Gymnastik- och idrottshögskolan, GIH

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Title [sv]
Skolprojektet för hjärnhälsa – En skolbaserad intervention för att förbättra psykisk hälsa, kognitiva funktioner och skolprestation hos ungdomar
Title [en]
School project for brain health - A school-based intervention to improve mental health, cognitive function, academic performance in adolescents
Abstract [sv]
Självrapporterade psykiska hälsoproblem har ökat bland svenska ungdomar samtidigt som majoriteten av dem inte når upp till rådande rekommendation om fysisk aktivitet. Det finns dessutom en stor variation i hälsa, läsförståelse och skolprestation beroende av socioekonomisk bakgrund.

Syftet med projektet är att utveckla och utvärdera om en intervention under en förlängd skoldag förbättrar psykisk och fysisk hälsa, kognition och skolprestation hos ungdomar. Projektet består av två delstudier som utvecklas i samarbete med skolpersonal, elever och kommuner.

I delstudie 1 studeras effekterna av en skolbaserad intervention på 50 skolor med 2700 ungdomar i årskurs 8 i Stockholm och Småland. Interventionen kommer att genomföras under tre skoldagar per vecka under ett läsår. Dessa skoldagar förlängs med 60 minuter och innehåller:
a) olika fysiska aktiviteter,
b) läxstöd med rörelsepaus och
c) promenera med ljudbokslyssning.

I delstudie 2 genomförs en processutvärdering av främjande och hindrande faktorer. Psykisk hälsa kommer att mätas med frågeformulär, fysisk aktivitet med rörelsemätare, kognition med ett datorbaserat testbatteri och skolprestation med betyg. Kvalitativa data samlas in genom fokusgrupper och intervjuer med studenter, lärare och rektorer.

Resultaten från detta nyskapande projekt kommer att vara av stor betydelse för att utveckla effektiva och hållbara framtida insatser i skolor för att främja en jämlik psykisk och fysisk hälsa och underlätta lärande hos elever.Projektet finansieras av Kunskaps- och kompetensstiftelsen (KK-stiftelsen), Skandia Idéer för livet, Familjen Kamprads stiftelse samt Svenska ESF-rådet (Europeiska Socialfonden). Medverkande i projektet är Skandia, IKEA, Kronprinsessparets stiftelse/Generation Pep, Storytel, SATS, Permobil, Karolinska Institutet och Linnéuniversitetet. Det sker även i samarbete med utvalda skolor och idrotts- och utbildningsförvaltningarna i Stockholms stad. Detta projekt ingår i forskningsmiljön E-PABS – ett excellenscenter för fysisk aktivitet, hjärnhälsa och hållbarhet.
Abstract [en]
There has been an increase in self-reported mental health problems in recent years. Also, the majority of adolescents do not reach the physical activity recommendation. In parallel, there is great variation in health, reading and academic performance depending on socioeconomic background. The aim of this study is to develop a universal, collaborative, multi-component intervention and evaluate effects on mental and physical health, cognitive function and academic performance. Also, to provide schools with effective strategies on how to sustainably support healthy brain functions and academic performance in adolescents.

There will be 2 sub-studies: 1) To study the effects of a cluster-randomised school-based intervention. Fifty schools with boys and girls in grade 8 will be invited. The intervention will be performed during an extended school day, 60 minutes three times per week, during one school year and include: a) physical activities, b) homework support with activity breaks and c) walking and listening to audiobooks, 2) To conduct a process evaluation including intervention dose, fidelity, feasibility, acceptability and a description of the context to elucidate facilitating and hindering factors.

Physical activity will be measured by accelerometry, cognitive functions by a computer-based test battery, mental health with questionnaires and academic performance by grades. Effectiveness regarding outcomes between groups will be analysed by mixed effect regression analysis, adjusted for relevant covariates. Qualitative data will be analysed with content analysis.

This cluster-randomised controlled intervention has been conducted in a pilot study during the school year 2021/2022 including 192 adolescents aged 14-15 years from six schools around Stockholm with a variation in socioeconomic background. A second round started in September 2023. Thirteen schools around Stockholm, Sweden with around 400 adolescents in grade 8 are currently participating in the intervention during one school year (23/24). The third round will include schools in Småland and will start in the academic year of 2024/2025. The schools in the wait-list control group will be offered the intervention after the post-intervention measurements.

Increased mental health problems among adolescents require new strategies for preventive work. The results will be of great importance to inform the development of efficient future interventions in schools to promote mental health and facilitate learning in students.

