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School-based Prevention of Teacher Violence Against Children: A Cluster-randomized Controlled Trial in Zambia (ICC-T Zambia)

2026年8月14日 更新者:Tobias Hecker, PhD

The United Nations Conventions on the Rights of the Child UN General Assembly, 1989), outlawed violence against children worldwide. Yet, 75% of all children worldwide - experience violence while growing up (Know Violence in Childhood, 2017). In Low- and Middle-Income countries prevalence rates at home and at school are higher (Hoeffler, 2017), with particularly high rates in Africa (Hecker et al., 2018; Nkuba, Hermenau, & Hecker, 2018; Hillis et al., 2016). Violence against children is related to negative mental health outcomes, lower quality in the child-adult relationship, lower cognitive functioning, and emotional and behavioural problems that begin in childhood and may persist through adolescence until adulthood (Berlin et al., 2009; Gershoff & Grogan-Kaylor, 2016; Hecker et al., 2016; Kim & Cicchetti, 2010; Majer et al., 2010; Mills et al., 2011; Newbury et al., 2018; Wilson et al., 2009).

The present study focuses on violent discipline in schools, as (1) many children are subjected to violent discipline at school on a regular basis, and (2) teachers justify violent discipline since they want to encourage better academic performance and maintain children's discipline (Masath et al., 2022). As in other African countries (Hecker et al., 2018; Nkuba, Hermenau, & Hecker, 2018; Hillis et al., 2016), violent discipline is prevalent in Zambian schools, despite its prohibition in 2022 (End Corporal Punishment, 2025).

With this study we test the intervention Interaction Competencies with Children - for Teachers (ICC-T; Kirika & Hecker, 2022) to alleviate violence against children. ICC-T is a manualised 5,5 days training workshop focusing on the basic competencies in the work with children, including non-violent action alternatives. Previous cluster randomized controlled trail studies on ICC-T in Tanzania and Uganda showed that teachers who participated in ICC-T, used significantly less violent discipline measures against children compared to teachers in the control group. The transferability of the intervention to and the effectiveness in the Zambian context remains unclear. Evidence from our research may guide policy makers to implement further measures aiming at ending violence against children.

調査の概要

詳細な説明

We will use a two-armed school-based CRCT including up to 30 primary schools in the Eastern Province of Zambia (Petauke and Lusangazi). The schools will be combined into 12 school clusters, 6 of the 12 school clusters will be randomly allocated to the intervention group, which will receive the ICC-T workshop, and the remaining schools will be allocated to the control group without any intervention. The study will include two data collection phases: (1) a baseline assessment before the intervention allocation, and (2) a follow-up assessment approximately six months after the allocation and delivery of the intervention.

The study will begin with the baseline assessment involving teachers and students in all schools (May-July 2026). Then the intervention period, follows during school holidays (August 2026). The intervention will involve the Interaction Competencies with Children - for Teachers (ICC-T). Teachers from the selected schools will be trained in ICC-T on 5,5 days consecutively. A local team of ICC-T trainers, trained extensively by our research team, will implement the interventions. Also, all training will take place within school premises. A follow-up assessment with teachers and students will be conducted at all schools approximately six months after the intervention.

Approximately 30-35 randomly selected students from the third year of formal schooling per school cluster will be invited to participate. In addition, 20 to 25 teachers per school cluster will be invited to participate in the present study. This results in a baseline sample size of approximately 400 students and approximately 300 teachers across the 12 school clusters.

Primary outcome measures are student-, and teacher-reported physical and emotional violence by the teachers in the past week. Secondary outcome measures include adult-child relationship quality, attitudes and norms towards violence, children's emotional and behavioral problems, quality of life, peer victimization, teachers' and children's stress level, teachers empathy change in perspective and self-efficacy.

研究の種類

介入

入学 (推定)

700

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究連絡先

研究連絡先のバックアップ

研究場所

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

  • 子
  • 大人
  • 高齢者

健康ボランティアの受け入れ

はい

説明

Inclusion Criteria:

Schools:

  • public primary school (state owned schools, guided by Zambian education policy)
  • at least 35 students in the selected grade (3th school grade). o if it has less than 35 students in a grade, then it will be combined with nearby selected public primary school which must be within 15 km from the respective and an equal number from each school cluster will be selected to participate in the study.
  • at least 8 but no more than 50 employed teachers. o in case of less than 25 teachers, the selected school will form a school cluster together with another near-by (i.e., within 15 km) public primary school.

