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Training Teachers to Build Resilience in Children in the Aftermath of War: A Cluster Randomized Trial

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Abstract

Background

There is growing interest in school-based interventions for building resilience in children facing trauma and adversity. Recent studies focus on teacher training as an effective way to enhance resilience in their students, and emphasize the need for additional evidence-based practice.

Objective

The aim of this study was to evaluate the effectiveness of a short-term resilience-building teacher intervention on reducing post-traumatic distress in students in the context of exposure to recurrent rocket attacks in Israel.

Methods

A quasi-experimental, cluster randomized design employing intervention and wait-list control groups was implemented with students from grades four-six (N = 563) in four schools in Acre in the aftermath of the Second Lebanon War. We assessed the students’ trauma exposure, posttraumatic symptoms and anxiety before and after the intervention or the wait-list condition.

Results

There was a significantly (p < 0.001) greater decrease of posttraumatic symptoms and anxiety levels among the students whose teachers participated in the intervention group as compared to students whose teachers were in the wait-list control group. A multiple regression model showed that this greater decrease in posttraumatic symptoms and anxiety levels was statistically significant after controlling for demographic variables, trauma exposure and past trauma history.

Conclusion

The results of this study show that the training of teachers alone in building resilience can effectively lower post-traumatic distress and anxiety in their students. The empowerment of teachers and by building upon their expertise and experience are crucial for creating sustainability in school-based interventions.

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Acknowledgments

This study was funded in part by the Center for Disease Control and Prevention (Atlanta, Georgia) and implemented in collaboration with the Israel Trauma Coalition—United Jewish Communities. Acknowledgements to Iris Alaluf, Director of the Resilience Center of the Municipality of Nahariya, who served as on-site coordinator for data collection and implementation of the intervention, and to Lisa Chalik and Rebecca Ginat, research assistants.

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Correspondence to Naomi L. Baum.

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Disclaimer: The conclusions of the study are those of the authors and may not necessarily reflect the views of the US Centers for Disease Control and Prevention.

Appendix

Appendix

See Table 4.

Table 4 Trauma history questionnaire and war exposure items (Pat-Horenczyk 2006)

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Baum, N.L., Cardozo, B.L., Pat-Horenczyk, R. et al. Training Teachers to Build Resilience in Children in the Aftermath of War: A Cluster Randomized Trial. Child Youth Care Forum 42, 339–350 (2013). https://doi.org/10.1007/s10566-013-9202-5

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