- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07486778
Taabo Tutoring Studie
Undervisning og målrettet indsats for at reducere frafald i ungdomsuddannelserne i Côte d'Ivoire
Secondary school completion rates remain low in many low- and middle-income countries, including Côte d'Ivoire. Limited progression through lower secondary education may affect future educational and employment opportunities. In rural areas, pass rates on the Grade 10 national examination are modest, and some students leave school before completing lower secondary education. This study will evaluate whether tutoring improves academic outcomes and school continuation in the Taabo region of Côte d'Ivoire.
Approximately 1,000 adolescents will participate in two related substudies. The first substudy will include 500 Grade 10 students identified by schools as being at risk of not passing the national examination. The second substudy will include 500 adolescents who previously attended Grades 7-9 but are not currently enrolled in school. Within each substudy, participants will be randomly assigned to one of three groups: peer tutoring, teacher tutoring, or no additional tutoring (control group).
Students assigned to tutoring may receive up to 15 sessions over approximately 6 to 8 months. Tutoring sessions will focus on reviewing core curriculum content, preparing for examinations, and strengthening academic skills.
The primary outcomes are (1) passing the Grade 10 national examination and (2) enrollment in lower secondary school in the following academic year. Secondary outcomes include grade progression, study time, academic confidence, cost-effectiveness of the tutoring models, academic and well-being outcomes among peer tutors, and other longer-term outcomes (educational attainment, early family formation, mental health).
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Secondary school completion rates remain limited in many low- and middle-income countries, including Côte d'Ivoire. In rural areas, a substantial share of students do not pass the Grade 10 national examination, and some adolescents leave school before completing lower secondary education. There is limited evidence on the comparative effectiveness and cost-effectiveness of different tutoring models at the secondary level in West Africa, particularly for both currently enrolled students and adolescents who are no longer enrolled.
This study is a randomized controlled education trial conducted in approximately 25 lower secondary schools in the Taabo Health and Demographic Surveillance System (HDSS) area of Côte d'Ivoire. The study consists of two related substudies.
Substudy 1 focuses on Grade 10 students identified by schools as being at risk of not passing the national examination. Substudy 2 focuses on adolescents who previously attended Grades 7-9 but are not currently enrolled in school at the start of the academic year.
Within each substudy, approximately 500 eligible participants will be enrolled and randomly assigned at the individual level to one of three groups:
- Peer tutoring
- Teacher tutoring
- Control (no additional tutoring provided by the study)
Tutoring will be delivered in small groups and may include up to 15 sessions over approximately 6 to 8 months. Peer tutors will be selected from higher-performing students nominated by school principals and randomly chosen among eligible candidates. Teacher tutoring will be delivered by trained teachers following structured lesson plans emphasizing curriculum review and examination preparation.
Primary outcomes are:
- Passing the Grade 10 national examination (Substudy 1)
- Enrollment in lower secondary school in the following academic year (Substudy 2)
Secondary outcomes include grade progression, attendance, study time, academic confidence, and cost-effectiveness of each tutoring model. The study will also assess academic performance and well-being among peer tutors and longer-term outcomes.
Study documents will be retained for 15 years to assess long-term education and health impacts of the intervention (educational attainment, early family formation, mental health). Long-term follow-up will occur only for participants who are registered in the Taabo HDSS.
Results from this trial will contribute evidence on scalable tutoring approaches to improve secondary school progression in rural West African settings.
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: Jan-Walter De Neve, MD ScD
- Telefonnummer: 857-333-9297
- E-mail: jdeneve@sdsu.edu
Undersøgelse Kontakt Backup
- Navn: Günther Fink, PhD
- E-mail: guenther.fink@swisstph.ch
Studiesteder
-
-
-
Taabo, Côte d’Ivoire
- Rekruttering
- Centre suisse de recherche scientifique en Côte d'Ivoire
-
Kontakt:
- Bognan Valentin Kone, PhD
- Telefonnummer: +225 07 57 30 02 08
- E-mail: bognan.kone@csrs.ci
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria (Substudy 1)
- Enrolled in Grade 10 (troisième) during the 2025/26 school year in one of the 25 participating lower secondary schools.
- Identified by school principals as weak performers at high risk of failing the final grade 10 exam (based on exam scores, teacher assessments, or internal academic performance indicators).
- Males or females, aged 12 years or older at enrollment.
- Residing in the Taabo HDSS catchment area.
