Back2School - CBT Intervention for School Absenteeism

NCT ID: NCT03459677

Last Updated: 2023-03-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

155 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-08-25

Study Completion Date

2020-12-01

Brief Summary

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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).

Detailed Description

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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

Conditions

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Anxiety Symptoms Depressive Symptoms Behavioral Problem School Absenteeism

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

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.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Back2School Condition

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.

Group Type EXPERIMENTAL

Back2School

Intervention Type BEHAVIORAL

Modular Trans-diagnostic Cognitive Behavioral Therapy treating school absenteeism in youths

Treatment As Usual Condition

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.

Group Type ACTIVE_COMPARATOR

Treatment As Usual

Intervention Type OTHER

Aarhus municipality's treatment as usual for youths presenting school absenteeism

Interventions

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Back2School

Modular Trans-diagnostic Cognitive Behavioral Therapy treating school absenteeism in youths

Intervention Type BEHAVIORAL

Treatment As Usual

Aarhus municipality's treatment as usual for youths presenting school absenteeism

Intervention Type OTHER

Other Intervention Names

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B2S TAU

Eligibility Criteria

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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).
Minimum Eligible Age

7 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Aarhus County, Denmark

OTHER

Sponsor Role collaborator

Innovation Fund Denmark

INDIV

Sponsor Role collaborator

The Danish Mental Health Foundation

OTHER

Sponsor Role collaborator

TRYG Foundation

OTHER

Sponsor Role collaborator

University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mikael Thastum, Professor

Role: PRINCIPAL_INVESTIGATOR

Aarhus University, Department of Psychology and Behavioural Sciences

Johanne L Jeppesen, PhD

Role: STUDY_DIRECTOR

Aarhus University, Department of Psychology and Behavioural Sciences

Daniel B Johnsen, PhD Fellow

Role: STUDY_DIRECTOR

Aarhus University, Department of Psychology and Behavioural Sciences

Locations

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Aarhus University, Department of Psychology and Behavioural Sciences

Aarhus, , Denmark

Site Status

Countries

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Denmark

References

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Johnsen DB, Lomholt JJ, Heyne D, Jensen MB, Jeppesen P, Silverman WK, Thastum M. The Effectiveness of Modular Transdiagnostic Cognitive Behavioral Therapy Versus Treatment as Usual for Youths Displaying School Attendance Problems: A Randomized Controlled Trial. Res Child Adolesc Psychopathol. 2024 Sep;52(9):1397-1412. doi: 10.1007/s10802-024-01196-8. Epub 2024 May 13.

Reference Type DERIVED
PMID: 38739306 (View on PubMed)

Johnsen DB, Lomholt JJ, Heyne D, Jeppesen P, Jensen MB, Silverman WK, Thastum M. Sociodemographic and clinical characteristics of youths and parents seeking psychological treatment for school attendance problems. PLoS One. 2022 Jan 26;17(1):e0261449. doi: 10.1371/journal.pone.0261449. eCollection 2022.

Reference Type DERIVED
PMID: 35081106 (View on PubMed)

Thastum M, Johnsen DB, Silverman WK, Jeppesen P, Heyne DA, Lomholt JJ. The Back2School modular cognitive behavioral intervention for youths with problematic school absenteeism: study protocol for a randomized controlled trial. Trials. 2019 Jan 8;20(1):29. doi: 10.1186/s13063-018-3124-3.

Reference Type DERIVED
PMID: 30621787 (View on PubMed)

Other Identifiers

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Sponsor

Identifier Type: -

Identifier Source: org_study_id

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