NCT05925387

Brief Summary

Detecting and determining child abuse and neglect can be quite challenging and largely depends on the knowledge and skills of healthcare professionals. In a hospital setting, healthcare professionals frequently come across children who have experienced abuse and/or neglect. Nurses are often the first to encounter the child and their family, initiating the process of taking a medical history and establishing closer interactions during care and treatment. To accurately recognize the case and provide appropriate care using the right approach, nurses need to possess sufficient knowledge and skills related to child abuse and neglect. The lack of adequate education on child abuse and neglect, as well as insufficient research on the subject, can lead to a lack of information and cases being overlooked. To identify and report cases of child abuse and neglect, it is important for nurses, especially before starting their profession, to have a sufficient level of knowledge about the signs and risks of child abuse and neglect. This study aims to examine the impact of an educational program targeting nursing students on their knowledge and awareness levels regarding child abuse and neglect.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
75

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started May 2023

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

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

Study Start

First participant enrolled

May 20, 2023

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

June 20, 2023

Completed
9 days until next milestone

First Posted

Study publicly available on registry

June 29, 2023

Completed
1 day until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2023

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

July 30, 2023

Completed
Last Updated

June 29, 2023

Status Verified

June 1, 2023

Enrollment Period

1 month

First QC Date

June 20, 2023

Last Update Submit

June 20, 2023

Conditions

Keywords

Child Abuse and NeglectChild MaltreatmentNursing Students' KnowledgeNursing Students' Awareness

Outcome Measures

Primary Outcomes (3)

  • Child Abuse and Neglect Awareness Scale (CANA-S)

    CANA-S has 4 sub-dimensions: physical abuse, sexual abuse, emotional abuse and neglect. It consists of 20 items in total, 11 of which are reverse scored (1,2,3,5,7,10,12,13,16,17,18). It is a 5-point Likert-type scale (ranging from 1 to 5 (between "strongly disagree" and "strongly agree"). The highest score to be obtained from the scale is 100 and the lowest score is 20. Each of the subscales is 25 points. As the scores obtained from the scale increase, the level of awareness of child abuse and neglect increases; As the scores decrease, the level of awareness of child abuse and neglect decreases. In the internal consistency analysis for reliability, the Cronbach alpha value of CANA-S was found to be 0.768.

    Pretest

  • Child Abuse and Neglect Awareness Scale (CANA-S)

    CANA-S has 4 sub-dimensions: physical abuse, sexual abuse, emotional abuse and neglect. It consists of 20 items in total, 11 of which are reverse scored (1,2,3,5,7,10,12,13,16,17,18). It is a 5-point Likert-type scale (ranging from 1 to 5 (between "strongly disagree" and "strongly agree"). The highest score to be obtained from the scale is 100 and the lowest score is 20. Each of the subscales is 25 points. As the scores obtained from the scale increase, the level of awareness of child abuse and neglect increases; As the scores decrease, the level of awareness of child abuse and neglect decreases. In the internal consistency analysis for reliability, the Cronbach alpha value of CANA-S was found to be 0.768.

    Immediately after the intervention

  • Child Abuse and Neglect Awareness Scale (CANA-S)

    CANA-S has 4 sub-dimensions: physical abuse, sexual abuse, emotional abuse and neglect. It consists of 20 items in total, 11 of which are reverse scored (1,2,3,5,7,10,12,13,16,17,18). It is a 5-point Likert-type scale (ranging from 1 to 5 (between "strongly disagree" and "strongly agree"). The highest score to be obtained from the scale is 100 and the lowest score is 20. Each of the subscales is 25 points. As the scores obtained from the scale increase, the level of awareness of child abuse and neglect increases; As the scores decrease, the level of awareness of child abuse and neglect decreases. In the internal consistency analysis for reliability, the Cronbach alpha value of CANA-S was found to be 0.768.

    1 month after the intervention

Secondary Outcomes (3)

  • 1. Scale for Identification to the Symptom and Risks of Child Abuse and Neglect (SISRCAN)

    Pretest

  • 1. Scale for Identification to the Symptom and Risks of Child Abuse and Neglect (SISRCAN)

    Immediately after the intervention

  • 1. Scale for Identification to the Symptom and Risks of Child Abuse and Neglect (SISRCAN)

    1 month after the intervention

Study Arms (2)

Experimental Group

EXPERIMENTAL

All volunteers completed a pre-test, which includes an additional two scales along with the sociodemographic data form, and two post-tests, which only include the scales. Both groups will receive the Child Abuse and Neglect Awareness Training, which will last approximately 60 minutes. Both groups will complete the pre-test and post-tests at the same time. However, immediately after the pre-test, the experimental group will receive the training and then complete the 1st post-test, followed by the 2nd post-test one month later. Additionally, the second post-test will be administered to both groups simultaneously one month after the completion of the first post-test. After the completion of all the tests, the control group also received the same training, and both groups received participation certificates. Apart from these tasks, there are no other responsibilities.