- Able to participate in small-group tutoring sessions.
- Parent or guardian provides written informed consent for minors; student provides written assent.
Inclusion Criteria (Substudy 2)
- Attended Grades 7-9 (6e, 5e, or 4e) during the 2025/26 academic year.
- Did not re-enroll in any lower secondary school at the start of the 2026/27 academic year, verified through school records and home visits.
- Males or females aged 12 years or older at enrollment.
- Residing in the Taabo HDSS catchment area.
- Able to participate in tutoring sessions organized after recruitment.
- Parent or legal guardian provides written informed consent for minors; student provides written assent.
Exclusion Criteria (both substudies)
- Individuals with severe cognitive or physical disabilities that would prevent meaningful participation in tutoring, based on information from parents, principals, and teachers.
- Adolescents or families planning to move out of the study area during the intervention period.
- For Substudy 2 only: adolescents who have already enrolled in an alternative education or vocational training programme at baseline.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Peer tutoring
Peer tutoring led by older and higher-performing peers from the same school. |
Peer tutoring led by older and higher-performing peers from the same school implemented in small groups (e.g., 3-6 students). Tutors will be nominated by school principals and then randomly selected among eligible candidates to allow causal assessment of tutoring opportunities on tutors. Sessions will focus on: (i) reviewing core curriculum content; (ii) supporting homework and exam preparation; and (iii) building basic skills and academic confidence. Tutors will receive training on pedagogy, content, and classroom management, as well as simple monitoring tools (attendance sheets, short exercises). Student tutoring will involve up to 15 sessions, typically 1-2 sessions per week. For budgeting and planning, we assume an average of 10 sessions per student, with flexibility to increase up to 15 sessions where feasible. |
|
Eksperimentel: Teacher tutoring
Teacher tutoring led by trained teachers. |
Teacher tutoring led by trained teachers and implemented in small groups (e.g., 3-6 students). Teachers will follow structured lesson plans emphasizing remedial instruction and exam-relevant material. Sessions will emphasize active learning, practice exercises, and frequent low-stakes assessments. Teacher tutoring will involve up to 15 sessions, typically 1-2 sessions per week. For budgeting and planning, we assume an average of 10 sessions per student, with flexibility to increase up to 15 sessions where feasible. |
|
Ingen indgriben: Control group
Control: No additional tutoring from the study; students continue to receive the usual teaching and any school-based remedial support. |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Proportion of participants passing the Grade 10 national examination (Substudy 1)
Tidsramme: Up to 12 months after enrollment
|
Defined as achieving a passing score on the official Grade 10 national examination administered by the Ministry of Education of Côte d'Ivoire. Pass/fail status will be obtained from official examination records. This is a binary outcome (pass vs. fail). |
Up to 12 months after enrollment
|
|
Proportion of participants enrolled in lower secondary school in the following academic year (Substudy 2)
Tidsramme: Up to 18 months after enrollment
|
Defined as official enrollment in lower secondary school (or equivalent formal education program) in the academic year following baseline participation. Enrollment status will be verified using school administrative records and, where necessary, household confirmation. This is a binary outcome (enrolled vs. not enrolled). |
Up to 18 months after enrollment
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Proportion of participants enrolled in senior secondary school following the Grade 10 examination (Substudy 1)
Tidsramme: Up to 18 months after enrollment
|
Defined as enrollment in senior secondary school in the academic year following the Grade 10 national examination. Enrollment status will be obtained from school administrative records. This is a binary outcome (enrolled vs. not enrolled). |
Up to 18 months after enrollment
|
|
Proportion of participants not enrolled in any secondary institution after Grade 10 examination results (Substudy 1)
Tidsramme: Up to 18 months after enrollment
|
Defined as non-enrollment in any recognized secondary school in the academic year following the Grade 10 examination results. Enrollment status will be obtained from school records. This is a binary outcome (not enrolled vs. enrolled). |
Up to 18 months after enrollment
|
|
Study time, homework completion, and exam confidence (Substudy 1)
Tidsramme: Up to 18 months after enrollment
|
Defined as self-reported weekly study hours, frequency of homework completion, and self-reported confidence in examination performance, collected through structured survey instruments. These are continuous and ordinal outcomes. |
Up to 18 months after enrollment
|
|
