Actively Recruiting
PAX Good Behavior Game A Cluster-randomized Controlled Evaluation of Effects on Work Environment, Learning, Mental Health and Health Economics in Elementary Schools
Led by Linnaeus University ยท Updated on 2025-04-11
2184
Participants Needed
1
Research Sites
52 weeks
Total Duration
On this page
Sponsors
L
Linnaeus University
Lead Sponsor
S
Stockholm University
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are investigating the effects of the PAX Good Behavior Game (GBG) in Swedish primary schools to address growing concerns of mental health issues among children and stress-related symptoms in teachers. This cluster-randomized controlled trial involves 28 schools and about 84 teachers, aiming to improve student well-being and reduce teacher stress. The study compares PAX GBG to active control interventions that also provide teacher training but with different content. The trial includes extensive measurements over two years, including self-assessments, classroom observations, sound level monitoring, sick leave data, and qualitative interviews. Teachers randomized to the PAX GBG group receive a two-day training on ten specific tools designed to promote prosocial and focused behaviors in classrooms, including a team-based game rewarding good behavior. Control schools choose between two alternatives: 'Count On Me!', a math fluency application for pupils, or a Collegial Learning Community intervention focused on professional development for teachers. Both groups receive similar amounts of training and supervision, including multiple sessions during the school year. The interventions are integrated into regular classroom activities starting in grade 1 through grade 3. Participants include approximately 2200 pupils and their teachers, with data collected through various methods such as questionnaires, standardized tests, observer ratings, and registry data. Measurements occur at multiple time points over two years, focusing on pupil well-being, teacher stress, classroom behavior, noise levels, and implementation fidelity. The study also evaluates cost-effectiveness by comparing health outcomes and related expenses. Safety and adverse events are monitored through teacher reports and interviews, ensuring comprehensive assessment of the interventions' impact.
CONDITIONS
Brief Title
A Cluster-randomized Control Trial of PAX Good Behavior Game in Swedish Elementary Schools
Who Can Participate
Eligibility Criteria
You may qualify if you...
- The school uses the general study plan and is not only working with students with special needs
- At least one teacher willing to participate, sign consent, and start implementation between the second semester of 1st grade and the first semester of 3rd grade
- The school principal agrees to participate, allow measurements, inform parents, and support implementation
- The teacher mentors a class of 1st or 2nd graders following the general study plan and considers the class suitable
- The teacher has signed informed consent
You will not qualify if you...
- Another method aiming to improve study or classroom environment is currently implemented at the school
- Another time- or energy-consuming method for teachers is being implemented during the same period
- The teacher plans to leave their employment within the next two years
- A major change in the class composition is planned within the next year
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or remote) for eligibility and consent
Duration - 1 semester (approximately 4 months)
Teachers receive training and supervision in their assigned intervention (PAX Good Behavior Game or one of two control interventions) and begin implementing the intervention in their classrooms during the first implementation semester.
6 supervision sessions (4 individual and group sessions in the first semester, 2 in the second semester); initial 1-2 days of training; ongoing classroom intervention
Duration - 1 semester (approximately 4 months)
Teachers continue implementing their assigned intervention during the second implementation semester with continued supervision and monitoring.
2 supervision sessions (1 group and 1 individual); ongoing classroom intervention
Duration - Up to 24 months
Data on pupils, teachers, and classrooms are collected at multiple measurement points over two years, including baseline, during and after intervention implementation, using questionnaires, classroom observations, and registry data.
7 scheduled measurement windows across 4 semesters; assessments include self-ratings, observations, interviews, and registry data collection
Trial Site Locations
Total: 1 location
1
Several Schools in Sweden will be recruited, although as participants and not independent sites
Stockholm, Sweden
Actively Recruiting
Research Team
V
Viktor Kaldo, PhD
E
Ekaterina Ivanova, PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
Frequently Asked Questions
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