ClinicalTrials.gg
CompletedNCT03382080COMPLETEUpdated Mar 25, 2020

A School-based Intervention Project to Increase Completion of Upper Secondary School in Norway

An interventional study of Dream School Program and Mental Health Support Team in Drop Out, Absence and Academic Achievement/Average Grade, sponsored by University of Bergen. Completed. Open to participants aged 15 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-03-25.

Sponsored by University of Bergen · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 1 year 9 months after the study started (first participant enrolled Feb 2016, registered Nov 2017).

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Phase
Not applicable
Study type
Interventional
Enrollment
3,500
Allocation
Randomized
Ages
15 Years and older
Sex
All
01

Study summary

Drop out from upper secondary school represents a risk for the future health and wellbeing of young people. Strengthening of psychosocial aspects of the learning environment may be an effective strategy to promote completion of upper secondary school. The COMPLETE study is a school based cluster randomized controlled trial (RCT) evaluating two school-based interventions, namely the Dream School Program (DSP) and the Mental Health Support Team (MHST) among 1st grade upper secondary school students in four counties in Norway. The interventions aim to improve psychosocial learning environments and subsequently school achievements and decrease drop-out and absence.

Specifically, the COMPLETE study will

  1. Evaluate whether the DSP alone

    1. increases completion
    2. increases presence
    3. improves school achievements
    4. improves mental health and wellbeing
  2. Evaluate whether the DSP and the MHST combined

    1. increase completion
    2. increase presence
    3. improve school achievements
    4. improve mental health and wellbeing

    The COMPLETE study will also evaluate the effect of the DSP and MHST combined and the DSP alone against secondary outcomes of school satisfaction and loneliness.

  3. Evaluate through a process evaluation whether the interventions were implemented in line with guidelines for each of the interventions, and whether the degree of program fidelity has influenced the effect of the interventions on the primary and secondary outcomes.
02

Conditions studied

  • Drop Out
  • Absence
  • Academic Achievement/Average Grade
  • Mental Health

Keywords

  • randomized controlled trial
  • drop out
  • upper secondary school
  • psychosocial learning environments
03

In context

Psychological Well-Being

2,195 studies on the registry are indexed under Psychological Well-Being; 728 are open to participants now.

This study's enrollment of 3,500 is above the median of 110 across 1,798 interventional studies indexed under Psychological Well-Being.

Browse Psychological Well-Being studies →

Lead sponsor

University of Bergen is the lead sponsor of 143 studies on the registry; 19 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
15 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • School inclusion criteria: not been or currently involved in either of the Dream School Program or the Mental Health Support Team or similar programs or research projects
  • Student inclusion criteria: student enrolled at any of the included schools.

Exclusion criteria

Exclusion Criteria:

  • Schools previously or currently involved in either of the Dream School Program or the Mental Health Support Team or similar programs or research projects.
  • Student exclusion criteria: students with special needs or who are illiterate in Norwegian are excluded from the survey assessment, but included in the interventions.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
3,500 participants (actual)

Study arms

  • Experimental
    Dream School Program (DSP)

    The Dream School Program is a whole school program, involving staff and students, with the aim of creating learning environments where students are confident and experience a sense of belonging, and where mental health is promoted.

    Other: Dream School Program

  • Experimental
    DSP and Mental Health Support Team

    A combination of the universal Dream Schoop Program (see description above) and the selective/indicative intervention Mental Health Support Team which is aimed at specific students at risk of dropping out of upper secondary school. It is a systematization of the student services through 1. Co-location of services and staff working in services 2. "One open door" to increase accessibility to the services and staff for students 3. Focus on the transition from lower to upper secondary school 4. Close follow-up of students at risk to ensure tailored help to each student 5. Early intervention and follow up when students starts being absent from school

    Other: Dream School Program · Other: Mental Health Support Team

  • No intervention
    Control

    The control group are upper secondary schools who run classes and the school as usual, and do not introduce new programs similar to the Dream School or Mental Health Support Team during the project period.

Interventions

  • OtherDream School Program

    The Dream School program is a whole school program, involving staff and students, with the aim of creating learning environments where students are confident and experience a sense of belonging, and where mental health is promoted.

    Also known as: Drømmeskolen (Norwegian name)

  • OtherMental Health Support Team

    MHST is also a whole school project but aimed at specific students at risk of dropping out. It is a systematisation of the student services through 1. Co-location of services and staff working in services 2. "One open door" to increase accessibility to the services and staff for students 3. Focus on the transition from lower to upper secondary school 4. Close follow-up of students at risk to ensure tailored help to each student 5. Early intervention and follow up when students starts being absent from school This work demands cross- and multidisciplinary collaborations within the MHST, between MHST and school leadership, and between lower and upper secondary schools.

