A study evaluating the Ben Kinsella Trust’s Choices and Consequences programme, a school-based knife crime prevention programme for Year 6 pupils

ISRCTN ISRCTN16233216
DOI https://doi.org/10.1186/ISRCTN16233216
Sponsor Youth Endowment Fund
Funder Youth Endowment Fund
Submission date
26/08/2026
Registration date
26/08/2026
Last edited
26/08/2026
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Knife crime and serious youth violence remain important concerns in England. There is growing interest in preventing violence early, before children become involved in knife carrying or other harmful behaviour. However, there is currently limited strong evidence about whether school-based knife crime education programmes are effective.

Choices and Consequences is an educational workshop about knife crime and safety delivered by the Ben Kinsella Trust. It aims to help children understand the consequences of knife crime, reflect on peer influence and decision-making, and build confidence to make safer choices.

This study aims to find out whether Choices and Consequences works under ideal conditions. In particular, it will test whether Year 6 pupils who receive Choices and Consequences show reduced willingness or intentions to carry a knife compared with pupils who continue with their usual school provision. The study will also look at whether the workshop affects related outcomes including empathy, prosocial behaviour, peer relationships and mental wellbeing. Alongside this, the researchers will explore how the programme is delivered in practice, how pupils and schools experience it, and whether there are any unintended or negative effects.

Who can participate?
Year 6 pupils aged approximately 10–11 years attending participating mainstream primary schools in or near the areas served by BKT’s exhibition centres in Islington, Barking and Dagenham, and Nottingham.

Choices and Consequences is a universal programme, meaning it is intended for all pupils in participating classes rather than only children identified as being at risk of knife crime or violence. Pupils will not take part if their parent or carer chooses to opt them out, and pupils themselves can choose not to participate.

What does the study involve?
This is a two-arm cluster randomised controlled trial. In plain English, this means whole Year 6 classes, rather than individual pupils, will be allocated at random to one of two groups:

1. The Choices and Consequences group.
2. The control group, who will continue with business as usual, meaning their normal school curriculum, pastoral provision and safeguarding arrangements.

Choices and Consequences is a one-off, two-hour workshop delivered at one of BKT’s purpose-built exhibition spaces. The workshop combines facilitated discussion, visual displays, short films, interactive activities and immersive theatre. Pupils explore the personal, social and legal consequences of knife crime alongside topics such as peer influence, responsibility, decision-making, first aid and staying safe.

Pupils in both groups will complete questionnaires before classes are randomly allocated, approximately 1–2 weeks after the workshop, and around one school term later. Pupils who receive Choices and Consequences will also complete a short questionnaire immediately after the workshop.

The main outcome is pupils’ willingness or intentions to carry a knife. Other outcomes include prosocial behaviour, peer relationships, empathy and mental wellbeing.

The study also includes an implementation and process evaluation. This means the researchers will look at how Choices and Consequences is delivered, what helps or gets in the way of successful delivery, how pupils and schools experience the programme, and whether different groups of pupils experience it differently.

What are the possible benefits and risks of participating?
Possible benefits are that pupils who take part in Choices and Consequences may develop a better understanding of the consequences of knife crime, reflect on peer influence and decision-making, and feel more confident about making safe choices. The study will also help build evidence about whether educational approaches of this kind can help prevent knife carrying and serious youth violence.

The workshop and questionnaires include potentially sensitive topics relating to knife crime, violence, safety and wellbeing, which some pupils may find upsetting. To reduce this risk, the workshop is delivered by trained staff, and schools are asked to share relevant information in advance so that appropriate support can be put in place. Pupils can take a break or stop participating if they wish, and schools’ usual safeguarding and pastoral arrangements remain in place. Any safeguarding concerns will be managed using agreed safeguarding procedures.

Where is the study run from?
The study is being run with primary schools in and around Islington, Barking and Dagenham, and Nottingham.

The Choices and Consequences programme is delivered by the Ben Kinsella Trust at its exhibition centres in Islington, Barking and Dagenham, and Nottingham. The independent evaluation is being carried out by Cordis Bright.

When is the study starting and how long is it expected to run for?
September 2026 to July 2028.

Who is funding the study?
The Youth Endowment Fund (UK).

Who is the main contact?
Matt Irani, Principal Investigator and Project Director, Cordis Bright, mattirani@cordisbright.co.uk
Madeleine Morrison, Co-Principal Investigator and Project Manager, Cordis Bright, madeleinemorrison@cordisbright.co.uk

Contact information

Ms Madeleine Morrison
Public, Scientific, Principal investigator

Cordis Bright, 23–24 Smithfield Street
London
EC1A 9LF
United Kingdom

Phone +44 20 7330 9170
Email madeleinemorrison@cordisbright.co.uk
Mr Matt Irani
Public, Scientific, Principal investigator

Cordis Bright, 23–24 Smithfield Street
London
EC1A 9LF
United Kingdom

Phone +44 20 7330 9170
Email mattirani@cordisbright.co.uk
Dr Stephen Boxford
Public, Scientific, Principal investigator

Cordis Bright, 23–24 Smithfield Street
London
EC1A 9LF
United Kingdom

Phone +44 20 7330 9170
Email stephenboxford@cordisbright.co.uk

Study information

Primary study designInterventional
AllocationRandomized controlled trial
MaskingOpen (masking not used)
ControlActive
AssignmentCluster
PurposePrevention
Scientific titleAn efficacy cluster randomised controlled trial of the Ben Kinsella Trust’s Choices and Consequences programme, a universal knife crime prevention intervention for Year 6 pupils, compared with business as usual, assessing impacts on willingness or intentions to carry a knife
Study objectives To assess whether a two-hour universal knife crime education workshop, delivered under efficacy conditions designed to maximise implementation fidelity, delivery consistency and participant safety, leads to a reduction in Year 6 pupils’ willingness or intentions to carry a knife at 1–2 weeks post-workshop, compared with business-as-usual provision.
Ethics approval(s)

