RefugeesWellSchool (Sweden): teaching recovery techniques and in-service teacher training program

Not Applicable

Completed

• Conditions: Symptoms of post-traumatic stress; Mental and Behavioural Disorders; Post-traumatic stress disorder

• Registration Number: ISRCTN48178969
• Lead Sponsor: ppsala University

Brief Summary

2021 Protocol article in https://pubmed.ncbi.nlm.nih.gov/33509268/ (added 11/01/2022) 2024 Results article in https://pubmed.ncbi.nlm.nih.gov/39026230/ (added 19/07/2024)

Detailed Description

Not available

Study Timeline

• Study Start: 2019-12-20
• Study Completion: 2020-12-31
• Last Update Posted: 29 July 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 306

Inclusion Criteria

Inclusion criteria for schools:
1. Must be multi-ethnic secondary schools that have grades 7–8 and/or introduction classes for newcomer adolescents, including at upper secondary schools
2. Must have an interest in participating in the school-based interventions.

Inclusion criteria for adolescents who receive TRT:
1. Legal guardian consents to participation if the adolescent is <15 years
2. Adolescent self-consents to participate if they are ?15 years
3. Time spent in Sweden less than or equal to 6 years
4. Screen positive on the Children’s Revised Impact of Event Scale-8 (CRIES- 8) PTSD screening tool (=17 points)
5. Therapist does not advises against intervention

Inclusion criteria for parents/guardians:
1. Parent/guardian consents to participation
2. Parent/guardian has a child who receives TRT

Inclusion criteria for teachers:
1. Teacher consents to participation

Inclusion criteria for adolescents not receiving TRT:
1. Legal guardian consents to participation if the adolescent is <15 years
2. Adolescent self-consents to participate if they are ?15 years

Exclusion Criteria

Exclusion criteria for schools:
1. School is not multiethnic (i.e., fewer than 30% of students have a non-Swedish background)
2. School is not interested in participating

Exclusion criteria for adolescents who receive TRT:
1. Legal guardian does not consent to participation if the adolescent is <15 years or adolescent does not self-consents to participate if they are ?15 years
2. Time spent in Sweden is greater than 6 years
3. Screen negative on the Children’s Revised Impact of Event Scale-8 (CRIES- 8) PTSD screening tool (less than 17 points)
4. Therapist advises against intervention

Exclusion criteria for parents/guardians:
1. Parent/guardian does not consent to participation
2. Parent/guardian does not have a child who receives TRT

Exclusion criteria for teachers:
1. Teacher does not consent to participation

Exclusion criteria for adolescents not receiving TRT:
1. Legal guardian does not consent to participation if the adolescent is <15 years or adolescent does not self-consent to participate if they are ?15 years

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The following outcomes are measured at baseline, post-intervention, and at three months follow-up:<br><br>Adolescents who receive TRT:<br>Measures of mental health problems including:<br>PTSD symptoms, measured using the Children’s Revised Impact of Event Scale (CRIES-8)<br><br>Parents who attend TRT as guardians:<br>Measures of mental health problems including:<br>Mental health, measured by the General Health Questionnaire (GHQ12)<br><br>Teachers who receive INSETT:<br>1. Measure of supportive parent-teacher interrelationships, including:<br>Teacher-parent collaboration, measured by the Trust Scale (TS)<br>2. Measure of cultural competence, including:<br>Multicultural awareness and understanding, measured by the Teacher Multicultural Attitude Scale (TMAS)<br><br>Adolescents who do not receive TRT:<br>Measures of social support and school belonging including:<br>Feelings of belonging at school, measured by the Psychological Sense of School Membership Scale