UMIN-ICDS Clinical Trial

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

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Basic information

Public title

Effectiveness of an e-learning program on prevention of child maltreatment from pregnancy for midwives and nurses in obstetric facilities: a randomized controlled trial

Acronym

E-learning on child maltreatment prevention for nurses in maternity hospitals: a randomized controlled trial

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

Scientific Title:Acronym

Effectiveness of an e-learning program on the prevention of child maltreatment from pregnancy: a randomized controlled trial among nurses in maternity hospitals

Region

Japan


Condition

Condition

Midwives and nurses working in maternity hospitals

Classification by specialty

Obstetrics and Gynecology Nursing Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

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.

Key secondary outcomes

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)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

No treatment

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

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).

Interventions/Control_2

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.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

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

Key exclusion criteria

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

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Noriko
Middle name
Last name Karata

Organization

Himeji University

Division name

School of Nursing

Zip code

671-0101

Address

2042-2 Oshio-cho, Himeji, Hyogo, Japan

TEL

079-262-6294

Email

noriko_karata@koutoku.ac.jp


Public contact

Name of contact person

1st name Noriko
Middle name
Last name Karata

Organization

Himeji University

Division name

School of Nursing

Zip code

671-0101

Address

2042-2 Oshio-cho, Himeji, Hyogo, Japan

TEL

079-262-6294

Homepage URL


Email

noriko_karata@koutoku.ac.jp


Sponsor or person

Institute

Himeji University

Institute

Department

Personal name

Noriko Karata


Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Graduate School of Health and Nursing Science, Wakayama Medical University

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee, Himeji University

Address

2042-2 Oshio-cho, Himeji, Hyogo, Japan

Tel

079-247-7301

Email

kenkyu_gakujyutu@koutoku.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 09 Month 14 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 09 Month 01 Day

Date of IRB

2026 Year 09 Month 01 Day

Anticipated trial start date

2026 Year 11 Month 02 Day

Last follow-up date

2027 Year 03 Month 23 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 09 Month 14 Day

Last modified on

2026 Year 09 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072024