Approved 21/07/2026, University of Portsmouth Research Ethics Committee (Faculty of Humanities and Social Sciences, University of Portsmouth, Rm LB3.14 Milldam Building, Burnaby Road, Portsmouth, PO1 3AS, United Kingdom; no telephone number provided; simon.kolstoe@port.ac.uk), ref: 26/ETHICS/022

Health condition(s) or problem(s) studiedPrevention of knife carrying and serious youth violence among Year 6 pupils.
InterventionChoices and Consequences is a structured, immersive knife crime prevention intervention developed and delivered by the Ben Kinsella Trust. It is a universal intervention rather than one targeted at pupils identified as being at risk. For this trial, it will be delivered to Year 6 pupils aged approximately 10–11 years.

The intervention consists of a one-off, two-hour workshop delivered during the school day at one of the Ben Kinsella Trust's purpose-built exhibition spaces in Islington, Barking and Dagenham, or Nottingham. Pupils attend as intact classes, in groups of up to approximately 30 pupils. Delivery is led by trained facilitators and professional actors and follows a standardised sequence, with facilitators able to adapt pacing and interaction in response to pupils’ needs while maintaining fidelity to the intervention’s core components.

The workshop combines facilitated discussion, visual displays, short films, interactive activities and immersive theatre. Pupils are exposed to victim and family narratives and perspectives of people involved in and/or affected by serious violence. They explore the personal, social and legal consequences of knife crime, first aid, peer influence, responsibility and decision-making, and take part in structured reflection designed to support safer choices. The intervention is intended to provide reflective learning rather than fear-based deterrence.

Schools receive information before the visit outlining the workshop themes, sensitive content and recommended preparation activities. They are also asked to share relevant safeguarding, SEND and contextual information needed to support safe participation. Facilitators and actors receive structured training in intervention delivery, safeguarding, child protection, equality, diversity and inclusion, trauma-informed practice and the safe delivery of sensitive content. Delivery quality is supported through observation, feedback and refresher training.

The study uses a two-arm, parallel cluster randomised controlled trial design. The unit of randomisation is the Year 6 class. Participating schools must contribute at least two eligible Year 6 classes. Following completion of baseline data collection and confirmation of final class lists, eligible classes within each school will be randomly allocated as close to a 1:1 ratio as possible to either the intervention or business-as-usual control condition. Randomisation will be conducted using Sealed Envelope, a secure web-based randomisation platform. Allocation is concealed until baseline data collection is complete.

Classes allocated to the intervention group will attend the Choices and Consequences workshop. Immediately after the workshop, pupils will complete a short post-workshop questionnaire.

Classes allocated to the control group will not receive Choices and Consequences during the trial period. They will continue with business as usual, defined as their normal curriculum, pastoral provision and safeguarding arrangements, without exposure to Choices and Consequences content, materials or activities.
Intervention typeBehavioural
Primary outcome measure(s)
  1. Willingness or intentions to carry a knife measured using pupil self-report 11-item version of the Willingness to Carry a Knife Scale (Hobson, Yesberg and Bradford, 2022) at baseline (T1), 1–2 weeks post-workshop (T3), 1 school term post-workshop (T4)
Key secondary outcome measure(s)
  1. Prosocial orientation measured using Strengths and Difficulties Questionnaire (SDQ) Prosocial behaviour subscale at baseline (T1), 1–2 weeks post-workshop (T3), 1 school term post-workshop (T4)
  2. Peer relationships and peer problems measured using SDQ – Peer problems subscale at baseline (T1), 1–2 weeks post-workshop (T3), 1 school term post-workshop (T4)
  3. Empathic concern and prosocial motivation measured using Empathy Questionnaire for Children and Adolescents (EmQue-CA) total score at baseline (T1), 1–2 weeks post-workshop (T3), 1 school term post-workshop (T4)
  4. Mental wellbeing measured using Stirling Children’s Wellbeing Scale (SCWBS) at baseline (T1), 1–2 weeks post-workshop (T3), 1 school term post-workshop (T4)
Completion date31/07/2028

Eligibility

Participant type(s)
Age groupChild
Lower age limit10 Years
Upper age limit11 Years
SexAll
Target sample size at registration2900
Key inclusion criteria1. Pupils enrolled in Year 6 in a participating mainstream primary school
2. School is located within, or in close proximity to, a Choices and Consequences delivery region (Islington, Barking and Dagenham, or Nottingham)
3. School is able to contribute at least two eligible Year 6 classes and participate in class-level randomisation
4. Pupils are enrolled in a participating Year 6 class at the time of delivery and data collection
Key exclusion criteria1. Pupils not enrolled in a participating Year 6 class
2. Pupils in cohorts that have previously received the Choices and Consequences intervention, including in an earlier school year
3. Pupils whose parent/carer opts them out of participation
4. Secondary schools are not eligible to participate in the trial
Date of first enrolment01/09/2026
Date of final enrolment30/04/2028

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

The Ben Kinsella Trust
The Ben Kinsella Trust
124 City Road
London
EC1V 2NX
England

Results and Publications

Individual participant data (IPD) Intention to shareYes
IPD sharing planThe datasets generated during and/or analysed during the current study will be archived after the study in the YEF data archive (https://youthendowmentfund.org.uk/evaluation-data-archive/) and will be available to researchers on request.

Editorial Notes

26/08/2026: Trial's existence confirmed by University of Portsmouth Research Ethics Committee.