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.
Inclusion Criteria:
Exclusion Criteria:
saltanat.childress@uta.edu608-422-9771
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.
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.
Reintegration of Children From Institutions in Azerbaijan
Multi-level Child Mental Health Interventions in Azerbaijan
School-Based Mental Health Effectiveness Study
Addressing Mental Health Disparities in Refugee Children
Suubi4StrongerFamilies
Effectiveness of a Multi-Component Evidence-Based Parent Training Program in Reducing Child Maltreatment
A Clinical Process Support System for Primary Care to Address Family Stress
Comparative Effectiveness Trail to Reduce Child Maltreatment, Improve Client Outcomes and Examine Client Burden