Impact of Teacher Training and the Introduction of Early Adjustments on the Developmental Trajectory of Children at Risk of SLLD in Pre-school.

Study Overview
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Brief Summary
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The high incidence of neurodevelopmental disorders, including specific language and learning disorders, and their profund impact on the schooling of the children concerned remains a major public health concern. Early identification and intervention are a valuable tool for improving these problems. The developmental trajectory of children could be improved by knowledge enhancement, identification and strategies to support the teachers through the involvement of health professionals in the classroom

Detailed Description
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PRISME - TSLA is a clinical trial developing experiment project for the intervention arm involving teacher training, the implementation of identification grids, follow-up observations in classroom of identified pupils, and the development of special arrangments. For the control arm, the teachers work with standard procedures of the French national education policy.

Official Title
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Prevention, Detection and Specialised Intervention in Pre-school : Impact of Teacher Training and the Introduction of Early Adjustments on the Developmental Trajectory of Children at Risk of Specific Language and Learning Disorders (SLLD).

Conditions
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Language Disorders in Children, Learning; Developmental Disorder

Intervention / Treatment
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* Behavioral: Teacher training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: In a school with at least 3 classes of primary school age children. At least 5 years old on 31/12/2023. Whose 2 parents have given their consent. Have received age-appropriate explanations about the study and have not refused to take part. Exclusion Criteria: In a school with at least 3 classes of primary school age children. At least 5 years old on 31/12/2023. Whose 2 parents have given their consent. Have received age-appropriate explanations about the study and have not refused to take part.

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 6 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: teacher training<br>Teacher training and support for teachers in setting up specific arrangements. | Behavioral: Teacher training<br>* Training for teachers in the intervention arm in the learning process, SLLD and early warning signs, with an identification grid. Observation of identified pupils and implementation of educational and environmental adjustments.<br>|
| No Intervention: control class<br>Teacher will proceed in the usual way, referring to the procedures put in place by the national education system for identifying and referring children at risk | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improvement in the developmental trajectory of pre-school children at risk of SLLD in the areas of language, learning and coordination | BMTi (Modular Computerized Test Battery). pathologic area if score < or = -2, risk area if score [-1;-2[ middle area if score ]-1;1[ higher area if score > or = 1 | 8 months after inclusion | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improvement in teachers' knowledge and sense of competence | knowledge quiz (quiz under construction) | 8 months after inclusion | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Professional development, Preventive approach, Neurological Development, Preschool education