Department of Health Promotion and Development, University of Bergen, Bergen, Norway.
Nordland Research Institute, Bodø, Norway.
BMC Public Health. 2018 Mar 9;18(1):340. doi: 10.1186/s12889-018-5241-z.
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. This paper is a study protocol of 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). The interventions aim to improve psychosocial learning environments and subsequently school achievements and decrease drop-out and absence.
METHODS/DESIGN: The COMPLETE RCT is aimed at youth in upper secondary school, grade 1 (age 15-16 years), and examines the effect of the combination of the DSP and the MHST; and the DSP only, compared with a comparison group on the following primary outcomes: student completion, presence, average grade, and self-reported mental health. Seventeen upper secondary schools from four counties in Norway were randomized to one of the three arms: 1) DSP and MHST; 2) DSP; and 3) comparison (offered DSP intervention in 2018/2019). The study will evaluate the interventions based on information from two cohorts of students (cohort 1 (C1) and cohort 2 (C2)). For C1, data was collected at baseline (August 2016), and at first follow-up seven months later. Second follow-up will be collected 19 months after baseline. For C2, data was collected at baseline (August 2017), and first and second follow-up will be collected similarly to that of C2 seven and 19 months respectively after baseline. Process evaluations based on focus groups, interviews and observation will be conducted twice (first completed spring 2017).
The COMPLETE trial is a large study that can provide useful knowledge about what interventions might effectively improve completion of upper secondary school. Its thorough process evaluation will provide critical information about barriers and points of improvement for optimizing intervention implementation. Findings can guide school development in the perspective of improving psychosocial learning environments and subsequent completion of upper secondary schooling.
The trial was retrospectively registered in the ClinicalTrials.gov register on December 22.2017: NCT03382080 .
从中学辍学代表着年轻人未来健康和幸福的风险。加强学习环境中的社会心理方面可能是促进完成中学学业的有效策略。本文是一项基于学校的集群随机对照试验（RCT）的研究方案，评估了两种基于学校的干预措施，即梦想学校计划（DSP）和心理健康支持小组（MHST）。这些干预措施旨在改善社会心理学习环境，进而提高学业成绩，减少辍学和缺勤率。
方法/设计：COMPLETE RCT 针对的是中学一年级（15-16 岁）的学生，旨在检验 DSP 和 MHST 的组合与单独的 DSP 与对照组相比，对以下主要结果的影响：学生完成率、出勤率、平均成绩和自我报告的心理健康状况。挪威四个县的 17 所中学被随机分配到三个组之一：1）DSP 和 MHST；2）DSP；3）对照组（2018/2019 年提供 DSP 干预）。该研究将根据来自两个学生队列（队列 1（C1）和队列 2（C2））的信息评估干预措施。对于 C1，数据在基线（2016 年 8 月）收集，并在七个月后的第一次随访中收集。第二次随访将在基线后 19 个月进行。对于 C2，数据在基线（2017 年 8 月）收集，第一次和第二次随访将分别在基线后七个月和 19 个月收集。基于焦点小组、访谈和观察的过程评估将在 2017 年春季进行两次。
COMPLETE 试验是一项大型研究，可以提供有关哪些干预措施可能有效提高中学毕业率的有用知识。其全面的过程评估将提供有关障碍和改进点的关键信息，以优化干预措施的实施。研究结果可以从改善社会心理学习环境和随后完成中学学业的角度指导学校发展。
该试验于 2017 年 12 月 22 日在 ClinicalTrials.gov 注册：NCT03382080。