Proportion of participants promoted to the next grade at endline (Substudy 2)
Tidsramme: Up to 18 months after enrollment
|
Defined as successful completion of the current grade and promotion to the next grade level, verified using administrative records where available. This is a binary outcome (promoted vs. not promoted). |
Up to 18 months after enrollment
|
|
School attendance (Substudy 2)
Tidsramme: Up to 18 months after enrollment
|
Defined as the total number of days attended during the academic year, measured using school administrative records where available and supplemented by self-report. This is a continuous outcome (days attended). |
Up to 18 months after enrollment
|
|
Persistence in school at the end of the 2026/27 academic year (Substudy 2)
Tidsramme: Up to 18 months after enrollment
|
Defined as enrollment status at the end of the 2026/27 academic year, verified through school records. This is a binary outcome (enrolled vs. not enrolled). |
Up to 18 months after enrollment
|
|
Term and final grades (Tutors)
Tidsramme: Up to 18 months after enrollment
|
Defined as official term grades and final average grades obtained from school administrative records during the study period. These grades will be recorded as continuous numeric scores (e.g., 0-20 scale or school-specific grading scale). |
Up to 18 months after enrollment
|
|
Examination pass rates (Tutors)
Tidsramme: Up to 18 months after enrollment
|
Defined as achieving a passing score on official school examinations during the study period. Pass/fail status will be based on school administrative records. This is a binary outcome (pass vs. fail). |
Up to 18 months after enrollment
|
|
Educational aspirations and perceived returns to schooling (Tutors)
Tidsramme: Up to 18 months after enrollment
|
Defined as self-reported expectations regarding future education and perceived benefits of secondary schooling, collected using structured survey questions. These are continuous and ordinal outcomes. |
Up to 18 months after enrollment
|
|
Time allocation, stress, and well-being (Tutors)
Tidsramme: Up to 18 months after enrollment
|
Defined as self-reported weekly time use, perceived stress, and general well-being measured through structured questionnaires. These are continuous and ordinal outcomes. |
Up to 18 months after enrollment
|
|
Cost per additional student passing the Grade 10 national examination (Substudy 1)
Tidsramme: Up to 18 months after enrollment
|
Defined as the total program costs (USD) divided by the estimated incremental number of additional students passing the Grade 10 national examination relative to the control group. |
Up to 18 months after enrollment
|
|
Cost per additional student enrolled and cost per additional student promoted (Substudy 2)
Tidsramme: Up to 18 months after enrollment
|
Defined as total program costs (USD) divided by the estimated incremental number of additional students enrolled in school and/or promoted to the next grade relative to the control group. |
Up to 18 months after enrollment
|
|
Total years of schooling completed (Long-term outcome)
Tidsramme: Up to 15 years after enrollment
|
Defined as the total number of completed years of formal schooling as recorded in administrative education records and follow-up data. This is a continuous outcome (years completed). |
Up to 15 years after enrollment
|
|
Total number of children before age 20 years (Long-term outcome)
Tidsramme: Up to 15 years after enrollment
|
Defined as the total number of biological children reported before age 20. This is a count outcome. |
Up to 15 years after enrollment
|
|
Number of days in which mental health was reported as not good (Long-term outcome)
Tidsramme: Up to 15 years after enrollment
|
Defined as the self-reported number of days during the past 30 days in which mental health was described as "not good." This is a continuous outcome (days). |
Up to 15 years after enrollment
|
Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Jan-Walter De Neve, MD ScD, San Diego State University
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
- Teenagere
- Randomiseret kontrolleret forsøg
- Omkostningseffektivitet
- Afrika syd for Sahara
- Uddannelsesintervention
- Akademisk præstation
- Côte d'Ivoire
- Sekundær uddannelse
- Afsluttet skolegang
- 10. klasses landsdækkende eksamen
- Undervisningsintervention
- Peer tutoring
- Lærerundervisning
- Skoleindskrivning
- Genindskrivning i skole
- Ungdomsuddannelse
Andre undersøgelses-id-numre
- IRB-25-0633
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
A fully de-identified dataset (with no participant names, phone numbers, addresses, exact birth dates, or HDSS identifiers) will be created on a public data repository after publication of the main results and will be made available to other researchers.
Supporting Materials:
Study Protocol
Supporting Materials:
Statistical Analysis Plan (SAP)
Supporting Materials:
Informed Consent Forms (ICF)
Supporting Materials:
Analytic Code
IPD-delingstidsramme
After publication of the main results
IPD-delingsadgangskriterier
Public data repository
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .