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Improving Interprofessional Collaboration in Norwegian Primary Schools

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ClinicalTrials.gov Identifier: NCT03248245
Recruitment Status : Recruiting
First Posted : August 14, 2017
Last Update Posted : August 28, 2019
Sponsor:
Collaborator:
The Norwegian Directorate for Education and Training
Information provided by (Responsible Party):
Ira Malmberg-Heimonen, Oslo Metropolitan University

Brief Summary:

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


Condition or disease Intervention/treatment Phase
Interprofessional Team Collaboration Other: LOG-model Other: TAU Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 1776 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Intervention Model Description: Cluster-randomized study. After baseline, schools will be randomized to experimental and control groups schools. The LOG-model is implemented in experimental schools, while control group schools continues with their ordinary practices ("treatment as usual"). Effects on teachers are analyzed on the follow up areas: interprofessional team collaboration, teachers working hours, teacher's self-efficacy. Effects on pupils are analyzed on the follow up areas: learning environment- and outcome, early intervention. Effects on school level are analyzed on the follow up areas: special needs education, pupils learning outcome.
Masking: Single (Participant)
Masking Description: While the school owners, school leaders, teachers and collaborators are aware of whether their respective school have been randomized to experimental or control group, the pupils are masked for this information. They are aware that the schools participate in an intervention related to interprofessional team collaboration, but they do not know whether their school have been randomized to experimental or control group.
Primary Purpose: Treatment
Official Title: Improving Interprofessional Collaboration in Norwegian Primary Schools - A Cluster-randomised Study Evaluating the Effects of the LOG-model.
Actual Study Start Date : April 1, 2017
Estimated Primary Completion Date : June 30, 2020
Estimated Study Completion Date : June 30, 2025

Arm Intervention/treatment
Experimental: LOG-model schools
Experimental schools implement the LOG-model
Other: LOG-model
Besides the LOG-manual, school owners and leaders receive economic compensation and the intervention team will supervise the implementation. School-owners, school leaders and teachers will participate in dialogue-seminars at the municipal level and the school level respectively. The aim is to discuss and agree on the goal and content of the work and discuss the experiences from the implementation. The main arena for discussing and practical implementation will be in local collaborating teams or "resource teams" in each school. The resource teams at schools will consist of various interprofessional competences in addition to the school leader. The main method in the LOG-model is the interchange and feedback process between the discussion of measures and the execution of these measures.

Active Comparator: Treatment as usual schools - TAU
Control schools performing interprofessional team collaboration as usual
Other: TAU
Ordinary practices related to interprofessional team collaboration




Primary Outcome Measures :
  1. Change in interprofessional team collaboration among staff [ Time Frame: improvement from baseline (2017) to +12 (2018) months and +24 (2019) months ]
    Perceptions of Interprofessional Collaboration model questionnaire(teachers and collaborators)


Secondary Outcome Measures :
  1. Change in teacher self-efficacy [ Time Frame: improvement from baseline to +12 and 24 months (measured yearly) ]
    Norwegian teachers self-efficacy scale

  2. Change in learning environment (teacher-level) [ Time Frame: +12 and 24 months after baseline ]
    Questions from the OECD TALIS Survey (national teacher survey)

  3. Change in teaching practices [ Time Frame: +12 and 24 months after baseline ]
    Questions from the OECD TALIS Survey

  4. Change in special needs education [ Time Frame: change between baseline and +12 and +24 months after (measured yearly) ]
    amount of pupils who receive special needs education (amount at class or school level)

  5. Change in learning enviroment (pupils) [ Time Frame: +12 and +24 after baseline ]
    Questions from the Norwegian "Elevundersøkelsen" (National pupils survey)



Information from the National Library of Medicine

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Ages Eligible for Study:   10 Years to 14 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Pupils in grades 5 - 7 in 4 municipalities and 37 primary schools
  • Teachers in grades 5-7 in 4 municipalities and 37 primary schools
  • Interprofessional collaborators at municipal level

Exclusion Criteria:

  • NA

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03248245


Contacts
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Contact: Ira Malmberg-Heimonen, Pol.dr +47 93 63 32 83 iram@oslomet.no
Contact: Anne Grete Tøge, Phd. +47 48 18 80 51 anneto@oslomet.no

Locations
Show Show 37 study locations
Sponsors and Collaborators
Oslo Metropolitan University
The Norwegian Directorate for Education and Training
Additional Information:
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Responsible Party: Ira Malmberg-Heimonen, Professor, Soc Sci dr., Oslo Metropolitan University
ClinicalTrials.gov Identifier: NCT03248245    
Other Study ID Numbers: 54470 (NSD)
First Posted: August 14, 2017    Key Record Dates
Last Update Posted: August 28, 2019
Last Verified: August 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Plan Description: After embargo + 5 years after finishing study (2025)

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Ira Malmberg-Heimonen, Oslo Metropolitan University:
interprofessional team collaboration
primary school
learning environment
teacher's self-efficacy
teachers working ours
pupils learning outcome
cluster-randomized