学校层面预防教师和家长暴力侵害儿童行为：坦桑尼亚一项整群随机对照试验的研究方案。

School-based prevention of teacher and parental violence against children: Study protocol of a cluster-randomized controlled trial in Tanzania.

机构信息

Department of Psychology, Bielefeld University, Bielefeld, Germany.

Institute for Interdisciplinary Research on Conflict & Violence (IKG), Bielefeld University, Bielefeld, 33501, Germany.

出版信息

BMC Public Health. 2024 Aug 31;24(1):2367. doi: 10.1186/s12889-024-19888-7.

DOI:10.1186/s12889-024-19888-7

PMID:39217292

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11365255/

Abstract

BACKGROUND

Violence against children at home and at school is particularly prevalent in Africa and is associated with adverse and persistent health effects on children. The violence prevention intervention Interaction Competencies with Children - for Teachers (ICC-T) is an effective tool to reduce violence against children by fostering teachers' non-violent communication and interaction skills. To enhance these effects, in the present study, ICC-T will be extended to parents (ICC-P) aiming to increase children's experience of consistent behavior and application of non-violent discipline strategies between teachers and parents.

METHODS

To investigate the effectiveness of the school-based combined implementation of ICC-T and ICC-P, a cluster-randomized controlled trial with 16 primary schools in the urban district of Morogoro in Eastern Tanzania will be conducted. Both quantitative (structured interviews) and qualitative (focus group discussions, in-depth interviews, evaluation forms) methods will be used to investigate the effects on teachers' and parents' violence against children in home and school settings. The intervention implementation will be accompanied by a comprehensive process evaluation to assess the implementation quality of and participants' engagement with ICC-T and ICC-P. Potential downstream effects of violence reduction will be investigated by assessing the children's mental health and well-being.

DISCUSSION

The present study aims to provide evidence for the feasibility, acceptability, and effectiveness of the school-based combined implementation of ICC-T and ICC-P to reduce teacher and parental violence against children and contribute to children's well-being in home and school settings.

TRAIL REGISTRATION

The clinical trial was registered at ClinicalTrials.gov (ClinicalTrials.gov, 2024) under the identifier NCT06369025 (Hecker, Preventing Physical and Emotional Violence by Parents and Teachers in Public Schools in Tanzania (ICC-T/ICC-P_Tanz) (PreVio), 2024) on April 17, 2024.

摘要

背景

家庭和学校中的儿童暴力在非洲尤为普遍，会对儿童造成持久的不良健康影响。互动能力与儿童-教师干预（ICC-T）是一种预防暴力的有效工具，可通过培养教师非暴力的沟通和互动技能来减少儿童暴力。为了增强这些效果，在本研究中，ICC-T 将扩展到家长（ICC-P），旨在增加教师和家长之间对孩子的一致性行为和非暴力纪律策略的体验。

方法

为了调查在坦桑尼亚东部莫罗戈罗市区的 16 所小学中实施基于学校的 ICC-T 和 ICC-P 联合方案的有效性，将开展一项集群随机对照试验。将使用定量（结构化访谈）和定性（焦点小组讨论、深入访谈、评估表）方法来调查该方案对教师和家长在家中和学校环境中对儿童暴力行为的影响。干预实施将伴随着全面的过程评估，以评估 ICC-T 和 ICC-P 的实施质量和参与者的参与度。通过评估儿童的心理健康和幸福感，将调查减少暴力的潜在下游效果。

讨论

本研究旨在为基于学校的 ICC-T 和 ICC-P 联合实施的可行性、可接受性和有效性提供证据，以减少教师和家长对儿童的暴力行为，并促进儿童在家庭和学校环境中的福祉。

试验注册

该临床试验于 2024 年 4 月 17 日在 ClinicalTrials.gov 上注册（ClinicalTrials.gov，2024），登记号为 NCT06369025（Hecker，Preventing Physical and Emotional Violence by Parents and Teachers in Public Schools in Tanzania (ICC-T/ICC-P_Tanz) (PreVio)，2024）。