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Protocol for a Mixed-Methods Stepped-Wedge Cluster Randomized Hybrid Effectiveness–Implementation Study of a School-Based Resilience and Social and Emotional Learning (RSEL) Intervention to Improve Mental Health and Sexual and Reproductive Health and Rights Decision-Making Among Very Young Adolescents Aged 10–14 Years in Uganda

A Mixed-Methods Stepped-Wedge Cluster Randomized Hybrid Effectiveness–Implementation Study Evaluating the Feasibility, Acceptability, Fidelity, Reach, Adoption, Sustainability, and Preliminary Effectiveness of a School-Based Resilience and Social and Emotional Learning (RSEL) Intervention to Improve Mental Health, Social and Emotional Competencies, Agency, and Sexual and Reproductive Health and Rights Decision-Making Among Very Young Adolescents Aged 10–14 Years in Uganda

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
PACTR
Registry ID
PACTR202607581035815
Enrollment
4800
Registered
2026-07-01
Start date
2027-01-01
Completion date
Unknown
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Mental and Behavioural Disorders Sexual and reproductive health and rights (SRHR) decision-making and agency Paediatrics

Interventions

Resilience and Social and Emotional Learning Intervention
Standard School Programming on waiting list

Sponsors

JM Education and Research Centre
Lead Sponsor
The World Health Organisation
Collaborator

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Enrolled in Primary 5, Primary 6, or Primary 7 in one of the 20 participating government primary schools in Luuka or Bugiri District, Uganda Aged 10–14 years at the time of enrolment (students outside this age range but enrolled in eligible classes may be included where appropriate) Able to understand study procedures and participate in study activities Able to provide informed assent Written informed consent provided by a parent or guardian Teacher directly involved in teaching or supporting learners in Primary 5–Primary 7 School leader directly involved in school management, learner welfare, or implementation of the intervention Parent or guardian of a learner enrolled in Primary 5–Primary 7 in a participating school Implementation stakeholder directly involved in planning, supporting, delivering, or overseeing the intervention Adult participants aged 18 years or older Able to provide informed consent Able to communicate in English or Lusoga

Exclusion criteria

Exclusion criteria: Not enrolled in Primary 5, Primary 6, or Primary 7 in a participating government primary school Unable to understand study procedures or participate meaningfully in study activities Unable to provide informed assent (for adolescent participants) Parent or guardian consent not provided Severe cognitive, developmental, or communication difficulties that prevent meaningful participation in study activities or assessments Acute medical or psychological condition at the time of data collection that would make participation inappropriate or unsafe Teacher not directly involved in teaching or supporting learners in Primary 5–Primary 7 School leader not directly involved in school management, learner welfare, or implementation of the intervention Parent or guardian without a child enrolled in Primary 5–Primary 7 in a participating school Implementation stakeholder not directly involved in planning, supporting, delivering, or overseeing the intervention Adult participant younger than 18 years of age Unable or unwilling to provide informed consent Unable to communicate in English or Lusoga sufficiently to participate in study activities and data collection Participation likely to compromise voluntary participation, confidentiality, or open discussion due to significant conflicts of interest or power dynamics

Design outcomes

Primary

MeasureTime frame
Mental health and emotional wellbeing Sexual and reproductive health and rights (SRHR) knowledge and decision-making Gender-equitable attitudes Subjective wellbeing Resilience Self-efficacy and agency Feasibility of implementing the RSEL intervention Acceptability of the RSEL intervention Implementation fidelity, including adherence, dosage, quality of delivery, and participant responsiveness Reach and adoption of the RSEL intervention

Secondary

MeasureTime frame
Educational attainment School attendance and retention School dropout rates Emotional regulation and coping skills Help-seeking behaviours Peer connectedness and social support Teacher use of gender-responsive and supportive pedagogical practices Safe, inclusive, and supportive school environments Parental support for adolescent wellbeing and development Parental communication regarding adolescent wellbeing and SRHR Utilisation of school-health referral pathways and support services Reduced acceptance of harmful social and gender norms Health-promoting behaviours Reduced exposure to gender-based violence Improved coordination between education, health, and protection sectors Maintenance and sustainability of programme implementation Cost-effectiveness of the intervention Government and stakeholder readiness for institutionalisation and scale-up

Countries

Uganda

Contacts

Public ContactLilian Nankunda

JM Education and Research Centre

l.nankunda@jmerc.org+256765403097

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026