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Improving Interprofessional Collaboration in Norwegian Primary Schools

2020년 9월 4일 업데이트: Ira Malmberg-Heimonen, Oslo Metropolitan University

Improving Interprofessional Collaboration in Norwegian Primary Schools - A Cluster-randomised Study Evaluating the Effects of the LOG-model.

This study includes designing, implementing and evaluating the effectiveness of process-based measures for improving interprofessional collaboration in Norwegian primary schools (5-7th grades). Focusing on leadership and organizational development, the overarching aim is to improve the use of existing interprofessional competence within schools. The interventions include meetings at municipal-level (strategic), school-level (operative) and class-level (operative), with feedback procedures to ensure communication between and within all levels. Also school internal and school external collaborators are involved at all levels of intervention.

In order to avoid contradictory roles, an implementation team is responsible for developing and implementing the intervention, while the research team conduct an independent evaluation. The model will be evaluated by a cluster-randomized design to evaluate the effectiveness of the intervention. The hypothesis is that schools that utilize the process-based intervention (intervention group) will improve their interprofessional team work in a way that enhances the pupil's learning- environment and teachers professional competence, self-efficacy and efficient use of working hours compared to their counterparts in the control group. We anticipate main effects to be found at pupil level, mainly through improved early assessment, intervention and efficient follow-up. The project is a collaboration between four Norwegian municipalities and includes a total of 37 Schools, half of which will be randomized to experimental condition and half to control condition.

The project is financed by The Norwegian Directorate for Education and Training with a duration of three years and three months. The project is led by Professor Ira Malmberg-Heimonen. The project is a collaboration between Faculty of Social Sciences and the Work Research Institute (AFI), at Oslo and Akerhus University College of Applied Sciences. Participants in the project are Ira Malmberg-Heimonen (project leader), Anne Grete Tøge, Therese Saltkjel, Knut Fossestøl, Elin Borg and Selma Therese Lyng. Participants in the implementation team are Øyvind Pålshaugen, Hanne Christoffersen and Christian Wittrock, also from Oslo and Akerhus University College of Applied Sciences, in addition to Torbjørn Lund from the Arctic University of Norway

연구 개요

상태

완전한

상세 설명

Comprehensive process-based intervention for improving interprofessional team collaboration in schools. A cluster-randomized study.

Start at 01.04.2017 Finnish at 30.06.2020. Funding: The Norwegian Directorate for Education and Training Collaboration: All public schools at primary level in four Norwegian municipalities

Primary schools participating in the study:

From the municipality of Ålesund: Åse, Aspøy, Blindheim, Ellingsøy, Emblem, Flisnes, Hatlane, Hessa, Larsgården, Lerstad, Spjelkavik, Vik and Stokke, and Voldsdalen.

From the municipality of Harstad: Bergseng, Bjarkøy, Harstad, Kanebogen, Kila, Lundenes, Medkila skole, Seljestad and Sørvik From the municipality of Nedre Eiker: Mjøndalen, Krokstad, Solberg, Steinberg, Stenseth and Åsen.

From the municipality of Lillehammer: Vingar, Vingrom, Søre Ål, Røyslimoen, Kringsjå, Ekrom and Buvollen (will be merged), Hammartun and Jørstadmoen

Advisory Board for the project:

Senior researcher Mary Visher, Manpower Demonstration Research Corporation (MDRC), USA Professor Nancy Cartwright, Durham University, UK, and University of California, San Diego, USA Analyst and content director Jarl Inge Wærnes, LearnLab, Oslo Norway

There are interprofessional resources in Norwegian schools and municipalities that are not fully utilized/exploited. Oslo and Akershus University College of Applied Sciences has been commissioned to design, implement and evaluate the effectiveness of a process-based model for interprofessional team collaboration in Norwegian primary schools. In order for municipal school owners and leaders to better utilize the potential related to existing interprofessional resources in schools, municipalities will implement a process-based model with a focus on leadership and better coordination of existing interprofessional resources. While the work process will be the same for all schools enrolled to experimental group, the content of the intervention will vary based on local conditions, resources and needs. A manual describes how the work process should be carried out. The model is hereafter referred to as the LOG-model, a Norwegian acronym, referring to the terms leadership, organization and coordination

The evaluation will be conducted as a cluster-randomized trial, where 37 primary schools will be randomly assigned to experimental and control groups. Schools randomized to experimental group will implement the LOG-model, while schools assign to the control group will work as previously with interprofessional collaboration. While schools in the experimental group will receive economic resources to compensate for implementing the model and participating in the research, schools randomized to control group will get, however, somewhat less financial compensation for taking part in the research. The implementation team offer supervision and support to schools randomized to the experimental group throughout the project period.

