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首页> 外文期刊>BMC Public Health >Cluster randomised controlled trial of ‘whole school’ child maltreatment prevention programme in primary schools in Northern Ireland: study protocol for Keeping Safe
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Cluster randomised controlled trial of ‘whole school’ child maltreatment prevention programme in primary schools in Northern Ireland: study protocol for Keeping Safe

机译：北爱尔兰小学“全校”儿童虐待预防计划的分组随机对照试验：保持安全的研究方案

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Child maltreatment has a pervasive, detrimental impact on children’s wellbeing. Despite a growing focus on prevention through school based education, few programmes adopt a whole- school approach, are multi-component, seek to address all forms of maltreatment, or indeed have been robustly evaluated. This paper describes a cluster randomised controlled trial designed to evaluate a school based child maltreatment prevention programme: ‘Keeping Safe’ in primary schools in Northern Ireland. The intervention has been designed by a non-profit agency. Programme resources include 63 lessons taught incrementally to children between four and 11 years old, and is premised on three core themes: healthy relationships, my body, and being safe. There are programme resources to engage parents and to build the capacity and skills of school staff. A cluster Randomised Controlled Trial (RCT) will be conducted with children in 80 schools over a two-year period. The unit of randomisation is the school. Schools will be allocated to intervention or wait-list control groups using a computer-generated list. Data will be collected at three time points: baseline, end of year one, and end of year two of programme implementation. Primary outcomes will include: children’s understanding of key programme concepts, self-efficacy to keep safe in situations of maltreatment, anxiety arising from programme participation, and disclosure of maltreatment. Secondary outcomes include teachers’ comfort and confidence in teaching the programme and parents’ confidence in talking to their children about programme concepts. This RCT will address gaps in current practice and evidence regarding school based child maltreatment prevention programmes. This includes the use of a whole- school approach and multi-component programme that addresses all maltreatment concepts, a two-year period of programme implementation, and the tracking of outcomes for children, parents, and teachers. Methodologically, it will extend our understanding and learning in: capturing sensitive outcome data from young children, adapting and using standardised measures with children of different ages, the use of school level administrative data on staff reports/children’s disclosure of maltreatment as behavioural outcomes, and the conduct of complex trials within the busy school environment. ClinicalTrials.gov: NCT02961010 (Retrospectively registered 8 November 2016).
机译：虐待儿童会对孩子的健康造成普遍的有害影响。尽管越来越重视通过基于学校的教育进行预防，但很少有计划采用全学校方法，包含多个内容，寻求解决所有形式的虐待或确实得到了强有力的评估。本文介绍了一项整群随机对照试验，旨在评估基于学校的儿童虐待预防计划：北爱尔兰小学的“保持安全”。干预措施是由非营利机构设计的。该计划的资源包括逐步向4至11岁的儿童教授的63课，并以三个核心主题为前提：健康的人际关系，我的身体和安全。有计划资源可以让父母参与，并提高学校工作人员的能力和技能。在两年的时间内，将对80所学校的孩子们进行一项随机对照试验（RCT）。随机单位是学校。将使用计算机生成的列表将学校分配给干预或等待列表控制组。将在三个时间点收集数据：基线，计划实施的第一年年底和第二年年底。主要结果将包括：儿童对关键计划概念的理解，在受到虐待时保持安全的自我效能感，因参与计划而引起的焦虑以及受到虐待的信息的披露。次要结果包括教师对程序教学的舒适感和信心以及父母对孩子谈论程序概念的信心。该RCT将解决当前实践中的差距以及有关基于学校的儿童虐待预防计划的证据。这包括使用针对所有虐待概念的整个学校的方法和多要素计划，为期两年的计划实施期以及对儿童，父母和教师的成果跟踪。从方法上讲，它将扩大我们的理解和学习范围：从幼儿中获取敏感的结果数据，对不同年龄的儿童进行适应和使用标准化措施，在员工报告中使用学校级别的行政数据/儿童将虐待作为行为结果的披露，以及在繁忙的学校环境中进行复杂的审判。 ClinicalTrials.gov：NCT02961010（追溯注册于2016年11月8日）。

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