Trial reportBMC public health2025
The Good School Toolkit-Secondary to prevent violence against students: a pilot cluster randomised controlled trial.
Trial report in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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
1 citing paper in PubMed.
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundSchools provide a unique opportunity to address multiple forms of violence against adolescents. Yet, few whole-school interventions to comprehensively address physical, sexual and emotional violence against adolescents from multiple perpetrators have been evaluated in the Global South. We report results of a pilot trial of the Good School Toolkit-Secondary (GST-S), an intervention for secondary schools in Uganda. The trial aimed to determine whether criteria for progression to a phase 3 trial were met based on pre-specified implementation and research feasibility criteria.
methodsWe conducted a pilot cluster randomised controlled trial with two arms and parallel assignment. The trial was conducted in eight secondary schools, varying by faith status and urban or rural setting, randomly selected from a list of all eligible registered schools in Kampala and Wakiso Districts. Schools were randomised to control or intervention arms and aware of their allocation. The primary outcome was to determine whether criteria for progression to a phase 3 trial were met based on pre-specified criteria regarding fidelity, acceptability and understanding of GST-S, and research feasibility. Outcomes were measured using cross-sectional baseline and endline surveys among eligible school students and staff, and routine monitoring data collected during implementation.
resultsOverall, seven of eight schools agreed to participate in the baseline survey, randomisation and endline survey, with three randomised to the control and four to the intervention group. The endline survey included 837 students (response rate: control, 100%; intervention, 99.4%) and 98 staff (response rate: control, 91.1%; intervention, 95.0%). There were delays to the trial due to Covid-19 and an Ebola outbreak. Despite this, all pre-specified implementation and feasibility criteria were met. The intervention was acceptable and understandable to students and staff, was delivered with fidelity, and the trial demonstrated good research feasibility.
conclusionsWe present the first evidence that it is feasible to deliver a whole-school intervention aiming to address physical, sexual and emotional violence against adolescents from multiple perpetrators including peers, teachers and intimate partners in sub-Saharan Africa. Based on our results, we recommend progression to a phase 3 trial with minor refinements to the research methods and intervention.
trial registrationPan African Clinical Trials Registry, PACTR202009826515511, 16/09/20.
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