Evaluation of the Trauma Informed Schools UK training and implementation

ISRCTN ISRCTN64982435
DOI https://doi.org/10.1186/ISRCTN64982435
Submission date
15/04/2025
Registration date
22/08/2025
Last edited
22/08/2025
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
This study aims to find out if training school staff in trauma-informed approaches through the TISUK programme can improve behaviour and mental wellbeing in Year 8 pupils. The study will compare 100 schools that receive the TISUK training with those that continue their usual practices.

Who can participate?
The study involves Year 8 pupils and school staff from the participating schools.

What does the study involve?
Schools will be randomly assigned to either receive the TISUK training or continue with their usual practices. The TISUK training includes various components such as whole staff training, senior leadership training, network consultancy support, diploma practitioner training, reflective supervision workshops, and webinars for staff and pupils. Data will be collected at the start and 15 months later to see if the training is effective.

What are the possible benefits and risks of participating?
Participants may benefit from improved behaviour and mental wellbeing. There are no significant risks associated with participating in this study.

Where is the study run from?
Ipsos UK

When is the study starting and how long is it expected to run for?
June 2023 to December 2025.

Who is funding the study?
Youth Endowment Fund (UK)

Who is the main contact?
Dr Facundo Herrera, facundo.herrera@ipsos.com

Contact information

Dr Facundo Herrera
Public, Scientific, Principal Investigator

222 Avenue Extension Road
Clarendon Park
Leicester
LE2 3EL
United Kingdom

ORCiD logoORCID ID 0000-0002-2869-1419
Phone +44 7947443259
Email facundo.herrera@ipsos.com

Study information

Study designTwo-armed cluster randomized controlled trial with random allocation at the school level
Primary study designInterventional
Secondary study designCluster randomised trial
Study setting(s)School
Study typeEfficacy
Participant information sheet 47194 TISUK Evaluation Information Sheet - Parents information sheet and opt-out.pdf
Scientific titleEvaluation of the Trauma Informed Schools UK (TISUK) training and implementation: A cluster randomised controlled trial
Study objectivesTISUK training for school staff will reduce externalising behaviours in Year 8 pupils, measured by the Strengths and Difficulties Questionnaire (SDQ) combined conduct and hyperactivity scores.
Ethics approval(s)

Approved 01/11/2023, Ethics Board at Ipsos UK (3 Thomas More St, London, E1W 1YW, United Kingdom; +44 203 0595000; ukpaethicsforms@ipsos.com), ref: 23-019045-01

Health condition(s) or problem(s) studiedExternalising behaviour, internalising behaviour, mental wellbeing in school children
InterventionTreatment group: TISUK training involves 6 components: (1) Whole staff training (two 3-hour sessions); (2) Senior leadership training (2-day session for 5-7 SLT members); (3) Network consultancy support (three meetings with TISUK consultants); (4) Diploma practitioner training (11-day comprehensive training for 5-7 staff); (5) Reflective supervision workshops (for 2 diploma-trained practitioners); (6) Webinars for staff and pupils (4 webinars with discussion guides). The intervention aims to create trauma-informed policies and practices throughout the school over four terms (Jan 2024-Mar 2025).

Control group: Business-as-usual, with schools continuing their existing approaches to behaviour management and pupil support. Control schools will complete surveys about their current mental health/wellbeing training and initiatives at baseline, 6 months and 12 months to monitor any changes in practice during the trial period.
Intervention typeBehavioural
Primary outcome measureExternalising behaviour measured by the Strengths and Difficulties Questionnaire (SDQ) combined conduct and hyperactivity scale scores (0-20) at baseline (October-December 2023) and 15 months post-baseline (March-April 2025).
Secondary outcome measures1. Internalising behaviour measured by the SDQ emotional and peer problems subscales (0-20) at baseline and 15 months post-baseline
2. Prosocial behaviour measured by the SDQ prosocial behaviour subscale (0-10) at baseline and 15 months post-baseline
3. Total difficulties measured by the SDQ total difficulties score (0-40) at baseline and 15 months post-baseline
4. Non-psychotic psychological distress measured by the General Health Questionnaire (GHQ12) at baseline and 15 months post-baseline
5. Well-being measured by the Short Warwick Edinburgh Mental Well-being Scale (SWEMWBS, 7-35) at baseline and 15 months post-baseline
6. School connectedness measured using the School Connectedness Scale at baseline and 15 months post-baseline
7. School exclusions and suspensions measured using administrative school records at baseline and 15 months post-baseline
8. School attendance measured using administrative school records at baseline and 15 months post-baseline
9. Staff attitudes to trauma-informed care measured by the Attitudes Related to Trauma-Informed Care (ARTIC) survey at baseline and 15 months post-baseline
10. Staff well-being measured by the Short Warwick Edinburgh Mental Well-being Scale (SWEMWBS) at baseline and 15 months post-baseline
11. Staff retention and sickness measured using administrative school records at baseline and 15 months post-baseline
Overall study start date01/06/2023
Completion date31/12/2025

Eligibility

Participant type(s)Learner/student
Age groupChild
Lower age limit12 Years
Upper age limit13 Years
SexBoth
Target number of participants16,000
Total final enrolment13393
Key inclusion criteriaYear 8 pupils (2023/2024 cohort) in secondary schools in target geographical areas
Key exclusion criteria1. Schools with staff who completed TISUK 11-day diploma
2. Schools that received TISUK whole staff training in last 3 years
3. Schools that received intensive trauma-informed practice training from another provider in the last 3 years
4. Fee-paying schools
5. Alternative provision or special schools with SEMH focus
Date of first enrolment01/06/2023
Date of final enrolment30/09/2023

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

TISUK
First Floor, 111-113 Fore Street
Saltash
PL12 6AE
United Kingdom

Sponsor information

Ipsos UK
Industry

3 Thomas More St
London
E1W 1YW
England
United Kingdom

Phone +44 2030595000
Email tisuk@ipsosresearch.com
Website https://www.ipsos.com/en-uk

Funders

Funder type

Charity

Youth Endowment Fund
Private sector organisation / Trusts, charities, foundations (both public and private)
Alternative name(s)
YouthEndowFund, YEF
Location
United Kingdom

Results and Publications

Intention to publish date01/12/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in publicly available repository
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe participant-level data will be anonymised and stored securely according to data protection regulations. Data will be available through the Youth Endowment Fund's data archive after the trial completion, estimated to be available by March 2026. Participant consent for data sharing has been obtained via opt-out consent procedures. Researchers wishing to access the data will need to apply through the Youth Endowment Fund's formal data access request process, with appropriate ethical approvals in place.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 29/04/2025 No Yes
Protocol file version 14 22/07/2024 29/04/2025 No No
Statistical Analysis Plan version 7 23/07/2024 29/04/2025 No No

Additional files

47194 TISUK Evaluation Information Sheet - Parents information sheet and opt-out.pdf
47194 TISUK-YEF-trial-protocol_V14_MASTER_240722.pdf
47194 23-019045-01 YEF-TIP SAP_V7_240723.pdf

Editorial Notes

15/04/2025: Trial's existence confirmed by Youth Endowment Fund