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A School-based Intervention Project to Increase Completion of Upper Secondary School in Norway (COMPLETE)

24. mars 2020 oppdatert av: Torill Bogsnes Larsen, University of Bergen

COMPLETE - a School-based Intervention Project to Improve Psychosocial Learning Environments and Increase Completion of Upper Secondary School in Norway: a Cluster Randomized Controlled Trial

Drop out from upper secondary school represents a risk for the future health and wellbeing of young people. Strengthening of psychosocial aspects of the learning environment may be an effective strategy to promote completion of upper secondary school. The COMPLETE study is a school based cluster randomized controlled trial (RCT) evaluating two school-based interventions, namely the Dream School Program (DSP) and the Mental Health Support Team (MHST) among 1st grade upper secondary school students in four counties in Norway. The interventions aim to improve psychosocial learning environments and subsequently school achievements and decrease drop-out and absence.

Specifically, the COMPLETE study will

  1. Evaluate whether the DSP alone

    1. increases completion
    2. increases presence
    3. improves school achievements
    4. improves mental health and wellbeing

  2. Evaluate whether the DSP and the MHST combined

    1. increase completion
    2. increase presence
    3. improve school achievements
    4. improve mental health and wellbeing

    The COMPLETE study will also evaluate the effect of the DSP and MHST combined and the DSP alone against secondary outcomes of school satisfaction and loneliness.

  3. Evaluate through a process evaluation whether the interventions were implemented in line with guidelines for each of the interventions, and whether the degree of program fidelity has influenced the effect of the interventions on the primary and secondary outcomes.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Faktiske)

3500

Fase

  • Ikke aktuelt

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

15 år og eldre (Barn, Voksen, Eldre voksen)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • School inclusion criteria: not been or currently involved in either of the Dream School Program or the Mental Health Support Team or similar programs or research projects
  • Student inclusion criteria: student enrolled at any of the included schools.

Exclusion Criteria:

  • Schools previously or currently involved in either of the Dream School Program or the Mental Health Support Team or similar programs or research projects.
  • Student exclusion criteria: students with special needs or who are illiterate in Norwegian are excluded from the survey assessment, but included in the interventions.

Studieplan

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

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Forebygging
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Dream School Program (DSP)
The Dream School Program is a whole school program, involving staff and students, with the aim of creating learning environments where students are confident and experience a sense of belonging, and where mental health is promoted.
Annen: Dream School Program
The Dream School program is a whole school program, involving staff and students, with the aim of creating learning environments where students are confident and experience a sense of belonging, and where mental health is promoted.
Andre navn:
  • Drømmeskolen (Norwegian name)
Eksperimentell: DSP and Mental Health Support Team

A combination of the universal Dream Schoop Program (see description above) and the selective/indicative intervention Mental Health Support Team which is aimed at specific students at risk of dropping out of upper secondary school. It is a systematization of the student services through

  1. Co-location of services and staff working in services
  2. "One open door" to increase accessibility to the services and staff for students
  3. Focus on the transition from lower to upper secondary school
  4. Close follow-up of students at risk to ensure tailored help to each student
  5. Early intervention and follow up when students starts being absent from school
Annen: Dream School Program
The Dream School program is a whole school program, involving staff and students, with the aim of creating learning environments where students are confident and experience a sense of belonging, and where mental health is promoted.
Andre navn:
  • Drømmeskolen (Norwegian name)
Annen: Mental Health Support Team

MHST is also a whole school project but aimed at specific students at risk of dropping out. It is a systematisation of the student services through

