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| Name | Class |
|---|---|
| National Institutes of Medical Research, Tanzania | UNKNOWN |
| Innovations for Poverty Action, Tanzania | UNKNOWN |
| International Rescue Committee | OTHER |
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To date, no interventions to prevent violence in refugee camp schools have ever been rigorously evaluated. The primary objective of this project is to test the effectiveness of the Empateach intervention to prevent physical violence from teachers to students in Nyarugusu Refugee Camp, Tanzania. Secondary objectives are to assess the impact of the Empateach intervention on student's depressive symptoms, experience of emotional violence and educational test scores. A two arm cluster RCT with parallel assignment will be conducted.
School is one of the most common settings where children may experience violence; and emerging evidence suggests that in some settings, school staff may be one of the most common perpetrator of violence against children.To date, no interventions to prevent violence in refugee camp schools have ever been rigorously evaluated. The primary objective of this project is to test the effectiveness of the Empateach intervention to prevent physical violence from teachers to students in Nyarugusu Refugee Camp, Tanzania. Secondary objectives are to assess the impact of the Empateach intervention on student's depressive symptoms, experience of emotional violence and educational test scores.
The aim of the Empateach intervention is to improve 'student and teacher well-being; self-regulation; teacher classroom management and teacher's use of positive discipline techniques'. Participants in the intervention condition will receive a 10-week group intervention.
A two arm cluster RCT will be conducted, with parallel assignment and an approximately 1:1 allocation ratio. Cross-sectional surveys of students will be conducted at three time points: a baseline, a midline immediately after the 10 week intervention; and an endline 6 months after then end of the intervention. The primary outcome, violence from school staff to students, will be measured using an adapted version of the ICAST-CI.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Empateach Intervention | Experimental | All teachers in intervention schools will be invited to participate. Participants in the intervention condition will receive Empateach, a 10-week group intervention. Groups meet 14 times for 1-1.5 hour length sessions, which are led by peers. The aim of the Empateach intervention is to improve 'student and teacher well-being; self-regulation; teacher classroom management and teacher's use of positive discipline techniques. The intervention uses cognitive behavioural therapy techniques to change negative thought and behaviour patterns related to corporal punishment. The teachers receive information on alternatives to corporal punishment, planning exercises and reinforcement SMS, and because the intervention is in a group setting, social support to change their behaviours. They discuss their experiences and challenges in group sessions. |
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| Wait-list control | No Intervention | Teachers in wait-list control schools will receive no specific interventions related to violence prevention during the study, but will receive the intervention after the study is over if it is shown to be effective (pending donor funding). |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Empateach | Behavioral | Empateach is a behavioural intervention for teachers. |
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| Measure | Description | Time Frame |
|---|---|---|
| physical violence | students' self-reports of physical violence from school staff in the past week, as measured by a modified ICAST-CI | Assessed at 10-week follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| physical violence | students' self-reports of physical violence from school staff in the past week, as measured by a modified ICAST-CI | Assessed at 6-month follow-up |
| emotional violence | students' self-reports of emotional violence from school staff, as measured by a modified ICAST-CI |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Patricia Henley, PhD | Contact | 02079272221 | patricia.henley@lshtm.ac.uk |
| Name | Affiliation | Role |
|---|---|---|
| Karen M Devries, PhD | London School of Hygiene and Tropical Medicine | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37734883 | Derived | Bakari M, Shayo EH, Barongo V, Kiwale Z, Fabbri C, Turner E, Eldred E, Mubyazi GM, Rodrigues K, Devries K. Qualitative process evaluation of the EmpaTeach intervention to reduce teacher violence in schools in Nyarugusu Refugee Camp, Tanzania. BMJ Open. 2023 Sep 21;13(9):e069993. doi: 10.1136/bmjopen-2022-069993. | |
| 34606500 | Derived |
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We will explore making anonymised data available after the end of the study, subject to UK and Tanzanian regulations.
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| Behavioural Insights Team |
| UNKNOWN |
Schools will be randomised to receive the intervention or a wait-list control condition. Assignment will be parallel.
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Due to the behavioural nature of the intervention, it is not possible to mask allocation to participants. Outcome assessors will not be told of allocation, but due to the nature of the intervention they should be assumed to be unmasked. The statistician performing the main trial analyses related to primary and secondary outcomes will be masked to allocation, but other investigators will not.
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| past 1 week; assessed at 10-week and 6-month follow-up |
| depressive symptoms | students' self-reports of emotional violence from school staff, as measured by a modified ICAST-CI | past 2 weeks; assessed at 10-week and 6-month follow-up |
| educational performance | test scores on yearly exams | assessed at the end of the school year, about 11-12 months from baseline |
| Fabbri C, Rodrigues K, Leurent B, Allen E, Qiu M, Zuakulu M, Nombo D, Kaemingk M, De Filippo A, Torrats-Espinosa G, Shayo E, Barongo V, Greco G, Tol W, Devries KM. The EmpaTeach intervention for reducing physical violence from teachers to students in Nyarugusu Refugee Camp: A cluster-randomised controlled trial. PLoS Med. 2021 Oct 4;18(10):e1003808. doi: 10.1371/journal.pmed.1003808. eCollection 2021 Oct. |
| 31615467 | Derived | Devries KM, Fabbri C, Allen E, Barongo V, Shayo E, Greco G, Kaemingk M, Qiu M, Steinacher R, Tol W, Rodrigues K. Preventing violence against children in schools (PVACS): protocol for a cluster randomised controlled trial of the EmpaTeach behavioural intervention in Nyarugusu refugee camp. BMC Public Health. 2019 Oct 15;19(1):1295. doi: 10.1186/s12889-019-7627-y. |