpetration and depression) were evaluated using generalized linear-mixed models.
resultsOf the enrolled children (N = 1752) 91% provided data for analysis. There were significant decreases in self-reported peer violence victimization, perpetration and depression. For peer violence victimization, the reductions in the intervention and control arms were: 33.3% versus 27.8% for boys and 58.5% versus 21.3% for girls. For peer violence perpetration, the reductions were: 25.3% versus 11.1% for boys and 55.6% versus 27.6% for girls in the intervention and control arms, respectively. There were significant drops in mean depression scores (boys 7.2% versus 4.8% intervention and control and girls 9.5% versus 5.6% intervention and control).
conclusionA well-designed and implemented play-based life-skills intervention delivered in public schools in Pakistan is able to effect a significant reduction in peer violence.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.