Teacher Child Interaction Training (TCIT): Randomized Control Trial

NCT04000230 | Completed

• 1 other identifier: 20170372
• Study Type: interventional
• Target: 622
• Locations: 1 country
• Sites: 4

Brief Summary

This study is being conducted to evaluate the effects of TCIT on child development, child behavior, and teacher use of skills in the classroom.

Conditions

Behavior, Child

Keywords

Early Education Program; Developmental Delay; Behavior Management; Social Emotional Development; Special Education

Outcome Measures

Primary Outcomes (4)

• Change in teacher use of TCIT skills

  Teacher-Child Interaction Coding System (TCICS) in a behavioral coding system that allows trained observers to tally the occurrence of certain teacher behaviors. For CDI skills, if teachers use the skills at a frequency of 5 or more each, they have demonstrated proficiency. If they use the skills at a frequency of 7 or more each, they have demonstrated mastery. For TDI skills, percent correct follow-up of commands and questions at a rate of 50% demonstrates proficiency. Percent correct follow-up at a rate of 75% demonstrates mastery.

  Baseline to 8 months

• Student social-emotional functioning

  The Devereux Early Childhood Assessment (DECA) identifies each domain as an area of strength (T-score \>=60), an area of need (T-score \<=40), or an area of typical functioning (T-score = 41-59). DECA t-scores range from 28 to 72 with higher scores indicating higher functioning.

  8 months

• Child prosocial behaviors

  The Behavior Assessment System for Children, Third Edition - Student Observation System (BASC-3 SOS) is a behavioral observation coding system that allows for interval recording of a wide range of child positive and negative behaviors that may promote or impede learning and adjustment in the classroom. For the Adaptive Behaviors scale, there are 4 behaviors rated across 30 intervals, for a total possible score of 120 (range 0-120). Higher scores on the Adaptive Behaviors scale are indicative of higher functioning.

  8 months

• Child disruptive/maladaptive behaviors

  The Behavior Assessment System for Children, Third Edition - Student Observation System (BASC-3 SOS) is a behavioral observation coding system that allows for interval recording of a wide range of child positive and negative behaviors that may promote or impede learning and adjustment in the classroom. The Problem Behaviors scale consists of 10 behaviors rated across 30 intervals, for a total possible score of 300 (range 0-300). Higher scores on the Problem Behaviors scale are indicative of poorer functioning.

  8 months

Secondary Outcomes (2)

• Child disruptive behaviors

  8 months

• Child language development

  8 months

Study Arms (2)

TCIT

EXPERIMENTAL

Teachers in the intervention group receive TCIT in the first half of the school year and booster coaching is provided throughout the second half of the school year as the Waitlist Control group is trained.

Behavioral: TCIT; Behavioral: Booster

Waitlist Control

ACTIVE COMPARATOR

Waitlist Control teachers do not receive any intervention for the first half of the school year. They then receive the same TCIT training as the intervention group in the second half of the school year.

Behavioral: TCIT

Interventions

TCIT BEHAVIORAL

TCIT consists of the following: * CDI Teach Session: Teachers will participate in two training workshops in Child-Directed Interaction (CDI) skills. Specifically, teachers will learn to use positive attention skills and active ignoring. * CDI Coaching: Teachers will receive 90 minutes of CDI coaching in the classroom once or twice weekly for 6 total coaching sessions over a period of 4-6 weeks. The coach will observe the class and coach the teacher live using a microphone and bug-in-the-ear device. * TDI Teach Session: Teachers will complete two training workshops in Teacher Directed Interaction (TDI) skills, which focus on increasing compliance and reducing disruptive behavior. Teachers will learn to present developmentally appropriate, direct, and clear instructions and consistent positive and negative consequences. * TDI Coaching: Teachers will receive six 90-minute TDI coaching sessions once or twice weekly for 4-6 weeks.

TCIT; Waitlist Control

Booster BEHAVIORAL

Teachers in the Intervention group will receive additional booster sessions during the second half of the school year. Booster sessions consist of coaching teachers in CDI and TDI skills. Teachers receive 4-8 booster sessions.

TCIT

Eligibility Criteria

• Age: 12 Months+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• UMTCIT will target classrooms of children ages 1-5 enrolled in four participating B-2 Early Education Programs in Miami-Dade County: Debbie School, Easterseals South Florida, Arc of South Florida, and Linda Ray Intervention Center. Participants will also include school staff (teachers, teaching assistants, physical therapists, occupational therapists, speech/language pathologists) and students.

You may not qualify if:

• Children will be excluded from the study if they are 6 years of age or older or younger than 12 months of age at the start of each wave of treatment.

Sponsors & Collaborators

• University of Miami: lead
• The Children's Trust, Miami FL: collaborator

Study Sites (4)

Debbie School

Miami, Florida, 33136, United States

Location

EasterSeals South Florida

Miami, Florida, 33136, United States

Location

Linda Ray Intervention Center

Miami, Florida, 33136, United States

Location

Arc of South Florida

Miami, Florida, 33173, United States

Location

MeSH Terms

Conditions

Child Behavior; Learning Disabilities

Interventions

Immunization, Secondary

Condition Hierarchy (Ancestors)

Behavior; Communication Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Neurodevelopmental Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Immunization; Immunotherapy; Immunomodulation; Biological Therapy; Therapeutics; Immunologic Techniques; Investigative Techniques

Study Officials

• Eileen M Davis, PhD

  University of Miami

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Clinical Pediatrics

Study Record Dates

• First Submitted: June 25, 2019
• First Posted: June 27, 2019
• Study Start: July 7, 2017
• Primary Completion: July 30, 2021
• Study Completion: July 30, 2021
• Last Updated: August 3, 2021

Record last verified: 2021-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (4)