Brief Summary

The general objective of the project is to assess whether a violence de-escalating training for health professionals and of a publicly displayed Code of Conduct (a set of rules developed through a citizen science and co-design approach) for both health professionals and clients at the level of the health facility, can reduce the incidence and severity of episodes of violence, and to identify the most cost-effective way to implement these interventions in rural Democratic Republic of Congo (DRC) and in the mega city of Baghdad, Iraq.

Trial Health

On Track

Trial Health Score

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

Enrollment

798

participants targeted

Target at P75+ for not_applicable

Timeline

Completed

Started Nov 2022

Typical duration for not_applicable

Geographic Reach

2 countries

2 active sites

Status

completed

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

2 years study duration

First Submitted

Initial submission to the registry

June 10, 2022

Completed

5 days until next milestone

First Posted

Study publicly available on registry

June 15, 2022

Completed

5 months until next milestone

Study Start

First participant enrolled

November 1, 2022

Completed

2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 31, 2024

Completed

Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 31, 2024

Completed

Last Updated

January 22, 2025

Status Verified

September 1, 2024

Enrollment Period

2 years

First QC Date

June 10, 2022

Last Update Submit

January 20, 2025

Conditions

Workplace Violence

Keywords

de-escalatingviolence preventionbehavioral symptomscode of conduct

Outcome Measures

Primary Outcomes (2)

Incidence and severity of self-reported non-physical aggression
Number of self-reported non-physical aggression (verbal abuse, threats, ironic language, provocative or aggressive body language etc.) during the fulfillment of a professional activity in the last 6 months
6 months
Incidence and severity of self-reported physical aggression
Number of self-reported physical aggression during the fulfillment of a professional activity in the last 6 months
6 months

Secondary Outcomes (9)

Level of confidence in coping with patient aggression
0, 6, 12, 18 months
Level of post-traumatic stress disorders (PTSD) among HCWs
0, 6, 12, 18 months
Level of burnout among HCWs
0, 6, 12, 18 months
Psychological empathy among HCWs
0, 6, 12, 18 months
Absenteeism
0, 6, 12, 18 months
+4 more secondary outcomes

Study Arms (11)

Arm 1 De-escalating violence training

EXPERIMENTAL

The de-escalating violence training intervention will be introduced after a pre-interventional period of 3 months. A refreshment training will be introduced at month 11.

Behavioral: Training in de-escalating violence

Arm 2 De-escalating violence training

EXPERIMENTAL

The de-escalating violence training intervention will be introduced before the second observation period at month 11. A refreshment training will be introduced at month 18.

Behavioral: Training in de-escalating violence

Arm 3 De-escalating violence training

EXPERIMENTAL

The de-escalating violence training intervention will be introduced before the third observation period at month 18.

Behavioral: Training in de-escalating violence

Arm 4 De-escalating violence training + Code of conduct

EXPERIMENTAL

The de-escalating violence training intervention will be introduced after a pre-interventional period of 3 months. The code of conduct via a warning board will be introduced at month 11. A refreshment training will be introduced at month 18.