MEST : A School- Based Health Literacy Intervention Trial
A Cluster- Randomized Controlled Trial Evaluating the MEST Work Strategy to Improve Health Literacy Among Upper Secondary School Students
The purpose of this study is to evaluate the effectiveness of the MEST work strategy in upper secondary schools. MEST is a school based, health promoting intervention delivered by school health services and designed to strengthen students' health literacy and mental well being. The study assesses whether implementation of the MEST work strategy results in improved health literacy and mental well being compared with usual school health services.
This study is a cluster randomized superiority trial in which upper secondary schools are assigned either to an intervention group implementing the MEST work strategy or to a control group continuing with school health services as usual. Student reported outcomes are collected using digitally administered questionnaires during school hours at baseline, prior to initiation of the intervention, and at 4 and 9 months following intervention initiation (end of the school year).
調査の概要
詳細な説明
This study is a cluster randomized controlled trial conducted in upper secondary schools, with schools serving as the unit of randomization to minimize contamination between students. A matched pair allocation design is used to ensure balance between trial arms. The anticipated enrollment is 12 schools (clusters).
Simulation based power analyses indicated that the primary analytic models yielded approximately 0.62-0.72 power to detect an effect size of d = 0.30 and were generally close to or exceeded 0.80 when the post test effect size was larger (d = 0.40).
The MEST work strategy is implemented during regular school hours by school health services and is designed to enhance students' ability to access, understand, evaluate, and apply health related information, with a specific focus on health literacy and mental well being. Data are collected using digitally administered questionnaires at baseline (T0), 4 months (T1), and 9 months (T2) following initiation of the intervention.
The primary outcome is general health literacy. Secondary outcomes include mental health literacy and mental well being. Prespecified secondary subgroup/moderator analyses will examine potential effect modification by gender, socioeconomic status, and minority, Indigenous, or immigrant background. Additional exploratory analyses will assess whether the dose of the MEST work strategy delivered is associated with outcomes. Outcome data are reported by students, while information on intervention dose is obtained from the school health services.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Hanne N Bjørnsen, RN, MS, MPH, PhD
- 電話番号：004790107526
- メール：hanne.nissen.bjornsen@fhi.no
研究連絡先のバックアップ
- 名前：Hilde E Toreid, RN, MS
- 電話番号：004790874102
- メール：hilde.elisabeth.toreid@fhi.no
研究場所
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Trøndelag
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Levanger、Trøndelag、ノルウェー、7600
- Norwegian Institute of Public Health (NIPH)
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コンタクト：
- Hilde E Toreid, RN, MS
- 電話番号：004790874102
- メール：hilde.elisabeth.toreid@fhi.no
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コンタクト：
- Boye Welde, Dr.Philos
- 電話番号：004799357696
- メール：boye.welde@fhi.no
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主任研究者：
- Hilde E Toreid, RN, MS
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参加基準
適格基準
就学可能な年齢
- 子
- 大人
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Students 16-24 years
- Students enrolled in upper secondary school classes
- Provided informed consent
Exclusion Criteria:
- Students <16 years and > 24 years
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：ヘルスサービス研究
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：MEST Work Strategy
Schools assigned to the intervention arm receive the MEST work strategy delivered by school health services during regular school hours over one school year.
The intervention is designed to strengthen students' general health literacy through structured learning activities, facilitated discussions, and individual follow up when needed.
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The MEST work strategy is needs based and adaptive.
An anonymous, digitally administered MEST survey conducted prior to intervention initiation informs the selection and tailoring of intervention topics throughout the school year.
This survey is used solely to guide intervention delivery and is not included in the outcome evaluation.
Intervention activities may include classroom based sessions, school wide seminars, small thematic group activities, and individual consultations provided by the school health services, depending on identified student needs.
All activities are conducted on school premises using existing school facilities and digital infrastructure.
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介入なし：Control- School Health Servics as usual
Schools assigned to the control arm continue with school health services as usual throughout the study period.
Usual care includes routine health promotion activities and access to individual consultations provided within the existing school health services.
Schools in the control arm are not exposed to the MEST work strategy during the study period.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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General Health Literacy
時間枠：Baseline, 4 months, 9 months
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General health literacy assessed using the Health Literacy Survey 2019 - Young Persons 12-item scale (HLS19 YP12). The instrument consists of 12 items, each rated on a 4 point scale. Total scores range from 12 to 48, with higher scores indicating higher (better) levels of health literacy. |
Baseline, 4 months, 9 months
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
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Mental Health Literacy
時間枠：Baseline, 4 months, 9 months
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Mental health literacy using the Mental Health Learning Scale (MHLS-9).
The instrument consists of 9 items, each rated on a 5- point likert scale, giving a total score from 9 to 45, with higher scores indicating higher (better) levels of mental health literacy.
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Baseline, 4 months, 9 months
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Mental Well-Being
時間枠：Baseline, 4 months, 9 months
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Mental well-being assessed using the Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS).
The instrument consist of 7 items, each rated on a 5- point scale.
It ranges from 7 to 35 points, with higher scores indicating better mental well- being.
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Baseline, 4 months, 9 months
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協力者と研究者
捜査官
- 主任研究者：Hanne N Bjørnsen, RN, MS, MPH, PhD、Norwegian Institute of Public Health
出版物と役立つリンク
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- SDAM_FOR555624 /NIPH 6107-6107
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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