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Integrating Evidence-based Approaches to Prevent Child Maltreatment in Kyrgyzstan

14 luglio 2026 aggiornato da: 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.

Panoramica dello studio

Stato

Reclutamento

Condizioni

Intervento / Trattamento

Tipo di studio

Interventistico

Iscrizione (Stimato)

396

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

Luoghi di studio

  • Kirghizistan
      • Bishkek, Kirghizistan
        • Reclutamento
        • Republican Institute for Advanced Studies and Teacher Training under the Ministry of Education of the Kyrgyz Republic
        • Contatto:

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

  • Bambino
  • Adulto
  • Adulto più anziano

Accetta volontari sani

Sì

Descrizione

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.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Prevenzione
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: 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.
Comportamentale: 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.
Nessun intervento: 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.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Strengths and Difficulties Questionnaire (SDQ) Parent Report
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: 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

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

The University of Texas at Arlington

Collaboratori

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

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Stimato)

1 settembre 2026

Completamento primario (Stimato)

31 agosto 2027

Completamento dello studio (Stimato)

31 dicembre 2027

Date di iscrizione allo studio

Primo inviato

2 marzo 2026

Primo inviato che soddisfa i criteri di controllo qualità

14 luglio 2026

Primo Inserito (Effettivo)

20 luglio 2026

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

20 luglio 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

14 luglio 2026

Ultimo verificato

1 luglio 2026

Maggiori informazioni

Termini relativi a questo studio

Parole chiave

Altri numeri di identificazione dello studio

  • 2022-0605
  • K01HD106070 (Sovvenzione/contratto NIH degli Stati Uniti)

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

NO

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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