NCT06835205

Brief Summary

This study, titled APACHES, is a cluster randomized controlled trial aimed at evaluating the effectiveness of a school-based prevention program, "Tous Épanouis à l'École" (TEAL), conducted by healthcare students as part of their mandatory public health service curriculum. The TEAL program consists of five interactive sessions focused on developing psychosocial skills (e.g., communication, empathy, collaboration) among elementary school students (grades CE2-CM1-CM2) in the Grenoble Academy. The primary objective is to assess whether the program reduces the prevalence of bullying behaviors (victims and/or aggressors) compared to standard preventive actions on unrelated themes. The study involves 36 classrooms across 18 schools, with data collected at three time points: before, one month after, and four months after the intervention. Secondary objectives include evaluating social proximity, altruistic behaviors, and qualitative perceptions from students, teachers, and facilitators.

Trial Health

55
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
900

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2024

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
active not recruiting

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

Study Start

First participant enrolled

October 1, 2024

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

January 13, 2025

Completed
1 month until next milestone

First Posted

Study publicly available on registry

February 19, 2025

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2025

Completed
Last Updated

February 19, 2025

Status Verified

February 1, 2025

Enrollment Period

9 months

First QC Date

January 13, 2025

Last Update Submit

February 13, 2025

Conditions

Keywords

Bullying PreventionPsychosocial SkillsElementary EducationHealth EducationStudent Well-BeingCluster Randomized TrialTEAL ProgramSchool ClimatePublic Health Intervention

Outcome Measures

Primary Outcomes (1)

  • Prevalence of Bullying Behaviors (Victims and/or Aggressors)

    The proportion of students identified as victims, aggressors, or victim-aggressors based on the Revised Bully/Victim Questionnaire (rBVQ). Measured at three time points: before the intervention (T1), one month after the intervention (T2), and four months after the intervention (T3).

    Change from baseline (T1) to one month after the intervention (T2).

Secondary Outcomes (6)

  • Change in Social Proximity Score

    Change from baseline (T1) to one month after the intervention (T2).

  • Change in Psychosocial Skills

    Change from baseline (T1) to one month after the intervention (T2).

  • Change in Altruistic Behaviors

    Change from baseline (T1) to one month after the intervention (T2).

  • Perception of the Intervention by Healthcare Students (Focus Groups)

    Collected one month after the intervention (T2)

  • Perception of the Intervention by Elementary School Teachers (Interviews)

    Collected one month after the intervention (T2)

  • +1 more secondary outcomes

Study Arms (2)

Intervention Group (TEAL Program)

EXPERIMENTAL

Students in this group will receive the "Tous Épanouis à l'École" (TEAL) program, a five-session intervention aimed at developing psychosocial skills, including empathy, communication, and social proximity. Sessions will be conducted by trained healthcare students as part of their Service Sanitaire curriculum. The program focuses on reducing bullying behaviors and improving classroom climate.

Behavioral: Tous Épanouis à l'École (TEAL Program)

Control Group (Standard Health Education)

ACTIVE COMPARATOR

Students in this group will participate in five health education sessions on topics unrelated to bullying (e.g., nutrition, sleep hygiene). These sessions will also be delivered by healthcare students following the standard Service Sanitaire training curriculum.

Behavioral: Standard Health Education Sessions

Interventions

The TEAL Program is a structured, five-session behavioral intervention targeting psychosocial skill development in children. Delivered by healthcare students in elementary school classrooms, the program includes interactive activities designed to improve communication, empathy, social proximity, and prosocial behaviors. The intervention aims to reduce bullying behaviors (victims and aggressors) and enhance classroom climate. Each session is guided by a detailed manual and includes active participation from students and their teachers.

Intervention Group (TEAL Program)

This intervention consists of five sessions on general health topics unrelated to bullying, such as nutrition, sleep hygiene, and physical activity. The sessions are facilitated by healthcare students as part of their Service Sanitaire training. These sessions provide a comparable structure and duration to the TEAL program but do not address bullying prevention.

Control Group (Standard Health Education)

Eligibility Criteria

Age8 Years - 11 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Students enrolled in grades CE2, CM1, or CM2 in participating schools.
  • Parents or legal guardians have provided signed informed consent for their child to participate in the study.
  • The child is available to attend all scheduled intervention sessions.

You may not qualify if:

  • Students whose parents or legal guardians have not provided signed informed consent.
  • Students with medical or behavioral conditions that might prevent full participation in the sessions (e.g., requiring additional support not available during the study).
  • Students not attending the school on a regular basis.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Académie de Grenoble

Grenoble, 38032, France

Location

MeSH Terms

Conditions

Child Behavior DisordersSocial BehaviorPsychological Well-BeingHealth Education

Condition Hierarchy (Ancestors)

Neurodevelopmental DisordersMental DisordersBehaviorPersonal SatisfactionAdherence InterventionsMedication AdherencePatient CompliancePatient Acceptance of Health CareTreatment Adherence and ComplianceHealth Behavior

Study Officials

  • Bastien Boussat, MD, PhD

    University Grenoble Alpes, Faculty of Medicine

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Masking Details
Although the study is open-label for participants, care providers, and investigators, the statistician conducting the data analysis will remain blinded to group allocation. This ensures unbiased interpretation of the results.
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: This is a cluster randomized controlled trial where classrooms are randomized into two groups: the intervention group receives the TEAL program, and the control group participates in unrelated health education sessions.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 13, 2025

First Posted

February 19, 2025

Study Start

October 1, 2024

Primary Completion

June 30, 2025

Study Completion

June 30, 2025

Last Updated

February 19, 2025

Record last verified: 2025-02

Data Sharing

IPD Sharing
Will share

Individual participant data (IPD) that underlie the results reported in the publication (after de-identification) will be shared with researchers upon reasonable request. Data will include: Demographic variables Outcome measures (e.g., bullying behaviors, psychosocial skills, and social proximity scores) Qualitative data (e.g., thematic analysis results from focus groups and interviews) Data will be available beginning 6 months after publication and ending 5 years after publication. Requests for data sharing must include a detailed proposal that is approved by the study's steering committee. Access will be granted through a secure data-sharing platform. Contact information for data requests: bboussat@chu-grenoble.fr.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR
Time Frame
IPD and supporting information will be available starting 6 months after publication of the primary results. Data and documents will remain accessible for 5 years post-publication.
Access Criteria
Researchers with a scientifically sound proposal may request access to the IPD and supporting documents. Requests must include a detailed research plan and intended use of the data, subject to approval by the study's steering committee. Approved users will sign a data access agreement and will access the data through a secure data-sharing platform. Contact: bboussat@chu-grenoble.fr.

Locations