Back2School - CBT Intervention for School Absenteeism (B2S)

University of Aarhus

Status: Completed

Conditions: Depressive Symptoms; Anxiety Symptoms; School Absenteeism; Behavioral Problem

Treatments: Behavioral: Back2School; Other: Treatment As Usual

Study type: Interventional

Funder types: Other

Identifiers

NCT03459677

Sponsor

Details and patient eligibility

About

The main objective of this study is to examine the efficacy of a new psychological intervention, called Back2School, in helping youths with problematic school absenteeism to return to school. Furthermore, the study will examine how well this program fares against the treatment or interventions that are usually given to youths with school absenteeism (treatment as usual or TAU).

Based on previous studies we hypothesize that the Back2School intervention will be better at improving levels of school attendance as compared with treatment as usual (TAU).

Full description

Primary objective The main objective of this study is to examine the efficacy on school attendance and wellbeing of a modular trans-diagnostic CBT intervention for youths with problematic school absenteeism in a randomized controlled trial. Based on previous studies we hypothesize that the B2S intervention will show a significant difference in impact for school attendance, in favor of Back2School intervention as compared with TAU

Trial design The study is a randomized controlled superiority trial (RCT) that compares a modular trans-diagnostic CBT intervention (Back2School), treating school absenteeism in youths aged 7-17 years with treatment as usual (TAU). The design will follow a two (Back2School and TAU) by four (Time: pre, post, 3-month, and 1-year assessment) mixed between-within design.

The study is a collaboration project between Aarhus University and Aarhus Municipality, Denmark. The setting for both the B2S and TAU interventions are within Aarhus municipality. The Back2School intervention is organized and conducted by the University Clinic, at Aarhus University. Treatment as usual interventions are organized and conducted by Aarhus Municipality.

There are considerable negative long-term consequences related to youths with school absenteeism. If the B2S intervention proves to be effective in reducing school absenteeism, it could be implemented in other municipalities in Denmark, and help to systematically treat and help youths with school absenteeism. This could possibly reduce both personal and societal costs significantly

Enrollment: 155 patients

Sex: All

Ages: 7 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Youths are enrolled in a public school within the municipality of Aarhus.
• Aged 7-18 years and in 0-9th grade (excluding second semester of the 9th grade).
• Report more than 10% absenteeism during the last 3 months of school (excluding legal absence, e.g. permitted extra holidays).
• The youth and at least one of the two parents understand and speak Danish sufficiently to participate in treatment and complete questionnaires.
• At least one of the parents is motivated for working on increasing the youths' school attendance.
• The participating families are willing to participate in assessment, intervention procedures, and acceptance of random assignment to intervention.
• Written informed consent from the holders of the parental rights and responsibilities (usually both parents).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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155 participants in 2 patient groups

Back2School Condition

Experimental group

Description:

The Back2School condition is a Modular Trans-Diagnostic Cognitive Behavioral Therapy (MTCBT) treating school absenteeism in youths. The MTCBT intervention consist of 10 sessions and 4 school meetings, conducted over a period of 4 months.

Treatment:

Behavioral: Back2School

Treatment As Usual Condition

Active Comparator group

Description:

The Treatment As Usual condition (TAU) consist of an array of interventions that the municipality is required to give youths presenting school absenteeism. The TAU condition will last for 4 months.

Treatment:

Other: Treatment As Usual