Partnering for Change in Sweden - Intervention to Increase Pupils' Engagement and Participation

NCT05435937 | Unknown

• 1 other identifier: HMV-2022-00021
• Study Type: interventional
• Target: 400
• Locations: 1 country
• Sites: 3

Brief Summary

This project implements an innovative and intersectional collaborative intervention model that addresses challenges that exist for children with special educational needs, who risk school failure, exclusion and poor health. The aim is to evaluate how the intervention model Partnering for Change (P4C) can be used to provide school-based services for creating an inclusive learning environment, and its effects on students 'conditions for learning, such as students' engagement and participation in school activities. The study has a non-randomized controlled intervention study design with pre-, post- and follow-up measurements.

Conditions

Child Health

Keywords

Disabled Children; Special educational needs; Partnering for change; Universal design for learning; Participation; Tiered intervention model; Inclusive learning environment

Outcome Measures

Primary Outcomes (1)

• Change in the Engagement Versus Disaffection With Learning: Teacher Report (EEL)

  Engagement Versus Disaffection with Learning: Teacher Report (EEL) is a measure of school engagement from the perspective of a child's teacher. The EEL consists of four subscales across 25 items, and the teacher is instructed to rate on a four-point Likert-type scale, from 1 (Happens almost never) to 4 (Happens very often) how close each item describes the pupil.

  Baseline, four months, eleven months

Secondary Outcomes (7)

• Change in the Swedish Child Health Utility 9D (CHU9D)

  Baseline, four months, eleven months

• Change in How I Feel About My School (HIFAMS)

  Baseline, four months, eleven months

• Change in occupational performance in school-based occupations

  During the four months intervention period

• Change in attainment of school-based occupational performance goals

  During the four months intervention period

• Change in School attendance

  Baseline to eleven months

Study Arms (2)

P4C-Swe intervention

EXPERIMENTAL

Pupils in participating classes will receive the Partnering for change (P4C) intervention

Behavioral: Partnering for change (P4C-Swe)

Treatment as usual

ACTIVE COMPARATOR

Treatment as usual is provided by the Student health services that consists of a school doctor, school nurse, psychologist and counselor, and staff with special educational competence

Behavioral: Treatment as usual

Interventions

Partnering for change (P4C-Swe) BEHAVIORAL

P4C focuses on the collaboration and a intersectional partnership between teachers and occupational therapists/special educators to create physical, social and learning environments that facilitate successful participation for all pupils. The intervention tiered model provides interventions in a school context in levels; class, group, and individual level to students with participation restrictions. Dynamic Performance Analysis (DPA), which focuses on pupils' occupational performance, is used in P4C model to identify and analyze were and why pupils' occupational performance is breaking down in school-based occupations in the natural context, followed by collaboration and coaching between the occupational therapist and teacher in setting up goals, planning, implementing and monitoring intervention at the different intervention levels, to support participation.

P4C-Swe intervention

Treatment as usual BEHAVIORAL

Treatment as usual is provided by the Student health services that consists of a school doctor, school nurse, psychologist and counselor, and staff with special educational competence

Treatment as usual

Eligibility Criteria

• Age: 5 Years - 13 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• that the school's pupils health service has access to an occupational therapist and/or special education teacher,
• preschool class or primary school class years 1-6,
• that school staff feel that there are pupils in class in special educational needs and/or in need of a more accessible learning environment
• that the school principal and class teacher agree to participate in the study. -

Sponsors & Collaborators

• Linkoeping University: lead
• Uppsala University: collaborator
• Örebro University, Sweden: collaborator
• Stockholm University: collaborator

Study Sites (3)

Falu kommun

Falun, 791 83, Sweden

RECRUITING

Karlskrona kommun

Karlskrona, 371 83, Sweden

RECRUITING

Kinda kommun

Kisa, 590 40, Sweden

RECRUITING

Related Publications (1)

• Baric VB, Yngve M, Holmefur M, Feldman I, Wilder J, Johansen K, Klang N, Lidstrom H, Borgestig M. Partnering for change (P4C) in Sweden- a study protocol of a collaborative school-based service delivery model to create inclusive learning environments. BMC Public Health. 2023 Nov 10;23(1):2219. doi: 10.1186/s12889-023-17053-0.

  PMID: 37950243 DERIVED

MeSH Terms

Interventions

Therapeutics

Study Officials

• Helene Lidström, PhD

  Linkoeping University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Maria Borgestig, PhD

CONTACT

+46733987457; maria.borgestig@neuro.uu.se

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior lecturer

Model Details: Non randomized control

Study Record Dates

• First Submitted: June 22, 2022
• First Posted: June 28, 2022
• Study Start: February 10, 2022
• Primary Completion: January 10, 2024
• Study Completion: June 10, 2024
• Last Updated: June 28, 2022

Record last verified: 2022-06

Data Sharing

• IPD Sharing: Will not share

Locations

SE (3)