Predictors of Child Abuse Among School Going Children and the Impact of Structural Training on Child Abuse Among School Teachers

NCT06444100 | Not Yet Recruiting DMC

• 1 other identifier: 35_2024
• Study Type: interventional
• Target: 206
• Locations: 0 countries
• Sites: N/A

Brief Summary

Child abuse stands as a global public health crisis, impeding the natural growth and development of children. The repercussions of abuse extend beyond immediate trauma, resulting in heightened medical costs and enduring health consequences that may persist into adulthood. These consequences encompass a spectrum of issues, including attachment disorders, behavioral abnormalities, depression, post-traumatic stress disorder, altered neurobiological structures, suicidal ideation, risky sexual practices, and susceptibility to sexually transmitted infections. The detrimental impact of any form of child abuse lingers into the adult lives of affected individuals. This study aims to determine the Predictors of Child Abuse among School Going Children and the Impact of Structural Training on Child Abuse Among School Teachers of Dhulikhel Municipality in selected schools of Dhulikhel Municipality. Employing descriptive-analytical, true-experimental, and qualitative research designs, the study involves children aged ≥ 11 and teachers across diverse schools. A purposeful sample technique will be used to select teachers to explore school teachers' strategies in supporting students experiencing childhood violence. A simple stratified sampling technique will be used to select schools and a simple random sampling technique will be used to select the required number of students. Subsequently, one group of teachers undergoes comprehensive training on child protection recognition and response, while another does not. Following a two-week intervention, Investigators will conduct a posttest to evaluate teachers' knowledge and attitudes. To ensure clarity, both standard and self-constructed research tools will be translated into Nepali. Subsequently, these tools will be employed for data collection. The gathered information will be entered into an Excel datasheet and later transferred to Stata version 13 for a comprehensive analysis involving both descriptive and inferential statistics.

Conditions

Child Abuse

Outcome Measures

Primary Outcomes (1)

• Predictors of Child Abuse among School Going Children

  Schools will be chosen through simple stratified sampling, and students via simple random sampling.The prevalence of child abuse will be assessed using the Child Abuse Screening Tool for Children (ICAST-C) through anonymous and ethically sound surveys.

  1 year

Secondary Outcomes (1)

• Impact of Structural Training on Child Abuse Among School Teachers in selected schools of Dhulikhel Municipality

  6 months

Study Arms (2)

Intervention

EXPERIMENTAL

The intervention arm will undergo training on child abuse led by an expert group, while the control arm will not receive this training. Both groups will undergo pre-testing before the intervention, followed by post-testing two weeks after the training period.

Procedure: Impact of structural training on child abuse

Control

NO INTERVENTION

The control arm will not get any training.

Interventions

Impact of structural training on child abuse PROCEDURE

A focus group discussion to delve into teachers' perceptions of child abuse. Based on the findings, the training module will be modified as need-based. Phase II: Randomly selected samples will be invited, with the researcher explaining the study procedures and obtaining verbal and written consent from teachers and assent from children. A dedicated room will be arranged for data collection, and participants will be instructed on how to respond to child abuse questions on tablets. Phase-III A pretest will be conducted to assess the existing knowledge level and attitude of the teachers toward child abuse. A 5-hour training session, led by an expert team, will follow the pretest questionnaire administration to all participants. Teachers will also be educated on how to report instances of child abuse. A post-test will be administered using the same questionnaires two weeks after the training.

Intervention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Teachers from various selected secondary schools, both public and private, in Dhulikhel Municipality, Nepal.

You may not qualify if:

• Teachers from primary-level schools and refuse to take part in the study.

Sponsors & Collaborators

• Kathmandu University School of Medical Sciences: lead

Related Publications (8)

• Kandel P, Kunwar R, Karki S, Kandel D, Lamichhane P. Child maltreatment in Nepal: prevalence and associated factors. Public Health. 2017 Oct;151:106-113. doi: 10.1016/j.puhe.2017.06.020. Epub 2017 Jul 29.

  PMID: 28763786 BACKGROUND

• Kumar MT, Kumar S, Singh SP, Kar N. Prevalence of child abuse in school environment in Kerala, India: An ICAST-CI based survey. Child Abuse Negl. 2017 Aug;70:356-363. doi: 10.1016/j.chiabu.2017.06.025. Epub 2017 Jul 7.

  PMID: 28692832 BACKGROUND

• Kvist T, Dahllof G, Svedin CG, Annerback EM. Child physical abuse, declining trend in prevalence over 10 years in Sweden. Acta Paediatr. 2020 Jul;109(7):1400-1408. doi: 10.1111/apa.15215. Epub 2020 Mar 6.

  PMID: 32031703 BACKGROUND

• Miragoli S, Balzarotti S, Camisasca E, Di Blasio P. Parents' perception of child behavior, parenting stress, and child abuse potential: Individual and partner influences. Child Abuse Negl. 2018 Oct;84:146-156. doi: 10.1016/j.chiabu.2018.07.034. Epub 2018 Aug 9.

  PMID: 30099228 BACKGROUND

• Neupane D, Bhandari PM, Thapa K, Bhochhibhoya S, Rijal S, Pathak RP. Self-reported child abuse in the home: a cross-sectional survey of prevalence, perpetrator characteristics and correlates among public secondary school students in Kathmandu, Nepal. BMJ Open. 2018 Jun 19;8(6):e018922. doi: 10.1136/bmjopen-2017-018922.

  PMID: 29921678 BACKGROUND

• Shrestha S, Baskota S, Karki U, Poudel L, Bhandari N, Gurung M, Rajbhandari B, Shrestha P. Child Sexual Abuse among School Children of a Municipality: A Descriptive Cross-sectional Study. JNMA J Nepal Med Assoc. 2021 Jul 30;59(239):672-677. doi: 10.31729/jnma.6865.

  PMID: 34508495 BACKGROUND

• Song Y, Ji CY, Agardh A. Sexual coercion and health-risk behaviors among urban Chinese high school students. Glob Health Action. 2014 May 14;7:24418. doi: 10.3402/gha.v7.24418. eCollection 2014.

  PMID: 24836445 BACKGROUND

• Tang CS. Childhood experience of sexual abuse among Hong Kong Chinese college students. Child Abuse Negl. 2002 Jan;26(1):23-37. doi: 10.1016/s0145-2134(01)00306-4.

  PMID: 11860160 BACKGROUND

Central Study Contacts

Sita Karki, MN

CONTACT

+9779841239708; sitakarki@kusms.edu.np

Kunta Devi PUn, PHD

CONTACT

+9779841239846; kunta.devi.pun@kusms.edu.np

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: Selected schools will be divided into two groups: an intervention group, where teachers of selected schools will receive training on child abuse, and a control group without training. A comparative analysis will then evaluate the effectiveness of the intervention by assessing teachers' knowledge and attitudes towards child abuse. A pretest will be conducted to assess the existing knowledge level and attitude of the teachers toward child abuse. A 5-hour training session, led by an expert team, will follow the pretest questionnaire administration to all participants. The training will cover the introduction, definition, risk factors, signs, symptoms, and management of child abuse. Teachers will also be educated on how to report instances of child abuse. The training will incorporate interactive lectures, group discussions, and role-playing to effectively convey the management of child abuse. A post-test will be administered using the same questionnaires two weeks after the training

Study Record Dates

• First Submitted: May 16, 2024
• First Posted: June 5, 2024
• Study Start: June 15, 2024
• Primary Completion: January 15, 2025
• Study Completion (Estimated): January 30, 2027
• Last Updated: June 5, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share