UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Effects of community youth teams facilitating participatory adolescent groups, youth leadership activities and livelihood promotion to improve school attendance, dietary diversity and mental health among adolescent girls in rural eastern India (JIAH trial): A cluster-randomised controlled trial

Bhatia, Komal; Rath, Suchitra; Pradhan, Hemanta; Samal, Subhashree; Copas, Andrew; Gagrai, Sumitra; Rath, Shibanand; ... Prost, Audrey; + view all (2023) Effects of community youth teams facilitating participatory adolescent groups, youth leadership activities and livelihood promotion to improve school attendance, dietary diversity and mental health among adolescent girls in rural eastern India (JIAH trial): A cluster-randomised controlled trial. SSM - Population Health , 21 , Article 101330. 10.1016/j.ssmph.2022.101330. (In press). Green open access

[thumbnail of 1-s2.0-S2352827322003093-main.pdf]
Preview
Text
1-s2.0-S2352827322003093-main.pdf - Published Version

Download (2MB) | Preview

Abstract

Objectives: To evaluate whether and how community youth teams facilitating participatory adolescent groups, youth leadership and livelihood promotion improved school attendance, dietary diversity, and mental health among adolescent girls in rural India. Design: A parallel group, two-arm, superiority, cluster-randomised controlled trial with an embedded process evaluation. Setting, intervention and participants: 38 clusters (19 intervention, 19 control) in West Singhbhum district in Jharkhand, India. The intervention included participatory adolescent groups and youth leadership for boys and girls aged 10–19 (intervention clusters only), and family-based livelihood promotion (intervention and control clusters) between June 2017 and March 2020. We surveyed 3324 adolescent girls aged 10–19 in 38 clusters at baseline, and 1478 in 29 clusters at endline. Four intervention and five control clusters were lost to follow up when the trial was suspended due to the COVID-19 pandemic. Adolescent boys were included in the process evaluation only. Primary and secondary outcome measures: Primary: school attendance, dietary diversity, and mental health; 12 secondary outcomes related to education, empowerment, experiences of violence, and sexual and reproductive health. Results: In intervention vs control clusters, mean dietary diversity score was 4⋅0 (SD 1⋅5) vs 3⋅6 (SD 1⋅2) (adjDiff 0⋅34; 95%CI -0⋅23, 0⋅93, p = 0⋅242); mean Brief Problem Monitor-Youth (mental health) score was 12⋅5 (SD 6⋅0) vs 11⋅9 (SD 5⋅9) (adjDiff 0⋅02, 95%CI -0⋅06, 0⋅13, p = 0⋅610); and school enrolment rates were 70% vs 63% (adjOR 1⋅39, 95%CI 0⋅89, 2⋅16, p = 0⋅142). Uptake of school-based entitlements was higher in intervention clusters (adjOR 2⋅01; 95%CI 1⋅11, 3⋅64, p = 0⋅020). Qualitative data showed that the community youth team had helped adolescents and their parents navigate school bureaucracy, facilitated re-enrolments, and supported access to entitlements. Overall intervention delivery was feasible, but positive impacts were likely undermined by household poverty. Conclusions: Participatory adolescent groups, leadership training and livelihood promotion delivered by a community youth team did not improve adolescent girls’ mental health, dietary diversity, or school attendance in rural India, but may have increased uptake of education-related entitlements. Trial registration: ISRCTN17206016

Type: Article
Title: Effects of community youth teams facilitating participatory adolescent groups, youth leadership activities and livelihood promotion to improve school attendance, dietary diversity and mental health among adolescent girls in rural eastern India (JIAH trial): A cluster-randomised controlled trial
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.ssmph.2022.101330
Publisher version: https://doi.org/10.1016/j.ssmph.2022.101330
Language: English
Additional information: © 2022 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Keywords: Adolescent health, India, Cluster randomised controlled trial, Mental health, Nutrition, Peer-facilitation
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health > Infection and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/10162669
Downloads since deposit
22Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item