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- Klinische proef NCT07486778
Taabo Tutoring Studie
Tutoring en Targeting om Schooluitval in het Voortgezet Onderwijs in Ivoorkust te Verminderen
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).
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Jan-Walter De Neve, MD ScD
- Telefoonnummer: 857-333-9297
- E-mail: jdeneve@sdsu.edu
Studie Contact Back-up
- Naam: Günther Fink, PhD
- E-mail: guenther.fink@swisstph.ch
Studie Locaties
-
-
-
Taabo, Ivoorkust
- Werving
- Centre suisse de recherche scientifique en Côte d'Ivoire
-
Contact:
- Bognan Valentin Kone, PhD
- Telefoonnummer: +225 07 57 30 02 08
- E-mail: bognan.kone@csrs.ci
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Preventie
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: 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. |
|
Experimenteel: 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. |
|
Geen tussenkomst: Control group
Control: No additional tutoring from the study; students continue to receive the usual teaching and any school-based remedial support. |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Proportion of participants passing the Grade 10 national examination (Substudy 1)
Tijdsspanne: 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)
Tijdsspanne: 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
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Proportion of participants enrolled in senior secondary school following the Grade 10 examination (Substudy 1)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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
|
Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Jan-Walter De Neve, MD ScD, San Diego State University
Publicaties en nuttige links
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
- Adolescenten
- Gerandomiseerde gecontroleerde trial
- Kosten efficiëntie
- Sub-Sahara Afrika
- Onderwijs interventie
- Academische prestatie
- Ivoorkust
- Voortgezet onderwijs
- Schoolvoltooiing
- Examen in het 10e leerjaar
- Tutoring interventie
- Peer tutoring
- Leraar bijles
- Schoolinschrijving
- Herinschrijving op school
- Lager secundair onderwijs
Andere studie-ID-nummers
- IRB-25-0633
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
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-tijdsbestek voor delen
After publication of the main results
IPD-toegangscriteria voor delen
Public data repository
IPD delen Ondersteunend informatietype
- LEERPROTOCOOL
- SAP
- ICF
- ANALYTIC_CODE
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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