NCT05081622

Brief Summary

Violence has severe and long-lasting negative consequences for children's and adolescents' well-being and academic functioning, which can hinder communities' and societies' economic growth. According to the Human Development Index, Haiti is one of the least developed countries in the world and the least developed in the Western hemisphere. Although Haiti has officially signed international and national laws aiming to protect children, preliminary reports suggest high rates of violence against children at schools. In addition to a lack of adequate training and supervision of teachers and an underdeveloped education system, attitudes favoring violence against children as an effective and acceptable discipline method and the lack of access to alternative non-violent strategies are likely to contribute to teachers' ongoing use of violence against children. Notwithstanding, no school-level interventions addressing these factors to reduce violence by teachers have been scientifically evaluated in Haiti so far. Thus, the present study tests the effectiveness of the preventative intervention Interaction Competencies with Children - for Teachers (ICC-T) in primary schools in Haiti. Previous studies have provided initial evidence on the feasibility and effectiveness of ICC-T to reduce teacher violence in primary and secondary schools in Tanzania and secondary schools in Uganda. This study aims to provide first evidence for the effectiveness of ICC-T to reduce violence and to improve children's functioning (i.e. mental health, well-being, academic performance) in a cultural setting outside of Sub-Saharan Africa.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,064

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Nov 2021

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 5, 2021

Completed
13 days until next milestone

First Posted

Study publicly available on registry

October 18, 2021

Completed
28 days until next milestone

Study Start

First participant enrolled

November 15, 2021

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2024

Completed
Last Updated

February 6, 2025

Status Verified

August 1, 2024

Enrollment Period

2.9 years

First QC Date

October 5, 2021

Last Update Submit

February 4, 2025

Conditions

Keywords

school violenceteacher violenceteachersinterventionstudentsprimary schools

Outcome Measures

Primary Outcomes (2)

  • Change of students' exposure to emotional and physical violence by teachers

    The Conflict Tactics Scale (CTS) will be used to assess students' self-reported experiences of emotional and physical violence by teachers at school in the past week. Higher scores indicate higher levels of violence that is used by teachers. We hypothesize a stronger reduction of exposure to violence in the intervention group compared to the control group.

    The CTS will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6-12 months after intervention)

  • Change of teachers' use of emotional and physical violence

    The Conflict Tactics Scale (CTS) will be used to assess teachers' use of emotional and physical violent discipline measures against students in the past week. Higher scores indicate higher levels of violence that is used by teachers. We hypothesize a stronger reduction of the use of violence in the intervention group compared to the control group.

    The CTS will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6-12 months after intervention)

Secondary Outcomes (4)

  • Change of teachers' positive attitudes towards emotional and physical violence

    The adapted version of CTS will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6-12 months after intervention)

  • Change of student's mental health

    The PSC-Y will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6-12 months after intervention)

  • Change of students' quality of life

    The KIDSCREEN-10 will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6-12 months after intervention)

  • Change of students' cognitive functioning

    The app-based tasks will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6-12 months after intervention)

Other Outcomes (3)

  • Change of students' academic performance

    he standardized achievement tests will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6-12 months after intervention).

  • Change of Students' social competence

    The Social Cognitive Map Technique - peer nomination will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6-12 months after intervention).

  • Change of peer violence

    The Multidimensional Peer Victimization Scale will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6-12 months after intervention).

Study Arms (2)

ICC-T

EXPERIMENTAL

5 days with 9 hours of training for teachers. Core training components include teacher-student interaction, maltreatment prevention, effective discipline strategies, identifying and supporting burdened students and implementation of the training materials into the school setting

Behavioral: Interaction Competencies with Children - for Teachers (ICC-T)

Monitoring condition

NO INTERVENTION

No intervention

Interventions

Core training components include teacher-student interaction, maltreatment prevention, effective discipline strategies, identifying and supporting burdened students and implementation of the training materials into the school setting. A one-day ICC-T refresher workshop aiming to refresh and re-emphasize the key aspects of the intervention is implemented about 6 to 12 months after the initial intervention.

ICC-T

Eligibility Criteria

Age7 Years - 70 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Written informed consent (if underaged by parents \& minors themselves)
  • Students: Enrollment in class 4 of primary school
  • Teachers: All teachers employed at the school
  • Schools:
  • Public or community schools
  • Mixed-gender schools
  • Day schools
  • At least 40 students in selected class/stream

You may not qualify if:

  • Students and teachers:
  • Acute drug or alcohol intoxication
  • Acute psychotic disorder
  • Schools:
  • Previous training on violence prevention

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

P4H Global

Cap-Haïtien, Haiti

Location

Study Officials

  • Anke Hoeffler, Prof. Dr.

    University of Konstanz

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

October 5, 2021

First Posted

October 18, 2021

Study Start

November 15, 2021

Primary Completion

September 30, 2024

Study Completion

September 30, 2024

Last Updated

February 6, 2025

Record last verified: 2024-08

Data Sharing

IPD Sharing
Will not share

Locations