The main working method in the LOG-model is the interchange and feedback process between discursive practices, i.e. the discussion of interprofessional team collaborating measures and the execution/testing of these measures.

Staff from Oslo and Akershus College of Applied Sciences will have different roles in the project. Beside the implementation team with the role of facilitating implementation processes in schools randomized to experimental group, the process evaluation team will study implementation processes mainly based on qualitative data. The researchers in the effect-evaluation team will mainly work with quantitative data.

Prior to randomization a baseline questionnaire will be collected from the teachers and their interprofessional collaborators e.g. educational and psychological counseling services, public health nurses and child welfare social workers. Baseline information on pupils will be based on a survey data collected autumn 2017 and survey data and administrative data for follow-up + 12 and + 24 months. Long-term effects for pupils will be measured after the project has formally ended, up to 4 years after baseline, given that the Norwegian Directorate for Education and Training authorize access and deliver administrative data for follow-up.

The project will assess whether schools randomized to experimental group that are implementing the LOG-model improve their interprofessional collaboration in a way that has positive effects on learning environment, learning outcomes and early intervention for pupils. At teacher level we expect the model to increase competence for interprofessional collaboration, teacher self-efficacy and more efficient use of teachers working time.

This knowledge will inform the debate on what the effects of interprofessional team collaboration can be in schools.

The project is funded by The Norwegian Directorate for Education and Training and led by professor Ira Malmberg-Heimonen, Oslo and Akershus University College.

Participants in the project are Ira Malmberg-Heimonen (project leader), Knut Fossestøl, Øyvind Pålshagen, Elin Borg, Selma Therese Lyng, Anne Grete Tøge, Hanne Christensen, Thorbjørn Lund and Therese Saltkjel.

연구 유형

중재적

등록 (실제)

4130

단계

  • 해당 없음

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

      • Harstad, 노르웨이, 9403
        • Bergseng skole
      • Harstad, 노르웨이, 9405
        • Harstad skole
      • Harstad, 노르웨이, 9407
        • Seljestad primary school
      • Harstad, 노르웨이, 9411
        • Kanebogen skole
      • Harstad, 노르웨이, 9414
        • Medkila skole
      • Harstad, 노르웨이, 9415
        • Kila skole
      • Harstad, 노르웨이, 9419
        • Sørvik skole
      • Harstad, 노르웨이, 9420
        • Lundenes skole
      • Harstad, 노르웨이, 9425
        • Bjarkøy skole
      • Lillehammer, 노르웨이, 26013
        • Søre Ål skole
      • Lillehammer, 노르웨이, 2607
        • Vingrom skole
      • Lillehammer, 노르웨이, 2608
        • Vingar skole
      • Lillehammer, 노르웨이, 2609
        • Hammartun skole
      • Lillehammer, 노르웨이, 2611
        • Røyslimoen skole
      • Lillehammer, 노르웨이, 2618
        • Kringsjå skole
      • Lillehammer, 노르웨이, 2624
        • Ekrom skole
      • Lillehammer, 노르웨이, 2625
        • Buvollen skole
      • Lillehammer, 노르웨이, 2625
        • Jørstadmoen Skole
      • Nedre Eiker, 노르웨이, 3050
        • Mjøndalen skole
      • Nedre Eiker, 노르웨이, 3050
        • Åsen skole
      • Nedre Eiker, 노르웨이, 3053
        • Steinberg Skole
      • Nedre Eiker, 노르웨이, 3055
        • Krokstad skole
      • Nedre Eiker, 노르웨이, 3055
        • Stenseth Skole
      • Nedre Eiker, 노르웨이, 3057
        • Solberg skole
      • Ålesund, 노르웨이, 6025
        • Aspøy skole
      • Ålesund, 노르웨이, 6025
        • Blindheim primary school
      • Ålesund, 노르웨이, 6025
        • Ellingsøy primary and secondary school
      • Ålesund, 노르웨이, 6025
        • Emblem skole
      • Ålesund, 노르웨이, 6025
        • Flisnes skole
      • Ålesund, 노르웨이, 6025
        • Hatlane skole
      • Ålesund, 노르웨이, 6025
        • Hessa skole
      • Ålesund, 노르웨이, 6025
        • Larsgården skole
      • Ålesund, 노르웨이, 6025
        • Lerstad skole
      • Ålesund, 노르웨이, 6025
        • Spjelkavik primary school
      • Ålesund, 노르웨이, 6025
        • Stokke og Vik skole
      • Ålesund, 노르웨이, 6025
        • Voldsdalen skole
      • Ålesund, 노르웨이, 6025
        • Åse Skole