The project is part of E-PABS – a center of Excellence in Physical Activity, healthy Brain functions and Sustainability.
Publications (2 of 2) Show all publications
Farias, L., Nyberg, G., Helgadóttir, B. & Andermo, S. (2023). Adolescents' experiences of a school-based health promotion intervention in socioeconomically advantaged and disadvantaged areas in Sweden: a qualitative process evaluation study.. BMC Public Health, 23(1), Article ID 1631.
Open this publication in new window or tab >>Adolescents' experiences of a school-based health promotion intervention in socioeconomically advantaged and disadvantaged areas in Sweden: a qualitative process evaluation study.
2023 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 23, no 1, article id 1631Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Adolescence is a transition period in which positive experiences of physical activity have the potential to last into later adulthood. These experiences are influenced by socioeconomic determinants, leading to health inequalities. This study aims to explore adolescents' experiences and participation in a multi-component school-based intervention in schools located in socioeconomically advantaged and disadvantaged areas in Sweden.

METHODS: A qualitative design was used to evaluate how participants experienced the intervention. The intervention was a multi-component school-based intervention. It was conducted in six schools (four control and two intervention schools) with a total of 193 students and lasted one school year. It was teacher-led and consisted of three 60-minute group sessions per week: varied physical activities, homework support with activity breaks, and walks while listening to audiobooks. In total, 23 participant observations were conducted over eight months and 27 students participated in focus groups. A content analysis was conducted.

RESULTS: The results describe a main category 'Engaging in activities depending on socioeconomic status' and three generic categories: 1. Variations in participation in PA together with classmates and teachers; 2. Variations in engagement in PA after school; and 3. Differences in time and place allocated to do homework and listen to audiobooks. These categories illustrate how participants looked forward to the physical activities but used the time spent during the walks and homework support differently depending on how busy they were after school. Frequently, those who were busiest after school were also those from the advantaged area, and those who had little to do after school were from the disadvantaged area.

CONCLUSION: Socioeconomic factors influence participants' possibilities to engage in the intervention activities as well as how they use their time in the activities. This study showed that it is crucial to support adolescents' participation in physical activities by providing structure and engaging well-known teachers in the activities, especially in schools located in disadvantaged areas.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Health inequalities, Health promotion, School intervention, Young people, E-PABS, EPABS, hjärnhälsa, brain health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-7779 (URN)10.1186/s12889-023-16581-z (DOI)001054758500011 ()37626379 (PubMedID)
Funder
Knowledge FoundationSkandias Stiftelse Idéer för livetThe Kamprad Family FoundationSwedish ESF Council (Council of the European Social Fund in Sweden)
Note

Partners are IKEA, Kronprinsessparets stiftelse/Generation Pep, Storytel, SATS and Permobil.

Available from: 2023-09-13 Created: 2023-09-13 Last updated: 2024-03-21
Andermo, S., Helgadóttir, B., Ekblom, Ö., Kjellenberg, K. & Nyberg, G. (2021). Extra schemalagd fysisk aktivitet i högstadiet: en väg framåt?. In: Svensk idrottsmedicin 2021:3: . Paper presented at Idrottsmedicinskt höstmöte, Malmö, 30 sept - 1 okt 2021.
Open this publication in new window or tab >>Extra schemalagd fysisk aktivitet i högstadiet: en väg framåt?
Show others...
2021 (Swedish)In: Svensk idrottsmedicin 2021:3, 2021Conference paper, Oral presentation with published abstract (Other academic)
Keywords
E-PABS, EPABS, hjärnhälsa, brain health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-6822 (URN)
Conference
Idrottsmedicinskt höstmöte, Malmö, 30 sept - 1 okt 2021
Projects
Hjärnhälsa i skolan II: Skolor i högstadiet med förlängda dagar med fysisk aktivitet och läxläsning
Note

Projektet samfinansieras av Skandia Idéer för livet, IKEA och Generation Pep/Kronprinsessparets stiftelse Permobil Storytel.

Available from: 2021-10-15 Created: 2021-10-15 Last updated: 2024-03-21Bibliographically approved
Principal InvestigatorNyberg, Gisela
Co-InvestigatorHelgadóttir, Björg
Co-InvestigatorEkblom, Örjan
Co-InvestigatorEkblom, Maria
Co-InvestigatorLindh, Frida
Co-InvestigatorBruhn, Linnea
Co-InvestigatorSöderström, Frida
Co-InvestigatorÅberg, Louise
Co-InvestigatorMagnusson, Pia
Co-InvestigatorFarias Vera, Lisette
Co-InvestigatorMoberg, Marianna
Co-InvestigatorAndermo, Susanne
Co-InvestigatorWestberg, Josefin
Coordinating organisation
Swedish School of Sport and Health Sciences, GIH
Funder
Period
2021-01-01 - 2025-12-31
National Category
Public Health, Global Health, Social Medicine and EpidemiologyNeurosciences
Identifiers
DiVA, id: project:2917