Protocol for the Open Sky School

NCT ID: NCT05662436

Last Updated: 2022-12-22

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

2500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-20

Study Completion Date

2023-09-23

Brief Summary

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The goal of this a randomized controlled trial to test the effectiveness of a nature-based intervention called Open Sky School to reduce mental health problems among elementary school children. More specifically a two-arm clustered randomized controlled trial will be conducted in elementary schools across Québec, Canada. Following informed consent by teachers, parents and students, schools will be randomly assigned 1:1 to the intervention or the control group with a total of 2500 6th grade students and 100 teachers expected to participate. The primary and secondary research questions are as follows.

The primary research question :

* Is the intervention effective in reducing mental health problems in children from pre-to-post test (Social Behavior Questionnaire: self and teacher reports) ?

The secondary research questions:

* Is the intervention effective in improving children's depression, positive and negative affect, nature connectedness. eco-anxiety and pro-environmental behaviors ?
* Is the intervention effective in improving teachers' well-being and affect ?
* Are the benefits to children sustained benefits at 3 months follow-up ?
* Is the primary question moderated by child's sex, child's disability status, the green space of neighbourhoods, the school's socio-economic position and teacher's experience wtih outdoor education ?

The intervention will take place outdoors in a green-space (2 hours per week for 12 weeks) and include a toolkit of 30 activities to foster well-being (e.g. mindfulness) and academic competencies (e.g. mathematics). The control group will engage in teaching-as-usual and will be provided with the activity toolkit after the trial has been conducted. Questionnaires will be administered to students before, immediately after and 3 months after the intervention in both the control and intervention groups. Teachers in both groups will complete questionnaires before and immediately after the intervention.

Detailed Description

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Conditions

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Child Behavior

Keywords

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school-based intervention mental health children randomized controlled trial nature outdoor education elementary-school children greenspace

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Intervention group

The exposure to nature consists of teachers bringing their students to the highest quality green space within 1 km of a school which could be located on or off campus. The class will spend a total of 2 hours (i.e. 2 one hour visits or one 2 hours visits) per week for 12 weeks (transportation included). The teacher be provided with a toolkit of activities (mental health and academic competencies) that they will carry out with their students. Teachers will be provided with training and support.

Group Type EXPERIMENTAL

Open Sky School program

Intervention Type OTHER

Teachers lead students in 2 hours of outdoor activities per week for 12 weeks, as detailed in the arm description

Control

Six months after the inception of the trial, elementary schools (and their teachers) in the control condition will receive an unguided version of the intervention, supplemented by an online peer support group. As the children of the control group will by then be in high school with different teachers, we will provide them with a toolkit of 10 mental health activities that they can practice alone, in addition of support via video-conference, phone or email if they require help practicing the activities from a member of the research team. As in the intervention group, we will provide support by licensed psychologists to any children who report high levels of psychological distress and orient children to appropriate services if needed.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Open Sky School program

Teachers lead students in 2 hours of outdoor activities per week for 12 weeks, as detailed in the arm description

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Additional inclusion criteria for schools are: (a) access to a natural environment (e.g., park, wooden area) on school grounds or within 1 km of the school and (b) having 6th grade teachers provide informed and written consent to participate in this study. Inclusion criteria for children are (a) enrollment in 6th grade, (b) providing their assent and (c) having their parents or legal guardians provide informed written consent.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Observatory for Children's Education and Health

UNKNOWN

Sponsor Role collaborator

McGill University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marie-Claude Geoffroy, PhD

Role: PRINCIPAL_INVESTIGATOR

McGill

Locations

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Douglas Mental Health University Institute

Montreal, Quebec, Canada

Site Status

Countries

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Canada

Central Contacts

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Marie-Claude Geoffroy, PhD

Role: CONTACT

Phone: 514-691-5931

Email: [email protected]

Facility Contacts

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Marie-Claude Geoffroy, PhD

Role: primary

References

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Loose T, Fuoco J, Malboeuf-Hurtubise C, Ayotte-Beaudet JP, Gauvin L, Chadi N, Ouellet-Morin I, Masse B, Cote SM, Geoffroy MC. A Nature-Based Intervention and Mental Health of Schoolchildren: A Cluster Randomized Clinical Trial. JAMA Netw Open. 2024 Nov 4;7(11):e2444824. doi: 10.1001/jamanetworkopen.2024.44824.

Reference Type DERIVED
PMID: 39546315 (View on PubMed)

Loose T, Cote S, Malboeuf-Hurtubise C, Beaudet JA, Lessard G, Chadi N, Gauvin L, Morin IO, Geoffroy MC. Protocol for the Open Sky School: a two-arm clustered randomized controlled trial to test the effectiveness of a nature-based intervention on mental health of elementary school children. BMC Public Health. 2023 Feb 3;23(1):236. doi: 10.1186/s12889-023-15033-y.

Reference Type DERIVED
PMID: 36737725 (View on PubMed)

Other Identifiers

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468540

Identifier Type: -

Identifier Source: org_study_id