    Also known as: Nærværsteam (Norwegian name)

06

What researchers measure

Primary outcomes

  1. Drop-out

    If the student has not complete upper secondary school within five years or if the student quit school and is without any regular activity during the course of the study period, i.e. grade 1-3 of upper secondary school

    Time frame: Each participant is assessed after 10 months

  2. Drop-out

    If the student has not complete upper secondary school within five years or if the student quit school and is without any regular activity during the course of the study period, i.e. grade 1-3 of upper secondary school

    Time frame: Each participant is assessed after 22 months

  3. Drop-out

    If the student has not complete upper secondary school within five years or if the student quit school and is without any regular activity during the course of the study period, i.e. grade 1-3 of upper secondary school

    Time frame: Each participant is assessed after 34 months

  4. Drop-out

    If the student has not complete upper secondary school within five years or if the student quit school and is without any regular activity during the course of the study period, i.e. grade 1-3 of upper secondary school

    Time frame: Each participant is assessed after 58 months

  5. Absence

    Total days and hours absent at closure of first school year in upper secondary school

    Time frame: Each participant is assessed after 10 months

  6. Absence

    Total days and hours absent at closure of second school year in upper secondary school

    Time frame: Each participant is assessed after 22 months

  7. Absence

    Total days and hours absent at closure of third school year in upper secondary school

    Time frame: Each participant is assessed after 34 months

  8. Academic achievement

    Average grade at closure of first school year in upper secondary school

    Time frame: Each participant is assessed after 10 months

  9. Academic achievement

    Average grade at closure of second school year in upper secondary school

    Time frame: Each participant is assessed after 22 months

  10. Academic achievement

    Average grade at closure of third school year in upper secondary school

    Time frame: Each participant is assessed after 34 months

  11. Change from baseline Mental Health at 6 months

    Short form of Symptom Check List (SCL-5), on a 4 point Likert scale ranging from Not bothered to Very bothered, with higher values indicating a worse outcome.

    Time frame: Based on self-report in survey assessment at baseline and 6 months

  12. Change from baseline Mental Health at 18 months

    Short form of Symptom Check List (SCL-5), on a 4 point Likert scale ranging from Not bothered to Very bothered, with higher values indicating a worse outcome.

    Time frame: Based on self-report in survey assessment at baseline and 18 months

  13. Change from baseline Mental Health at 30 months

    Short form of Symptom Check List (SCL-5), on a 4 point Likert scale ranging from Not bothered to Very bothered, with higher values indicating a worse outcome.

    Time frame: Based on self-report in survey assessment at baseline and 30 months

  14. Change in Mental Wellbeing from baseline at 6 months

    Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), on a 5 point Likert scale from None of the time to All of the time, with higher values indicating a better outcome

    Time frame: Based on self-report in survey assessment at baseline and 6 months

  15. Change from baseline Mental Wellbeing at 18 months

    Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), on a 5 point Likert scale from None of the time to All of the time, with higher values indicating a better outcome

    Time frame: Based on self-report in survey assessment at baseline and 18 months

Secondary outcomes

  1. Change from baseline School satisfaction at 6 months

    Three items from the School Satisfaction Scale, a subscale of the Multidimensional Student's Life Satisfaction Scale. 5 point Likert scale from Completely disagree to Completely agree, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 6, 18 and 30 months

  2. Change from baseline School satisfaction at 18 months

    Three items from the School Satisfaction Scale, a subscale of the Multidimensional Student's Life Satisfaction Scale. 5 point Likert scale from Completely disagree to Completely agree, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 18 months

  3. Change from baseline School satisfaction at 30 months

    Three items from the School Satisfaction Scale, a subscale of the Multidimensional Student's Life Satisfaction Scale. 5 point Likert scale from Completely disagree to Completely agree, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 30 months

  4. Change from baseline Loneliness at 6 months

    Loneliness Scale, 5 point Likert scale from Not at all to To a very high degree with higher values indicating a worse outcome.

    Time frame: Based on self-report in survey assessment at baseline and 6 months

  5. Change from baseline Loneliness at 18 months

    Loneliness Scale, 5 point Likert scale from Not at all to To a very high degree with higher values indicating a worse outcome.

    Time frame: Based on self-report in survey assessment at baseline and 18 months

  6. Change from baseline Loneliness at 30 months

    Loneliness Scale, 5 point Likert scale from Not at all to To a very high degree with higher values indicating a worse outcome.

