Change i Perceived Stress in School-age Students When Adding Physiotherapists to a School's Health Team.

Stress-related Problem Clinical Trial

Official title:

Change in Perceived Stress Level and Stress-related Symptoms in Elementary School Students During Active Stress Prevention Work With the Addition of a Physiotherapist to the School's Student Health Team.

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT05567913
• Other study ID #: VGFOUFBD976982
• Status: Active, not recruiting
• Start date: October 12, 2022
• Est. completion date: December 31, 2025

Study information

• Verified date: May 2023
• Source: Vastra Gotaland Region
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

School stress and performance requirements have been shown to contribute to mental illness among children and young people. Student health teams have an important role regarding mental health of children and young people. Swedish student health teams include various health and pedagogical professionals, but physiotherapists are uncommon, despite the good effects school-related physical activity interventions have had on reducing anxiety and improving well-being in children and young people. Haga School, Dals-Ed has now employed physiotherapists as part of the student health team to support students in learning to define, reduce and manage stress. The purpose of the research project is to investigate changes in perceived stress level and stress-related symptoms, as well as study results and absence from school during two years for students in grades 4 to 9 at Haga School. A questionnaire will be sent out on four occasions over two years. Group level statistics on study results and school absence will be compared with years previous to the introduction of the school physiotherapist. The research contributes to increased knowledge about effects of having a physiotherapist as part of a student health team in Sweden.

Description:

School stress and performance requirements have been shown to contribute to mental illness among children and young people. Student health teams have an important role regarding mental health of children and young people. Swedish student health teams include various health and pedagogical professionals, but physiotherapists are uncommon, despite the good effects school-related physical activity interventions have had on reducing anxiety and improving well-being in children and young people. Haga School, Dals-Ed has now employed physiotherapists as part of the student health team to support students in learning to define, reduce and manage stress. The purpose of the research project is to investigate changes in perceived stress level and stress-related symptoms, as well as study results and absence from school during two years for students in grades 4 to 9 at Haga School. A questionnaire will be sent out on four occasions over two years. Group level statistics on study results and school absence will be compared with years previous to the introduction of the school physiotherapist. The research contributes to increased knowledge about effects of having a physiotherapist as part of a student health team in Sweden.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 400
• Est. completion date: December 31, 2025
• Est. primary completion date: June 30, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 9 Years to 16 Years

Eligibility

Inclusion Criteria:

• Registered students in grades 4-9 at Haga School in Dals-Ed, Sweden

Exclusion Criteria:

• None

Related Conditions & MeSH terms

• Stress-related Problem

Locations

Country	Name	City	State
Sweden	Haga School	Ed

Sponsors (2)

Lead Sponsor	Collaborator
Vastra Gotaland Region	Dals-Ed Municipality

Country where clinical trial is conducted

Sweden, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in perceived stress	Measured with single question on questionnaire with 4 possible levels to choose from, ranging from "not at all" to "very much".	Change between inclusion and 8 month, 12 and 20 month follow-ups.
Primary	Reasons for stress	Single question about stressors chosen from a list of 7 stressors or no stressors	Change between inclusion and 8 month, 12 and 20 month follow-ups.
Primary	School stress factors School stress factors School stress factors	Single question about factors that contribute to perceived stress in school, chosen from a list of 16 stressors.	Change between inclusion and 8 month, 12 and 20 month follow-ups.
Secondary	Stress-related symptoms	Measured with number of stress-related symptoms chosen from a list of 7 symptoms or no symptoms.	Change between inclusion and 8 month, 12 and 20 month follow-ups
Secondary	Prevalence of specific stress-related symptoms	Number of students who report each specific symptom from a list of 7 symptoms or no symptoms.	Change between inclusion and 8 month, 12 and 20 month follow-ups
Secondary	Stress-alleviating factors	Single question regarding handling of stress symptoms, chosen from list of 9 suggestions or open-ended answer.	Change between inclusion and 8 month, 12 and 20 month follow-ups
Secondary	Headache prevalence	Single question regarding prevalence of headache during the last month with 5 possible levels, ranging from "never" to "always".	Change between inclusion and 8 month, 12 and 20 month follow-ups.
Secondary	Stomach-ache prevalence	Single question regarding prevalence of stomach-ache during the last month with 5 possible levels, ranging from "never" to "always".	Change between inclusion and 8 month, 12 and 20 month follow-ups.
Secondary	Prevalence of irritability	Single question regarding irritation or bad mood during the last month with 5 possible levels ranging from "never" to "always".	Change between inclusion and 8 month, 12 and 20 month follow-ups.
Secondary	Prevalence of depressive feelings	Single question regarding feeling sad or depressed feelings during the last month with 5 possible levels ranging from "never" to "always".	Change between inclusion and 8 month, 12 and 20 month follow-ups.
Secondary	Sleeping habits	Single question about sleep quality with 5 possible answers ranging from "very bad" to "very good".	Change between inclusion and 8 month, 12 and 20 month follow-ups.
Secondary	Well-being at school	Single question regarding well-being at school with 5 possible levels, ranging from "very bad" to "very good".	Change between inclusion and 8 month, 12 and 20 month follow-ups.
Secondary	Physical activity	Single question about amount of physical activity during the last 7 days, with 8 possible levels, ranging from "less than 1 hour" to "more than 10 hours"	Change between inclusion and 8 month, 12 and 20 month follow-ups.
Secondary	Transportation to school	Single question about commuting to school with four possible answers, walking, bicycling, bus, car/moped.	Change between inclusion and 8 month, 12 and 20 month follow-ups.
Secondary	School absence	Group level school absence retrieved from school statistics. Measured in number of days. days.	Change between school-year 2021-2022 and 2023-2024.
Secondary	Study results	Group level study results for each grade. Measured in grades E-A.	Change between school-year 2021-2022 and 2023-2024.
Secondary	Eligibility upper-level secondary school	Group level eligibility for upper-level secondary school programs for students in Grade 9. Measured in number of students eligible for upper-level secondary school.	Change between school-year 2021-2022 and 2023-2024.