Interprofessional Team Collaboration Clinical Trial
Official title:
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
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.
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