    Time frame: Based on self-report in survey assessment at baseline and 30 months

Other outcomes

  1. Change from baseline Social competence at 6 months

    Wichstrøm Social Competence Scale, a 4 point Likert scale ranging from Describes me very poorly to Describes me very well, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 6 months

  2. Change from baseline Social competence at 30 months

    Wichstrøm Social Competence Scale, a 4 point Likert scale ranging from Describes me very poorly to Describes me very well, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 30 months

  3. Change from baseline Social competence at 18 months

    Wichstrøm Social Competence Scale, a 4 point Likert scale ranging from Describes me very poorly to Describes me very well, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 18 months

  4. Change from baseline Relatedness at 6 months

    Teacher and Classmate Support Scale, a 5 point Likert scale ranging from Completely disagree to Completely agree, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 6 months

  5. Change from baseline Relatedness at 18 months

    Teacher and Classmate Support Scale, a 5 point Likert scale ranging from Completely disagree to Completely agree, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 18 months

  6. Change from baseline Relatedness: support at 30 months

    Teacher and Classmate Support Scale, a 5 point Likert scale ranging from Completely disagree to Completely agree, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 30 months

  7. Change from baseline Relatedness: peer connection at 6 months

    Positive Youth Development Connection Scale, on a 5 point Likert scale, ranging from Almost never or never true to Always true, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 6 months

  8. Change from baseline Peer connection at 18 months

    Positive Youth Development Connection Scale, on a 5 point Likert scale, ranging from Almost never or never true to Always true, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 18 months

  9. Change from baseline Peer connection at 30 months

    Positive Youth Development Connection Scale, on a 5 point Likert scale, ranging from Almost never or never true to Always true, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 30 months

  10. Change from baseline Autonomy support at 6 months

    Ten items from the Learning Climate Scale, a 5 point Likert scale ranging from Strongly disagree to Strongly agree, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 6 months

  11. Change from baseline Autonomy support at 18 months

    Ten items from the Learning Climate Scale, a 5 point Likert scale ranging from Strongly disagree to Strongly agree, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 18 months

  12. Change from baseline Autonomy support at 30 months

    Ten items from the Learning Climate Scale, a 5 point Likert scale ranging from Strongly disagree to Strongly agree, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 30 months

  13. Change from baseline Academic competence at 6 months

    Academic Self-Efficacy Scale, a 5 point Likert scale ranging from Completely disagree to Completely agree, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 6 months

  14. Change from baseline Academic competence at 18 months

    Academic Self-Efficacy Scale, a 5 point Likert scale ranging from Completely disagree to Completely agree, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 18 months

  15. Change from baseline Academic competence at 30 months

    Academic Self-Efficacy Scale, a 5 point Likert scale ranging from Completely disagree to Completely agree, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline and 30 months

  16. Class climate

    Caring Climate Scale, on a 5 point Likert scale, ranging from Strongly disagree to Strongly agree, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at baseline

  17. Change from 6 month Class climate at 18 months

    Caring Climate Scale, on a 5 point Likert scale, ranging from Strongly disagree to Strongly agree, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at 6 and 18 months

  18. Change from 6 month Class climate at 30 months

    Caring Climate Scale, on a 5 point Likert scale, ranging from Strongly disagree to Strongly agree, with higher values indicating a better outcome.

    Time frame: Based on self-report in survey assessment at 6 and 30 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Larsen T, Urke HB, Holsen I, Anvik CH, Olsen T, Waldahl RH, Antonsen KM, Johnson R, Tobro M, Brastad B, Hansen TB. COMPLETE - a school-based intervention project to increase completion of upper secondary school in Norway: study protocol for a cluster randomized controlled trial. BMC Public Health. 2018 Mar 9;18(1):340. doi: 10.1186/s12889-018-5241-z. PubMed 29523124 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2016 to primary completion in Oct 2019, 44 months.

Of 1,261 non-industry interventional studies with no phase under Psychological Well-Being, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 34. This study's 44 months is above that.

Counting every sponsor, half of 1,304 studies reached it within 16 months; a quarter within 7 and three quarters within 34.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 30, 2017
First posted
Dec 22, 2017
StartActual
Feb 1, 2016
Primary completionActual
Oct 31, 2019
CompletionActual
Feb 12, 2020
Last update
Mar 25, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 25, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03382080
Collaborators
Oxford Research, Nordland Research Institute, Voksne for Barn, Bodin Upper Secondary School, Troms county, Nordland county, Sogn og Fjordane county, Hordaland County
Responsible party
Torill Bogsnes Larsen (Professor, University of Bergen) — Principal investigator
First posted
Dec 22, 2017
Start date
Feb 1, 2016
Primary completion
Oct 31, 2019
Completion
Feb 12, 2020
Last update
Mar 25, 2020

Study contacts

Torill B Larsen, PhD
principal investigator · University of Bergen

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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