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

10년 (어린이)

건강한 자원 봉사자를 받아들입니다

연구 대상 성별

모두

설명

Inclusion Criteria:

  • Pupils in grades 5 - 7 in 4 municipalities and 37 primary schools
  • Teachers in grades 5-7 in 4 municipalities and 37 primary schools
  • Interprofessional collaborators at municipal level

Exclusion Criteria:

  • NA

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 무작위
  • 중재 모델: 단일 그룹 할당
  • 마스킹: 하나의

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: LOG-model schools
Experimental schools implement the LOG-model
Besides the LOG-manual, school owners and leaders receive economic compensation and the intervention team will supervise the implementation. School-owners, school leaders and teachers will participate in dialogue-seminars at the municipal level and the school level respectively. The aim is to discuss and agree on the goal and content of the work and discuss the experiences from the implementation. The main arena for discussing and practical implementation will be in local collaborating teams or "resource teams" in each school. The resource teams at schools will consist of various interprofessional competences in addition to the school leader. The main method in the LOG-model is the interchange and feedback process between the discussion of measures and the execution of these measures.
활성 비교기: Treatment as usual schools - TAU
Control schools performing interprofessional team collaboration as usual
Ordinary practices related to interprofessional team collaboration

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Change in interprofessional team collaboration among staff
기간: improvement from baseline (2017) to +12 (2018) months and +24 (2019) months
Perceptions of Interprofessional Collaboration model questionnaire(teachers and collaborators)
improvement from baseline (2017) to +12 (2018) months and +24 (2019) months

2차 결과 측정

결과 측정
측정값 설명
기간
Change in teacher self-efficacy
기간: improvement from baseline to +12 and 24 months (measured yearly)
Norwegian teachers self-efficacy scale
improvement from baseline to +12 and 24 months (measured yearly)
Change in learning environment (teacher-level)
기간: +12 and 24 months after baseline
Questions from the OECD TALIS Survey (national teacher survey)
+12 and 24 months after baseline
Change in teaching practices
기간: +12 and 24 months after baseline
Questions from the OECD TALIS Survey
+12 and 24 months after baseline
Change in special needs education
기간: change between baseline and +12 and +24 months after (measured yearly)
amount of pupils who receive special needs education (amount at class or school level)
change between baseline and +12 and +24 months after (measured yearly)
Change in learning enviroment (pupils)
기간: +12 and +24 after baseline
Questions from the Norwegian "Elevundersøkelsen" (National pupils survey)
+12 and +24 after baseline

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2017년 4월 1일

기본 완료 (실제)

2020년 6월 30일

연구 완료 (실제)

2020년 6월 30일

연구 등록 날짜

최초 제출

2017년 8월 2일

QC 기준을 충족하는 최초 제출

2017년 8월 11일

처음 게시됨 (실제)

2017년 8월 14일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2020년 9월 7일

QC 기준을 충족하는 마지막 업데이트 제출

2020년 9월 4일

마지막으로 확인됨

2019년 8월 1일

추가 정보

이 연구와 관련된 용어

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

아니요

IPD 계획 설명

After embargo + 5 years after finishing study (2025)

약물 및 장치 정보, 연구 문서

미국 FDA 규제 의약품 연구

아니

미국 FDA 규제 기기 제품 연구

아니

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

전문가 간 팀 협업에 대한 임상 시험

LOG-model에 대한 임상 시험

구독하다