MEST : A School- Based Health Literacy Intervention Trial
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age16-24
SponsorNorwegian Institute of Public Health
About this trial
The purpose of this study is to evaluate the effectiveness of the MEST work strategy in upper secondary schools. MEST is a school based, health promoting intervention delivered by school health services and designed to strengthen students' health literacy and mental well being. The study assesses whether implementation of the MEST work strategy results in improved health literacy and mental well being compared with usual school health services.
This study is a cluster randomized superiority trial in which upper secondary schools are assigned either to an intervention group implementing the MEST work strategy or to a control group continuing with school health services as usual. Student reported outcomes are collected using digitally administered questionnaires during school hours at baseline, prior to initiation of the intervention, and at 4 and 9 months following intervention initiation (end of the school year).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Students 16-24 years
Students enrolled in upper secondary school classes
Provided informed consent
Disqualifiers
None
Trial design
Design model
Parallel
Treatments tested in this trial
MEST Work Strategy
Other interventionThe MEST work strategy is needs based and adaptive. An anonymous, digitally administered MEST survey conducted prior to intervention initiation informs the selection and tailoring of intervention topics throughout the school year. This survey is used solely to guide intervention delivery and is not included in the outcome evaluation. Intervention activities may include classroom based sessions, school wide seminars, small thematic group activities, and individual consultations provided by the school health services, depending on identified student needs. All activities are conducted on school premises using existing school facilities and digital infrastructure.
Treatment groups
1,800 Participants
are divided into 2 treatment groupsGroup A: MEST Work StrategyExperimental treatment 1 intervention
Group B: Control- School Health Servics as usualNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
General Health Literacy
General health literacy assessed using the Health Literacy Survey 2019 - Young Persons 12-item scale (HLS19 YP12). The instrument consists of 12 items, each rated on a 4 point scale. Total scores range from 12 to 48, with higher scores indicating higher (better) levels of health literacy.
Time frame
Baseline, 4 months, 9 monthsSecondary outcomes
1
Mental Health Literacy
Mental health literacy using the Mental Health Learning Scale (MHLS-9). The instrument consists of 9 items, each rated on a 5- point likert scale, giving a total score from 9 to 45, with higher scores indicating higher (better) levels of mental health literacy.
Time frame
Baseline, 4 months, 9 months2
Mental Well-Being
Mental well-being assessed using the Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS). The instrument consist of 7 items, each rated on a 5- point scale. It ranges from 7 to 35 points, with higher scores indicating better mental well- being.
Time frame
Baseline, 4 months, 9 monthsSponsors and contacts
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Source ClinicalTrials.gov
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