Other: CANAP Education

Control Group

NO INTERVENTION

Participants in the control group do not receive the intervention. They took both pretest and post-tests. The control group, on the other hand, did not receive the training but completed the first post-test simultaneously with both groups, without distinguishing between the experimental and control groups. They only complete online surveys. However, to follow the ethical rules, at the end of the trial, all nursing students will take the same education as their peers.

Interventions

The volunteer group included in the research consists of Yeditepe University Nursing Students. All nursing students over the age of 18, at all levels of the nursing program, will be included in the study based on voluntary participation, in accordance with the sample size. The purpose and design of the research will be explained to the 1st, 2nd, 3rd, and 4th-year nursing students. The announcement of the study will be made through Yeditepe University Nursing's social media accounts, and a consent link provided. Participants who sign the document in the consent link and upload it to the shared Google Drive received the pre-test link. Participants who complete all the procedures are provided with a participant certificate prepared by the researchers as an incentive.

Experimental Group

Eligibility Criteria

Age18 Years - 30 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • st, 2nd, 3rd, and 4th Grade Undergraduate Nursing Students between the ages of 18-30.
  • Being a volunteer,
  • Not having any disability,
  • Being Turkish literate,
  • Having Internet access and a Google account,
  • Signing the informed consent form

You may not qualify if:

  • Being outside the age range,
  • Being a prep class student, being illiterate in Turkish

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Yeditepe University

Istanbul, Atasehir, 34755, Turkey (Türkiye)

RECRUITING

Related Publications (27)

  • Akcan, A., & Demiralay, Ş. (2016). Hemşirelik bölümü öğrencilerinin çocuk ihmal ve istismarına ilişkin algıları. Eğitim ve Öğretim Araştırmaları Dergisi, 5(32), 275-281.

    BACKGROUND
  • Altan, H. (2015). Üniversite Öğrencisi Gençlere Çocuk İstismarı Ve İhmali Konusunda Yapılan Eğitimin Bilgi Ve Farkındalıklarına Etkisi [Doktora, Gazi Üniversitesi].

    BACKGROUND
  • Austin AE, Lesak AM, Shanahan ME. Risk and protective factors for child maltreatment: A review. Curr Epidemiol Rep. 2020 Oct 7;7(4):334-342. doi: 10.1007/s40471-020-00252-3.

    PMID: 34141519BACKGROUND
  • Bağ, Ö. F., & Bozkurt, G. (2021). Hemşirelerin Çocuk İhmal Ve İstismarina İlişkin Farkindaliklarini Etkileyen Faktörlerin İncelenmesi. Anadolu Hemşirelik Ve Sağlik Bilimleri Dergisi, 24(1), 17-24.

    BACKGROUND
  • Bahrami N, Tork-Torabi M, Sotoudeh R, Namnabati M. Perceived Child Abuse and Neglect in Hospitalized Children with Special Health Care Needs in Iran. Iran J Nurs Midwifery Res. 2021 Oct 22;26(6):526-530. doi: 10.4103/ijnmr.IJNMR_296_19. eCollection 2021 Nov-Dec.

    PMID: 34900652BACKGROUND
  • Bakır, E., & Kapucu, S. (2017). Çocuk ihmali ve istismarının Türkiye'de yapılan araştırmalara yansıması: Bir literatür incelemesi. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 4(2), 13-24.

    BACKGROUND
  • Başdaş, Ö., & Bozdağ, F. (2018). Hemşirelerin çocuk istismarı ve ihmalinin belirti ve risklerini tanılama durumlarının belirlenmesi. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 11(3), 267-275.

    BACKGROUND
  • Burç, A., & Güdücü Tüfekci, F. (2015). Hemşirelerin çocuk istismarı ve ihmalinin belirti ve risklerini tanılama düzeyleri.

    BACKGROUND
  • Chen CJ, Chen YW, Chang HY, Feng JY. Screening Tools for Child Abuse Used by Healthcare Providers: A Systematic Review. J Nurs Res. 2022 Feb 1;30(1):e193. doi: 10.1097/JNR.0000000000000475.

    PMID: 35050956BACKGROUND
  • Child Welfare Information Gateway. (2004). Risk and Protective Factors for Child Abuse and Neglect. U.S. Department of Health and Human Services, Administration for Children and Families, Children's Bureau. . https://www.childwelfare.gov/pubpdfs/riskprotectivefactors.pdf

    BACKGROUND
  • Child Welfare Information Gateway. (2019). What is child abuse and neglect? Recognizing the signs and symptoms. Washington, DC: U.S. Department of Health and Human Services, Children's Bureau.

    BACKGROUND
  • Cicchetti D. Socioemotional, Personality, and Biological Development: Illustrations from a Multilevel Developmental Psychopathology Perspective on Child Maltreatment. Annu Rev Psychol. 2016;67:187-211. doi: 10.1146/annurev-psych-122414-033259.

    PMID: 26726964BACKGROUND
  • Conrad-Hiebner A, Byram E. The Temporal Impact of Economic Insecurity on Child Maltreatment: A Systematic Review. Trauma Violence Abuse. 2020 Jan;21(1):157-178. doi: 10.1177/1524838018756122. Epub 2018 Feb 4.