All participants:

• Written informed consent (if underaged by parents (written) & minors themselves (orally)

Students:

  • being enrolled in third school grade of public primary school.
  • being of age between 8 and 13 years.

Teachers:

  • being employed at an eligible school.
  • being open to participate in the intervention during school holidays.

Facilitators:

  • Ideally people holding a BA degree in psychology, social work, social sciences
  • Interest in the work with children
  • Being open minded and motivated
  • Balance of gender in the team of enumerators

Exclusion Criteria:

Schools:

• Schools participating in the sponsorship program of Save the Children will be excluded.

Students:

• severe mental disabilities that make it impossible to follow the interview questions.

Teachers:

• acute intoxication of alcohol, drugs or any other substance which make it impossible to follow the interview questions.

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:防止
  • 割り当て:ランダム化
  • 介入モデル:並列代入
  • マスキング:独身

武器と介入

参加者グループ / アーム
介入・治療
介入なし:コントロール
介入なし
実験的:Interaction Competencies with Children
ICC-T: 5,5 days of training for teachers. Core training components include teacher-student interaction, maltreatment prevention, effective discipline strategies, identifying and supporting burdened students and implementation of the training materials into the school setting.
Interaction Competencies with Children - for Teachers (ICC-T) Core training components include teacher-student interaction, maltreatment prevention, effective discipline strategies, identifying and supporting burdened students and implementation of the training materials into the school setting.

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Reduction of teachers' use of emotional and physical violence
時間枠:The CTS will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
The Conflict Tactics Scale (CTS) will be used to assess teachers' use of emotional and physical violent discipline measures against children in the past week. Higher scores indicate higher levels of violence that is used by teachers. A stronger reduction of violence used by teachers of the intervention group compared to the control group is hypothesized.
The CTS will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
Reduction of children's exposure to emotional and physical violence by teachers
時間枠:The CTS will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
The Conflict Tactics Scale (CTS) supported by pictures will be used to assess children's self-reported experiences of emotional and physical violence by teachers at school in the past week. Higher scores indicate higher levels of violence that is used by teachers. A stronger reduction of exposure to violence in the children of teachers of the intervention group compared to the control group is hypothesized.
The CTS will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)

