| Unique ID issued by UMIN | UMIN000062903 |
|---|---|
| Receipt number | R000072024 |
| Scientific Title | Effectiveness of an e-learning program on the prevention of child maltreatment from pregnancy: a randomized controlled trial among nurses in maternity hospitals |
| Date of disclosure of the study information | 2026/09/14 |
| Last modified on | 2026/09/14 02:30:18 |
Effectiveness of an e-learning program on prevention of child maltreatment from pregnancy for midwives and nurses in obstetric facilities: a randomized controlled trial
E-learning on child maltreatment prevention for nurses in maternity hospitals: a randomized controlled trial
Effectiveness of an e-learning program on the prevention of child maltreatment from pregnancy: a randomized controlled trial among nurses in maternity hospitals
Effectiveness of an e-learning program on the prevention of child maltreatment from pregnancy: a randomized controlled trial among nurses in maternity hospitals
| Japan |
Midwives and nurses working in maternity hospitals
| Obstetrics and Gynecology | Nursing | Adult |
Others
NO
To evaluate, in a wait-list controlled randomized trial, the effectiveness of an e-learning program on the prevention of child maltreatment from pregnancy, designed to strengthen the ability of midwives and nurses in obstetric facilities to identify parents and infants of concern and to collaborate with other agencies.
Efficacy
Confirmatory
Pragmatic
Not applicable
Total score of the Nursing Engagement with Children Maltreatment Prevention Scale for Obstetric Ward Nurses (NES-CMP; 30 items, 5-point scale) at 3 months after the program (T3). Groups will be compared by analysis of covariance adjusted for the baseline (T0) score.
1. Total NES-CMP score at 1 month after the program (T2), and subscale scores at T2 and T3
2. Self-efficacy score for nursing practice with parents and infants of concern or in need of support (investigator-developed, 7 items, 6-point Likert scale) at T1, T2 and T3
3. Scores for outcome expectations (4 items), mental image of the trajectory of parents and infants after discharge (3 items), and behavioral intention (6 items) at T1, T2 and T3
4. Knowledge of child maltreatment (9 items) at T1
5. Change from baseline (T0) at each time point
6. Longitudinal change from T0 to T3 in the early-training group
7. Pre-post change in the wait-list group after receiving the program (replication of the effect)
8. Evaluation of the program (comprehensibility of each module, perceived usefulness for practice, satisfaction)
9. Exploratory analysis: mediating effects of self-efficacy, outcome expectations, mental image of the trajectory of parents and infants after discharge, and behavioral intention (T1) on nursing practice (NES-CMP at T3)
Interventional
Parallel
Randomized
Cluster
Open -no one is blinded
No treatment
YES
NO
Institution is not considered as adjustment factor.
NO
Central registration
2
Educational,Counseling,Training
| Behavior,custom |
Early-training group (intervention). After randomization, participants take an on-demand e-learning program on the prevention of child maltreatment from pregnancy (120 minutes, 8 modules: basic knowledge of child maltreatment; current situation of child maltreatment and the role of obstetric facilities; characteristics and strengths of obstetric facilities; roles and support provided by public health and welfare agencies; basic principles of support and interprofessional collaboration; and three case studies) within a one-month access period. Two automated reminders are sent by the learning management system. Web-based questionnaires are administered at T0 (before the program), T1 (immediately after), T2 (1 month after) and T3 (3 months after).
Wait-list group (control). After randomization, participants complete the same web-based questionnaires at the same time points (T0, T1, T2 and T3) and report events during the waiting period that may affect outcomes (attendance at related training, experience with parents and infants at risk of maltreatment, and participation in case conferences). After T3, they receive the same e-learning program under the same conditions as the early-training group.
| 20 | years-old | <= |
| Not applicable |
Male and Female
1. Midwives or nurses working in obstetric wards or outpatient departments of hospitals or clinics that provide delivery care
2. Engaged in direct nursing care for pregnant, parturient and postpartum women and newborns
3. Able to complete the e-learning program and respond to web-based questionnaires
4. Provided informed consent after receiving a written explanation of the study
1. Those who are mainly engaged in administrative duties and do not provide direct nursing care for pregnant, parturient and postpartum women and newborns
2. Those who have difficulty participating in the study or responding to web-based questionnaires
3. Those who have previously attended the same or equivalent training program on the prevention of child maltreatment from pregnancy conducted by the investigators
200
| 1st name | Noriko |
| Middle name | |
| Last name | Karata |
Himeji University
School of Nursing
671-0101
2042-2 Oshio-cho, Himeji, Hyogo, Japan
079-262-6294
noriko_karata@koutoku.ac.jp
| 1st name | Noriko |
| Middle name | |
| Last name | Karata |
Himeji University
School of Nursing
671-0101
2042-2 Oshio-cho, Himeji, Hyogo, Japan
079-262-6294
noriko_karata@koutoku.ac.jp
Himeji University
Noriko Karata
Japan Society for the Promotion of Science
Japanese Governmental office
Japan
Graduate School of Health and Nursing Science, Wakayama Medical University
Ethics Committee, Himeji University
2042-2 Oshio-cho, Himeji, Hyogo, Japan
079-247-7301
kenkyu_gakujyutu@koutoku.ac.jp
NO
| 2026 | Year | 09 | Month | 14 | Day |
Unpublished
Preinitiation
| 2026 | Year | 09 | Month | 01 | Day |
| 2026 | Year | 09 | Month | 01 | Day |
| 2026 | Year | 11 | Month | 02 | Day |
| 2027 | Year | 03 | Month | 23 | Day |
| 2026 | Year | 09 | Month | 14 | Day |
| 2026 | Year | 09 | Month | 14 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072024