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Integrating Evidence-based Approaches to Prevent Child Maltreatment in Kyrgyzstan

14. Juli 2026 aktualisiert von: Saltanat, The University of Texas at Arlington

The goal of this clinical trial is to learn if a family-based prevention program works to prevent child maltreatment risk and other adverse childhood experiences (ACEs) among families in Kyrgyzstan. It will also learn about the safety, feasibility, and acceptability of the program. The main questions it aims to answer are: (1) Does the integrated family and economic empowerment program improve children's self-regulation, behavioral adjustment, and school adaptation? (2) Is the program feasible and acceptable for families and schools in Kyrgyzstan?

Researchers will compare the integrated prevention program to bolstered standard school services to see if the program improves child and family outcomes. Participants will: (a) Be randomly assigned to either the prevention program or bolstered standard school services; (b) Attend weekly group sessions for 16 weeks (if assigned to the prevention program); (c) Complete surveys at baseline, immediately after the 16-week program, and at the end of the school year; and (d) Provide information about child behavior, (co)parenting, family relationships, and financial well-being.

Results from this pilot study will inform a future larger trial.

Studienübersicht

Status

Rekrutierung

Bedingungen

Intervention / Behandlung

Studientyp

Interventionell

Einschreibung (Geschätzt)

396

Phase

  • Unzutreffend

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienkontakt

Studienorte

  • Kirgistan
      • Bishkek, Kirgistan
        • Rekrutierung
        • Republican Institute for Advanced Studies and Teacher Training under the Ministry of Education of the Kyrgyz Republic
        • Kontakt:

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

  • Kind
  • Erwachsene
  • Älterer Erwachsener

Akzeptiert gesunde Freiwillige

Ja

Beschreibung

Inclusion Criteria:

  • Two adult caregivers (≥18 years old) who identify as co-parents or primary caregivers of a target child
  • Target child aged 6-9 years enrolled in one of the participating schools in Bishkek, Kyrgyzstan
  • Both caregivers identify each other as family members responsible for the care of the child (e.g., parents, grandparents, or other adult caregivers)
  • Both caregivers report feeling safe participating together in a family-based program
  • Both caregivers are fluent in either Russian or Kyrgyz
  • Both caregivers are able and willing to provide informed consent
  • Child is able to provide assent and participate in age-appropriate assessments.
  • Family is willing to participate in study procedures, including random assignment and completion of assessments at baseline, post-intervention (16 weeks), and end-of-school-year follow-up.

Exclusion Criteria:

  • Report of severe physical or sexual intimate partner violence between caregivers within the past 12 months, as assessed during screening
  • Either caregiver is unable to provide informed consent
  • Either caregiver has a cognitive impairment or a severe mental health condition that would preclude participation in group sessions
  • Family plans to relocate outside the study area during the intervention period
  • Child has a severe developmental or medical condition that would prevent participation in assessments
  • Inability to communicate in Russian or Kyrgyz.

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Verhütung
  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Keine (Offenes Etikett)

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: Experimental

The integrated prevention program is designed for families with children ages 6-9 to strengthen parenting, improve co-parenting relationships, reduce family conflict, and address financial stress linked to child maltreatment risk. Program topics include family communication, stress management, respectful conflict resolution, positive parenting, child self-regulation, and financial literacy and asset building.

The intervention is delivered in school settings through 16 weekly group sessions that include skill-building exercises, guided discussions, and role-plays. The economic component includes workshops on savings, future planning, and income-generating strategies.

The program is delivered by trained school social workers who receive structured training and supervision to support fidelity.
Verhalten: Integrated Family and Economic Empowerment Program
This intervention uniquely integrates three evidence-based approaches (strengthening families, coparenting and father involvement, and economic empowerment) into a single coordinated prevention model. Unlike stand-alone parenting or couples programs, it simultaneously targets family processes (communication, co-parenting, stress regulation), child self-regulation and school adaptation, and structural economic stressors through asset-building and financial literacy components. The program is culturally adapted for Kyrgyzstani families using stakeholder-guided methods and delivered within school settings by trained social pedagogues. The integration of behavioral family intervention with economic strengthening distinguishes it from traditional parenting-only or school-only prevention programs.
Kein Eingriff: Bolstered Standard of Care

No Intervention (Bolstered Standard of Care) is designed to reflect usual school services available to families while providing minimal material support to promote retention and ethical balance. Schools in Kyrgyzstan do not routinely offer structured family-based behavioral interventions. Participants in this arm will receive standard educational services provided by their school, supplemented with school supplies (e.g., notebooks).

Families in this arm will complete the same assessment schedule as the intervention group at baseline, immediately post-intervention (16 weeks), and end-of-school-year follow-up. No structured strengthening families, co-parenting, or economic empowerment sessions are provided in this condition.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Strengths and Difficulties Questionnaire (SDQ) Parent Report
Zeitfenster: Up to 1.5 years after baseline
Child behavioral and emotional adjustment will be assessed using the Strengths and Difficulties Questionnaire (SDQ) Parent Report, a 25-item caregiver-report measure assessing emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems, and prosocial behavior. Each item is scored on a 3-point scale (0-2). The Total Difficulties Score ranges from 0 to 40, with higher scores indicating greater behavioral and emotional difficulties (poorer adjustment). The Prosocial Behavior subscale ranges from 0 to 10, with higher scores indicating greater prosocial behavior.
Up to 1.5 years after baseline
Strengths and Difficulties Questionnaire (SDQ) Self-Report (Youth version)
Zeitfenster: Baseline through 1.5 years after baseline
Child self-regulation will be assessed using the Strengths and Difficulties Questionnaire (SDQ) Self-Report (Youth Version), a 25-item self-report measure completed by children and adolescents that assesses emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems, and prosocial behavior. Each item is rated on a 3-point scale (0 = Not True, 1 = Somewhat True, 2 = Certainly True). The Total Difficulties Score ranges from 0 to 40, with higher scores indicating greater emotional and behavioral dysregulation (poorer self-regulation). The Prosocial Behavior subscale ranges from 0 to 10, with higher scores indicating greater prosocial behavior and social competence.
Baseline through 1.5 years after baseline
Strengths and Difficulties Questionnaire (SDQ) Teacher Report
Zeitfenster: Up to 1.5 years after baseline
Child school adaptation will be assessed using the Strengths and Difficulties Questionnaire (SDQ) Teacher Report, a 25-item teacher-completed measure assessing emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems, and prosocial behavior. Items are rated on a 3-point scale (0 = Not True, 1 = Somewhat True, 2 = Certainly True). The Total Difficulties Score ranges from 0 to 40, with higher scores indicating greater emotional and behavioral difficulties (poorer functioning). The Prosocial Behavior subscale ranges from 0 to 10, with higher scores indicating greater prosocial behavior.
Up to 1.5 years after baseline

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

The University of Texas at Arlington

Mitarbeiter

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Geschätzt)

1. September 2026

Primärer Abschluss (Geschätzt)

31. August 2027

Studienabschluss (Geschätzt)

31. Dezember 2027

Studienanmeldedaten

Zuerst eingereicht

2. März 2026

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

14. Juli 2026

Zuerst gepostet (Tatsächlich)

20. Juli 2026

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

20. Juli 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

14. Juli 2026

Zuletzt verifiziert

1. Juli 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Schlüsselwörter

Andere Studien-ID-Nummern

  • 2022-0605
  • K01HD106070 (US NIH Stipendium/Vertrag)

Plan für individuelle Teilnehmerdaten (IPD)

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NEIN

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

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