    PMID: 29400135BACKGROUND
  • Erkut, Z., Gözen, D., & Beşirik, S. (2021). Hemşirelik Bölümü Son Sınıf Öğrencilerinin Çocuk İstismarı ve İhmalinin Belirti ve Risklerini Tanılamaya Yönelik Bilgi Düzeyleri ve Sosyodemografik Faktörlerle İlişkisi. Journal Education and Research in Nursing, 18(2), 231-240.

    BACKGROUND
  • Daley SF, Gonzalez D, Bethencourt Mirabal A, Afzal M. Child Abuse and Neglect. 2025 Apr 11. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK459146/

    PMID: 29083602BACKGROUND
  • Gubbels J, van der Put CE, Stams GJM, Assink M. Effective Components of School-Based Prevention Programs for Child Abuse: A Meta-Analytic Review. Clin Child Fam Psychol Rev. 2021 Sep;24(3):553-578. doi: 10.1007/s10567-021-00353-5. Epub 2021 Jun 4.

    PMID: 34086183BACKGROUND
  • Jordan KS, Moore-Nadler M. Children at risk of maltreatment: identification and intervention in the emergency department. Adv Emerg Nurs J. 2014 Jan-Mar;36(1):97-106. doi: 10.1097/TME.0000000000000011.

    PMID: 24487268BACKGROUND
  • Kuşlu, S., & Bulut, A. (2021). Çocuk İstismarı ve İhmaline Yönelik Hemşirelerin Bilgi, Tutum ve Davranışları: Literatür Taraması. Disiplinlerarası Çocuk Hakları Araştırmaları Dergisi, 1(2), 73-84.

    BACKGROUND
  • Külcü, D. P., & Karataş, H. (2016). Çocuk kliniklerinde çalişan hemşirelerin çocuk istismari ve ihmali konusunda bilgi düzeylerinin incelenmesi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 32(1), 48-58.

    BACKGROUND
  • Ozbey, H., Ozcelep, G. A., Gul, U., & Kahriman, I. (2018). Knowledge and awareness of nursing students about child abuse and neglect. J Nurs Res Pract, 2(3), 21-25.

    BACKGROUND
  • Özçevik, D., Güneş, Ö. D., & OCAKÇI, A. F. (2018). Hemşirelik öğrencilerinin sosyo-kültürel ve demografik özelliklerinin çocuk istismarı ve ihmali farkındalığı ile ilişkisi. Ankara Sağlık Hizmetleri Dergisi, 17(2), 16-27.

    BACKGROUND
  • Poreddi V, Pashapu DR, Kathyayani BV, Gandhi S, El-Arousy W, Math SB. Nursing students' knowledge of child abuse and neglect in India. Br J Nurs. 2016 Mar 10-23;25(5):264-8. doi: 10.12968/bjon.2016.25.5.264.

    PMID: 26972999BACKGROUND
  • Seferoğlu, E. G., Sezici, E., & Yiğit, D. (2019). Hemşirelik öğrencilerinin çocuk istismarı ve ihmalinin belirti ve risklerini tanılama düzeyleri. OPUS International Journal of Society Researches, 10(17), 257-276.

    BACKGROUND
  • Tek, S., & Karataş, G. (2021). Awareness Levels of Child Neglect and Abuse in Nursing Students. OPUS International Journal of Society Researches, 18(43), 6162-6176.

    BACKGROUND
  • Topçu, T. E., Erek Kazan, E., Küçük, S., Murat, Y., Alpaslan, B., Molozoğlu, H., & Özkan, B. (2022). Hemşirelik Öğrencilerinin Çocuk İstismarı ve İhmalinin Belirti ve Risklerini Tanılamaya İlişkin Bilgi Düzeyleri. Journal of Higher Education & Science/Yüksekögretim ve Bilim Dergisi, 12(2), 264-273.

    BACKGROUND
  • TUİK. (2021). Güvenlik Birimine Gelen veya Getirilen Çocuk İstatistikleri, 2020. Erişim adresi: https://data.tuik.gov.tr/Bulten/Index?p=Guvenlik-Birimine-Gelen-veya-Getirilen-Cocuk-Istatistikleri-2020-37200

    BACKGROUND
  • Yüksel, H., & Yüksel, M. (2014). Çocuk ihmali ve istismarı bağlamında Türkiye'de çocuk gelinler gerçeği. Çankırı Karatekin Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 5(2), 1-24.

    BACKGROUND

Study Officials

  • Gokce Nz Cakir, BSN

    Yeditepe University

    STUDY CHAIR

Central Study Contacts

Damla Ozcevik Subasi, PhD

CONTACT

Aylin Akca Sumengen, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
The statistician who performed the data analysis saw the experimental and control groups as group A and group B, without knowing which group was the experimental or control group.
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: Randomised Controlled Study
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 20, 2023

First Posted

June 29, 2023

Study Start

May 20, 2023

Primary Completion

June 30, 2023

Study Completion

July 30, 2023

Last Updated

June 29, 2023

Record last verified: 2023-06

Data Sharing

IPD Sharing
Will not share

Locations