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iLook Out for Child Abuse: An Innovative Learning Module for Childcare Providers (iLookOut)

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ClinicalTrials.gov Identifier: NCT03185728
Recruitment Status : Recruiting
First Posted : June 14, 2017
Last Update Posted : September 23, 2021
Sponsor:
Collaborators:
University of Oklahoma
Penn State University
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Information provided by (Responsible Party):
Benjamin H. Levi, Milton S. Hershey Medical Center

Brief Summary:
This five-year study aims to improve childcare provider (CCP) reporting of suspected child abuse by means of an online learning module, iLook Out for Child Abuse. Using an interactive, video-based story-line (along with follow-up activities), iLookOut engages CCPs emotionally and intellectually to take the first step in addressing the epidemic of child abuse -which in the U.S. claims >680,000 confirmed victims annually. The consequences of child abuse can be devastating and long-lasting. The purpose of this study is to establish an evidence-based intervention that can help those who care for young children recognize and report suspected child abuse before irreparable harm occurs.

Condition or disease Intervention/treatment Phase
Child Abuse Other: iLook Out for Child Abuse Not Applicable

Detailed Description:

This 5-year study will evaluate the efficacy of an innovative educational intervention, iLook Out for Child Abuse (iLookOut) for increasing rates of accurate child abuse reporting. Grounded in an Experiential Learning conceptual model, iLookOut is a multi-media, online intervention that engages learners emotionally and intellectually through an interactive, video-based story-line that provides education, challenges learners with decision-points, and gives critical feedback. iLookOut uses "gamification" strategies to promote experiential learning through simulation, problem-solving, and practice opportunities to apply new information and understanding. It also will include follow-up activities that promote retention and integration of new knowledge, as well as help CCPs to remain aware and engaged.

Prior studies have demonstrated that iLookOut significantly improves CCP knowledge and attitudes about reporting suspected child abuse, and is very well received by CCPs. To evaluate its impact on actual reporting behavior, the proposed research will randomize CCP sites in southern Maine (total = ~1,300) to receive iLookOut, Standard training, or Control (no intervention).

The primary goal is to increase the number of CCP reports for which either child abuse is confirmed or social services (e.g., therapeutic services, nutritional assistance) are recommended -as these are the kinds of reports that are likely to actually benefit a child.

The secondary goal is to decrease the proportion of reports that don't offer such benefit, and in particular to decrease costs to the state associated with intake and investigation of non-beneficial reports.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 9000 participants
Allocation: Randomized
Intervention Model: Sequential Assignment
Intervention Model Description: Childcare sites will be randomized to one of 3 study arms, and we will use a stepped wedge design to recruit patients to complete one of two interventions. During the first year of implementation, 1/3 of participants will not be contacted (Control arm). In the other 2 arms, participants will be recruited to complete either the iLookOut intervention or the Standard online mandated reporter training. The next year, participants in the Standard arm will then be asked to complete the iLookOut intervention, and participants in the Control arm will, again, not be incentivized to complete any training. In the final year, participants in the Control arm will be recruited to complete the iLookOut intervention.
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: iLook Out for Child Abuse: An Innovative Learning Module for Childcare Providers
Actual Study Start Date : October 3, 2017
Actual Primary Completion Date : August 31, 2021
Estimated Study Completion Date : July 31, 2022

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: iLookOut
Online, interactive learning program developed by study team.
Other: iLook Out for Child Abuse
Online, interactive educational intervention that uses a video-based story-line and "gamification" to teach childcare providers about child abuse and mandated reporting.
Other Name: iLookOut

Active Comparator: Standard
Online mandated reporter training developed by the state of Maine during Y1, then recruited to complete iLookOut during Y2 and Y3.
Other: iLook Out for Child Abuse
Online, interactive educational intervention that uses a video-based story-line and "gamification" to teach childcare providers about child abuse and mandated reporting.
Other Name: iLookOut

No Intervention: Control
No active recruitment or incentivizing of participants to complete any training on mandated reporting during Y1 and Y2, then recruited to complete iLookOut during Y3.



Primary Outcome Measures :
  1. Percentage of "High Quality" reports of suspected child abuse submitted to the State of Maine by childcare providers [ Time Frame: 48 months ]

    Percentage of childcare provider reports (of suspected abuse) to the state of Maine that result in either i) child abuse being confirmed, or ii) social services being recommended for the child/family who was reported.

    We will use Maine's Office of Child and Family Services' criteria for determining what counts as "confirmed child abuse" as well as what counts as a "recommended social service."



Secondary Outcome Measures :
  1. Percentage of reports of suspected child abuse submitted to the State of Maine by childcare providers that are "Low Quality" [ Time Frame: 48 months ]

    "Low Quality" reports of suspected abuse are reports to the state of Maine that do not result in either findings of child abuse or recommended social services.

    We will use Maine's Office of Child and Family Services' criteria for determining what counts as "confirmed child abuse" as well as what counts as a "recommended social service."


  2. Financial costs (in U.S. dollars) associated with responding to "Low Quality" reports of suspected abuse that are submitted to the State of Maine by childcare providers [ Time Frame: 48 months ]

    Financial costs (in U.S. dollars) expended by the State of Maine on "Low Quality" reports (submitted by childcare providers during the study period) will be calculated by summing the following:

    i) The average cost to the State of Maine associated with an "Intake call," multiplied by the number of reports of suspected abuse submitted by childcare providers that are screened out (i.e., determined by Intake workers to NOT warrant investigation); and

    ii) The average cost to the State of Maine associated with investigating a report of suspected abuse, multiplied by the number of reports of suspected abuse submitted by childcare providers that are investigated, but NO abuse was confirmed AND no social services were recommended to the child/family that had been reported




Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Works or volunteers at a childcare facility in Maine (i.e., home-based childcare, childcare center, Head Start facility, nursery school, pre-school)
  • 18 years of age or older

Exclusion Criteria:

  • Does not work or volunteer at a childcare facility in Maine
  • Under 18 years of age

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03185728


Contacts
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Contact: Nicole Verdiglione, BS 717-531-8521 ext 283-765 Nverdiglione@PennStateHealth.psu.edu
Contact: Benjamin H Levi, MD PhD 717-531-8778 BHLevi@psu.edu

Locations
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United States, Pennsylvania
Penn State College of Medicine Recruiting
Hershey, Pennsylvania, United States, 17033
Contact: Benjamin H Levi, MD, PhD    717-531-8778    BHLEVI@psu.edu   
Contact: Nicole R Verdiglione, BA    717-531-0003 ext 283765    nverdiglione@pennstatehealth.psu.edu   
Sponsors and Collaborators
Milton S. Hershey Medical Center
University of Oklahoma
Penn State University
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Investigators
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Study Director: Benjamin H Levi, MD PhD Penn State Milton S. Hershey Medical Center / Penn State College of Medicine
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Responsible Party: Benjamin H. Levi, Professor, Department of Humanities and Pediatrics, Milton S. Hershey Medical Center
ClinicalTrials.gov Identifier: NCT03185728    
Other Study ID Numbers: IRB-4740
R01HD088448-01 ( U.S. NIH Grant/Contract )
First Posted: June 14, 2017    Key Record Dates
Last Update Posted: September 23, 2021
Last Verified: September 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Benjamin H. Levi, Milton S. Hershey Medical Center:
Child Abuse
Mandated Reporting
Online Learning
Child Protection
GAMIFICATION
Early Childhood Education