  1. Co-location of services and staff working in services
  2. "One open door" to increase accessibility to the services and staff for students
  3. Focus on the transition from lower to upper secondary school
  4. Close follow-up of students at risk to ensure tailored help to each student
  5. Early intervention and follow up when students starts being absent from school This work demands cross- and multidisciplinary collaborations within the MHST, between MHST and school leadership, and between lower and upper secondary schools.
Andre navn:
  • Nærværsteam (Norwegian name)
Ingen inngripen: Control
The control group are upper secondary schools who run classes and the school as usual, and do not introduce new programs similar to the Dream School or Mental Health Support Team during the project period.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Drop-out
Tidsramme: Each participant is assessed after 10 months
If the student has not complete upper secondary school within five years or if the student quit school and is without any regular activity during the course of the study period, i.e. grade 1-3 of upper secondary school
Each participant is assessed after 10 months
Drop-out
Tidsramme: Each participant is assessed after 22 months
If the student has not complete upper secondary school within five years or if the student quit school and is without any regular activity during the course of the study period, i.e. grade 1-3 of upper secondary school
Each participant is assessed after 22 months
Drop-out
Tidsramme: Each participant is assessed after 34 months
If the student has not complete upper secondary school within five years or if the student quit school and is without any regular activity during the course of the study period, i.e. grade 1-3 of upper secondary school
Each participant is assessed after 34 months
Drop-out
Tidsramme: Each participant is assessed after 58 months
If the student has not complete upper secondary school within five years or if the student quit school and is without any regular activity during the course of the study period, i.e. grade 1-3 of upper secondary school
Each participant is assessed after 58 months
Absence
Tidsramme: Each participant is assessed after 10 months
Total days and hours absent at closure of first school year in upper secondary school
Each participant is assessed after 10 months
Absence
Tidsramme: Each participant is assessed after 22 months
Total days and hours absent at closure of second school year in upper secondary school
Each participant is assessed after 22 months
Absence
Tidsramme: Each participant is assessed after 34 months
Total days and hours absent at closure of third school year in upper secondary school
Each participant is assessed after 34 months
Academic achievement
Tidsramme: Each participant is assessed after 10 months
Average grade at closure of first school year in upper secondary school
Each participant is assessed after 10 months
Academic achievement
Tidsramme: Each participant is assessed after 22 months
Average grade at closure of second school year in upper secondary school
Each participant is assessed after 22 months
Academic achievement
Tidsramme: Each participant is assessed after 34 months
Average grade at closure of third school year in upper secondary school
Each participant is assessed after 34 months
Change from baseline Mental Health at 6 months
Tidsramme: Based on self-report in survey assessment at baseline and 6 months
Short form of Symptom Check List (SCL-5), on a 4 point Likert scale ranging from Not bothered to Very bothered, with higher values indicating a worse outcome.
Based on self-report in survey assessment at baseline and 6 months
Change from baseline Mental Health at 18 months
Tidsramme: Based on self-report in survey assessment at baseline and 18 months
Short form of Symptom Check List (SCL-5), on a 4 point Likert scale ranging from Not bothered to Very bothered, with higher values indicating a worse outcome.
Based on self-report in survey assessment at baseline and 18 months
Change from baseline Mental Health at 30 months
Tidsramme: Based on self-report in survey assessment at baseline and 30 months
Short form of Symptom Check List (SCL-5), on a 4 point Likert scale ranging from Not bothered to Very bothered, with higher values indicating a worse outcome.
Based on self-report in survey assessment at baseline and 30 months
Change in Mental Wellbeing from baseline at 6 months
Tidsramme: Based on self-report in survey assessment at baseline and 6 months
Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), on a 5 point Likert scale from None of the time to All of the time, with higher values indicating a better outcome
Based on self-report in survey assessment at baseline and 6 months
Change from baseline Mental Wellbeing at 18 months
Tidsramme: Based on self-report in survey assessment at baseline and 18 months
Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), on a 5 point Likert scale from None of the time to All of the time, with higher values indicating a better outcome
Based on self-report in survey assessment at baseline and 18 months

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change from baseline School satisfaction at 6 months
Tidsramme: Based on self-report in survey assessment at baseline and 6, 18 and 30 months
Three items from the School Satisfaction Scale, a subscale of the Multidimensional Student's Life Satisfaction Scale. 5 point Likert scale from Completely disagree to Completely agree, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 6, 18 and 30 months
Change from baseline School satisfaction at 18 months
Tidsramme: Based on self-report in survey assessment at baseline and 18 months
Three items from the School Satisfaction Scale, a subscale of the Multidimensional Student's Life Satisfaction Scale. 5 point Likert scale from Completely disagree to Completely agree, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 18 months
Change from baseline School satisfaction at 30 months
Tidsramme: Based on self-report in survey assessment at baseline and 30 months
Three items from the School Satisfaction Scale, a subscale of the Multidimensional Student's Life Satisfaction Scale. 5 point Likert scale from Completely disagree to Completely agree, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 30 months
Change from baseline Loneliness at 6 months
Tidsramme: Based on self-report in survey assessment at baseline and 6 months
Loneliness Scale, 5 point Likert scale from Not at all to To a very high degree with higher values indicating a worse outcome.
Based on self-report in survey assessment at baseline and 6 months
Change from baseline Loneliness at 18 months
Tidsramme: Based on self-report in survey assessment at baseline and 18 months
Loneliness Scale, 5 point Likert scale from Not at all to To a very high degree with higher values indicating a worse outcome.
Based on self-report in survey assessment at baseline and 18 months
Change from baseline Loneliness at 30 months
Tidsramme: Based on self-report in survey assessment at baseline and 30 months
Loneliness Scale, 5 point Likert scale from Not at all to To a very high degree with higher values indicating a worse outcome.
Based on self-report in survey assessment at baseline and 30 months

