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Improving Interprofessional Collaboration in Norwegian Primary Schools

4. september 2020 oppdatert av: 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

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

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.

Studietype

Intervensjonell

Registrering (Faktiske)

4130

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

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

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

10 år til 14 år (Barn)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

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

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Enkeltgruppeoppdrag
  • Masking: Enkelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: LOG-model schools
Experimental schools implement the LOG-model
Annen: 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.
Aktiv komparator: Treatment as usual schools - TAU
Control schools performing interprofessional team collaboration as usual
Annen: TAU
Ordinary practices related to interprofessional team collaboration

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change in interprofessional team collaboration among staff
Tidsramme: 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

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change in teacher self-efficacy
Tidsramme: 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)
Tidsramme: +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
Tidsramme: +12 and 24 months after baseline
Questions from the OECD TALIS Survey
+12 and 24 months after baseline
Change in special needs education
Tidsramme: 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)
Tidsramme: +12 and +24 after baseline
Questions from the Norwegian "Elevundersøkelsen" (National pupils survey)
+12 and +24 after baseline

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Oslo Metropolitan University

Samarbeidspartnere

The Norwegian Directorate for Education and Training

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

1. april 2017

Primær fullføring (Faktiske)

30. juni 2020

Studiet fullført (Faktiske)

30. juni 2020

Datoer for studieregistrering

Først innsendt

2. august 2017

Først innsendt som oppfylte QC-kriteriene

11. august 2017

Først lagt ut (Faktiske)

14. august 2017

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

7. september 2020

Siste oppdatering sendt inn som oppfylte QC-kriteriene

4. september 2020

Sist bekreftet

1. august 2019

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Andre studie-ID-numre

  • 54470 (NSD)

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

IPD-planbeskrivelse

After embargo + 5 years after finishing study (2025)

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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