About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Teachers from various selected secondary schools, both public and private, in Dhulikhel Municipality, Nepal.
Disqualifiers
Teachers from primary-level schools and refuse to take part in the study.
Trial design
Parallel
Treatments tested in this trial
Impact of structural training on child abuse
Procedure/SurgeryA 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.
Treatment groups
Trial outcomes
Primary outcomes
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.
Secondary outcomes
Impact of Structural Training on Child Abuse Among School Teachers in selected schools of Dhulikhel Municipality
Schools will be chosen through simple stratified sampling, and students via simple random sampling. One group of teachers will receive comprehensive training on child protection, while another will not. A pretest will assess teachers' existing knowledge and attitudes. Subsequently, all participants will undergo a 5-hour training session covering various aspects of recognizing and responding to child abuse followed by a post-test after a two-week training intervention to assess teachers' knowledge and attitudes towards child abuse.
Locations
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