二次結果の測定

結果測定
メジャーの説明
時間枠
Change of teachers' attitudes towards emotional and physical violence
時間枠:The adapted version of CTS will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
Teachers' attitudes towards emotional and physical violence will be assessed with an adapted version of the Conflict Tactic Scale (CTS). Higher scores indicate higher levels of positive attitudes towards violence. A stronger reduction of favorable attitudes towards violence of teachers of the intervention group compared to the control group is hypothesized.
The adapted version of CTS will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
Reduction of teachers' perceived stress
時間枠:The Teacher Stress Inventory will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
The Teachers Stress Inventory will assess the perceived stress of teachers reported by teachers. Higher scores indicate higher levels of stress. A stronger decrease of teachers' perceived stress in the intervention group compared to the control group is hypothesized.
The Teacher Stress Inventory will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
Improvement of teachers' relationships with colleagues
時間枠:The Teachers' Relationship with Colleagues Scale will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
Teachers' Relationship with Colleagues with a Subscale of the Teacher Responsibility Scale will assess the relationship of teachers with colleagues reported by teachers. Higher scores indicate better relationships. A stronger increase of teachers' perceived relationship quality with colleagues in the intervention group compared to the control group is hypothesized.
The Teachers' Relationship with Colleagues Scale will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
Improvement of teachers' relationships with students
時間枠:The Student-Teacher Relationship Scale will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
The Student-Teacher Relationship Scale will assess the relationship of teachers with students reported by teachers. Higher scores indicate better relationships. A stronger increase of teachers' perceived relationship quality with students in the intervention group compared to the control group is hypothesized.
The Student-Teacher Relationship Scale will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
Increase of empathy and change in perspective by teachers
時間枠:The Empathy and Change in Perspective Scale will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
The Empathy and Change in Perspective Scale will assess the empathy and change in perspective of teachers reported by teachers. Higher scores indicate higher empathy and change in perspective. A stronger increase of teachers' empathy and change in perspective in the intervention group compared to the control group is hypothesized.
The Empathy and Change in Perspective Scale will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
Improvement of teachers' self-efficacy
時間枠:The Teachers' Sense of Efficacy Scale will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
The Teachers Sense of Efficacy Scale will assess the teachers' self-efficacy reported by teachers. Higher scores indicate higher levels of self-efficacy. A stronger increase of self-efficacy in the intervention group compared to the control group is hypothesized.
The Teachers' Sense of Efficacy Scale will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
Decrease of favorable normative beliefs about violence
時間枠:Beliefs About Punishment by Teachers will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
Beliefs About Punishment by Teachers measured by purpose-build items based on CTS reported by students and teachers. A stronger reduction of favorable normative beliefs about violence in the intervention group compared to the control group is hypothesized.
Beliefs About Punishment by Teachers will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
Improvement of children's mental health
時間枠:The PSC-Y will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
The adapted Pediatric Symptom Checklist - Youth Report (PSC-Y) supported by pictures will assess children's emotional and behavioral problems reported by children. Higher scores indicate higher levels of children's mental health problems. A stronger decrease of mental health problems in the children of teachers of the intervention group compared to the control group is hypothesized.
The PSC-Y will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
Increase of children's quality of life
時間枠:The KIDSCREEN-10 will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
The KIDSCREEN-10 will assess children's quality of life reported by children. Higher scores indicate higher levels of children's quality of life. A stronger increase of quality of life in the children of teachers of the intervention group compared to the control group is hypothesized.
The KIDSCREEN-10 will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
Reduction of children's perceived stress
時間枠:The Perceived Stress Scale for Kids will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
The Perceived Stress Scale for Kids will assess the perceived stress of children reported by children. Higher scores indicate higher levels of stress. A stronger decrease of children's perceived stress in the children of teachers of the intervention group compared to the control group is hypothesized.
The Perceived Stress Scale for Kids will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
Reduction of children's experienced peer victimization
時間枠:The Multidimensional Peer Victimization Scale for Kids will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
The Multidimensional Peer Victimization Scale will assess the experienced peer victimization of children reported by children. Higher scores indicate higher levels of peer victimization. A stronger decrease of children's experienced peer victimization in children of teachers of the intervention group compared to the control group is hypothesized.
The Multidimensional Peer Victimization Scale for Kids will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
Improvement of students' relationships with teachers
時間枠:The Teacher-Child Relationship Subscale of People In My Life will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)
The Teacher-Child Relationship Subscale of People In My Life will assess the relationship of students with teachers reported by students. Higher scores indicate better relationships. A stronger increase of students perceived relationship quality with teachers in students of teachers of the intervention group compared to the control group is hypothesized.
The Teacher-Child Relationship Subscale of People In My Life will be used at T1 (baseline, prior to intervention) and T2 (follow-up, 6 months after intervention)

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

出版物と役立つリンク

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一般刊行物

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2026年5月18日

一次修了 (推定)

2027年3月31日

研究の完了 (推定)

2027年12月31日

試験登録日

最初に提出

2026年8月14日

QC基準を満たした最初の提出物

2026年8月14日

最初の投稿 (実際)

2026年8月19日

学習記録の更新

投稿された最後の更新 (実際)

2026年8月19日

QC基準を満たした最後の更新が送信されました

2026年8月14日

最終確認日

2026年8月1日

詳しくは

本研究に関する用語

その他の研究ID番号

  • ICC-T Zambia
  • 84010706 (その他の助成金/資金番号:Save the Children International)

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

はい

IPD プランの説明

The ICC-T intervention is being tested in various other countries including Haiti, Ghana, Tanzania and Uganda. We will share anonymized data with project partners from the different countries for combined and/or comparative analyses. In addition, we will share anonymized data with other researchers working on prevention of violence against children in school settings for the purpose of conducting synthesizing analyses such as meta-analyses. Finally, the anonymized data collected in the study will be made publicly available in a data repository.

IPD 共有時間枠

The anonymized data will be made publicly available after completion of the project in 2030.

IPD 共有サポート情報タイプ

  • STUDY_PROTOCOL
  • SAP
  • ICF
  • ANALYTIC_CODE

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米国FDA規制医薬品の研究

いいえ

米国FDA規制機器製品の研究

いいえ

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