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Partnering for change (P4C) in Sweden- a study protocol of a collaborative school-based service delivery model to create inclusive learning environments
Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
School of Health Sciences, Örebro University, Örebro, Sweden.
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
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2023 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 23, no 1, article id 2219Article in journal (Refereed) Published
Abstract [en]

Background: Inclusive learning environments are considered as crucial for children’s engagement with learning and participation in school. Partnering for change (P4C) is a collaborative school-based service delivery model where services are provided at three levels of intensity based on children’s needs (class, group-, individual interventions). Interventions in P4C are provided universally to support all children with learning, not only children with special education needs (SEN), and as such are expected to be health-promoting. Aim: The aim of the study is to evaluate the effectiveness and cost-effectiveness of P4C as well as school staff members’ and children’s experiences after P4C. Methods: In a parallel, non-randomised controlled intervention design, 400 children, aged 6–12 years, and their teachers, will be recruited to either intervention classes, working according to the P4C, or to control classes (allocation ratio 1:1). Data will be collected at baseline, post-intervention (4 months), and 11 months follow-up post baseline. The primary outcome is children’s engagement with learning in school. Secondary outcomes include for example children’s health-related quality of life and wellbeing, occupational performance in school, attendance, and special educational needs. The difference-in-differences method using regression modelling will be applied to evaluate any potential changes following P4C. Focus group interviews focusing on children, and professionals’ experiences will be performed after P4C. A health economic evaluation of P4C will be performed, both in the short term (post intervention) and the long term (11-month follow-up). This study will provide knowledge about the effectiveness of P4C on children’s engagement with learning, mental health, and wellbeing, when creating inclusive learning environments using a combination of class-, group- and individual-level interventions. Trial registration number: NCT05435937. 

Place, publisher, year, edition, pages
BioMed Central Ltd , 2023. Vol. 23, no 1, article id 2219
Keywords [en]
Children with special needs, Dynamic performance analysis (DPA), Inclusive learning environments, Mental health, Partnering for change (P4C), Response to intervention (RtI), School-based service delivery model
National Category
Educational Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-64791DOI: 10.1186/s12889-023-17053-0ISI: 001103430500002PubMedID: 37950243Scopus ID: 2-s2.0-85176263547OAI: oai:DiVA.org:mdh-64791DiVA, id: diva2:1813815
Available from: 2023-11-22 Created: 2023-11-22 Last updated: 2023-12-13Bibliographically approved

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Klang, Nina

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