Child Development Clinical Trial
Official title:
A Pilot Study of Teacher-Child Interaction Training - Universal in Head Start
This pilot study aims to implement and evaluate Teacher-Child Interaction Training - Universal (TCIT-U), an empirically-supported classroom-based intervention aimed at improving child behavior and social-emotional skills through strengthening teacher-child relationships at a preschool that serves children from socially and economically disadvantaged backgrounds who are at risk for behavioral health difficulties. The main objectives are to (a) examine TCIT-U's effects on teacher behavior, teachers' sense of efficacy, and child behavior problems and social-emotional skills compared to usual care (UC) and (b) explore the feasibility and acceptability of implementing TCIT-U at a diverse urban preschool.
Disruptive behaviors and social-emotional skill deficits are common problems in early
education settings and contribute to the high rates of preschool suspensions and expulsions.
While teachers serve a critical role in children's behavioral health, they often lack
evidence-based training in strategies that could improve child behavior and promote
social-emotional skills. The goal of this project is to implement and evaluate Teacher-Child
Interaction Training - Universal (TCIT-U), an empirically-supported classroom-based
intervention aimed at improving child behavior and social-emotional skills through
strengthening teacher-child relationships at a preschool that serves children from socially
and economically disadvantaged backgrounds who are at risk for behavioral health
difficulties.
The main objectives are to (a) examine TCIT-U's effects on teacher behavior, teachers' sense
of efficacy, and child behavior problems and social-emotional skills compared to usual care
(UC) and (b) explore the feasibility and acceptability of implementing TCIT-U at a diverse
urban preschool.
This pilot study is a nonrandomized clinical trial comparing TCIT-U to a UC control group at
urban preschool. Teachers in the intervention group will participate in TCIT-U. TCIT-U and UC
teachers will complete measures at baseline, post-intervention, and end-of-the-school-year
follow-up. All teachers will be observed for their TCIT-U skill use at baseline,
mid-intervention, post-intervention, and follow-up. Qualitative interviews will be conducted
with educational staff at follow-up to examine feasibility and acceptability data.
Participants will be eight teachers and approximately 80 children from four preschool
classrooms in Philadelphia. Educational staff will also be invited to participate in
qualitative interviews. Staff must speak English to participate. There is no exclusion
criteria for children.
Four teachers from two Head Start classrooms will participate in TCIT-U. TCIT-U is an
empirically-supported intervention aimed at strengthening teacher-child relationships and
improving child behavior and social-emotional skills. TCIT-U includes group didactic and
individualized coaching sessions. Four teachers from two other classrooms will serve as the
UC control group.
Teacher behavior will be coded during live classroom observations. Teacher-reported
questionnaires will measure teachers' sense of efficacy and child behavior and
social-emotional skills. Qualitative interviews and satisfaction surveys will explore the
feasibility and acceptability of implementing TCIT-U. Fidelity checklists will be completed
by the TCIT-U Trainer and expert consultants to document intervention fidelity.
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