Andre resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change from baseline Social competence at 6 months
Tidsramme: Based on self-report in survey assessment at baseline and 6 months
Wichstrøm Social Competence Scale, a 4 point Likert scale ranging from Describes me very poorly to Describes me very well, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 6 months
Change from baseline Social competence at 30 months
Tidsramme: Based on self-report in survey assessment at baseline and 30 months
Wichstrøm Social Competence Scale, a 4 point Likert scale ranging from Describes me very poorly to Describes me very well, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 30 months
Change from baseline Social competence at 18 months
Tidsramme: Based on self-report in survey assessment at baseline and 18 months
Wichstrøm Social Competence Scale, a 4 point Likert scale ranging from Describes me very poorly to Describes me very well, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 18 months
Change from baseline Relatedness at 6 months
Tidsramme: Based on self-report in survey assessment at baseline and 6 months
Teacher and Classmate Support Scale, a 5 point Likert scale ranging from Completely disagree to Completely agree, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 6 months
Change from baseline Relatedness at 18 months
Tidsramme: Based on self-report in survey assessment at baseline and 18 months
Teacher and Classmate Support Scale, a 5 point Likert scale ranging from Completely disagree to Completely agree, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 18 months
Change from baseline Relatedness: support at 30 months
Tidsramme: Based on self-report in survey assessment at baseline and 30 months
Teacher and Classmate Support Scale, a 5 point Likert scale ranging from Completely disagree to Completely agree, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 30 months
Change from baseline Relatedness: peer connection at 6 months
Tidsramme: Based on self-report in survey assessment at baseline and 6 months
Positive Youth Development Connection Scale, on a 5 point Likert scale, ranging from Almost never or never true to Always true, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 6 months
Change from baseline Peer connection at 18 months
Tidsramme: Based on self-report in survey assessment at baseline and 18 months
Positive Youth Development Connection Scale, on a 5 point Likert scale, ranging from Almost never or never true to Always true, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 18 months
Change from baseline Peer connection at 30 months
Tidsramme: Based on self-report in survey assessment at baseline and 30 months
Positive Youth Development Connection Scale, on a 5 point Likert scale, ranging from Almost never or never true to Always true, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 30 months
Change from baseline Autonomy support at 6 months
Tidsramme: Based on self-report in survey assessment at baseline and 6 months
Ten items from the Learning Climate Scale, a 5 point Likert scale ranging from Strongly disagree to Strongly agree, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 6 months
Change from baseline Autonomy support at 18 months
Tidsramme: Based on self-report in survey assessment at baseline and 18 months
Ten items from the Learning Climate Scale, a 5 point Likert scale ranging from Strongly disagree to Strongly agree, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 18 months
Change from baseline Autonomy support at 30 months
Tidsramme: Based on self-report in survey assessment at baseline and 30 months
Ten items from the Learning Climate Scale, a 5 point Likert scale ranging from Strongly disagree to Strongly agree, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 30 months
Change from baseline Academic competence at 6 months
Tidsramme: Based on self-report in survey assessment at baseline and 6 months
Academic Self-Efficacy Scale, a 5 point Likert scale ranging from Completely disagree to Completely agree, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 6 months
Change from baseline Academic competence at 18 months
Tidsramme: Based on self-report in survey assessment at baseline and 18 months
Academic Self-Efficacy Scale, a 5 point Likert scale ranging from Completely disagree to Completely agree, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 18 months
Change from baseline Academic competence at 30 months
Tidsramme: Based on self-report in survey assessment at baseline and 30 months
Academic Self-Efficacy Scale, a 5 point Likert scale ranging from Completely disagree to Completely agree, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline and 30 months
Class climate
Tidsramme: Based on self-report in survey assessment at baseline
Caring Climate Scale, on a 5 point Likert scale, ranging from Strongly disagree to Strongly agree, with higher values indicating a better outcome.
Based on self-report in survey assessment at baseline
Change from 6 month Class climate at 18 months
Tidsramme: Based on self-report in survey assessment at 6 and 18 months
Caring Climate Scale, on a 5 point Likert scale, ranging from Strongly disagree to Strongly agree, with higher values indicating a better outcome.
Based on self-report in survey assessment at 6 and 18 months
Change from 6 month Class climate at 30 months
Tidsramme: Based on self-report in survey assessment at 6 and 30 months
Caring Climate Scale, on a 5 point Likert scale, ranging from Strongly disagree to Strongly agree, with higher values indicating a better outcome.
Based on self-report in survey assessment at 6 and 30 months

Samarbeidspartnere og etterforskere

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

Sponsor

University of Bergen

Samarbeidspartnere

Oxford Research
Nordland Research Institute
Voksne for Barn
Bodin Upper Secondary School
Troms county
Nordland county
Sogn og Fjordane county
Hordaland county

Etterforskere

  • Hovedetterforsker: Torill B Larsen, PhD, University of Bergen

Publikasjoner og nyttige lenker

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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. februar 2016

Primær fullføring (Faktiske)

31. oktober 2019

Studiet fullført (Faktiske)

12. februar 2020

Datoer for studieregistrering

Først innsendt

30. november 2017

Først innsendt som oppfylte QC-kriteriene

18. desember 2017

Først lagt ut (Faktiske)

22. desember 2017

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

25. mars 2020

Siste oppdatering sendt inn som oppfylte QC-kriteriene

24. mars 2020

Sist bekreftet

1. mars 2020

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • 20161789

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