Evaluating a Web-Based Health-Promoting Dialogue Tool in School Health Services: Feasibility and User Experiences

Abstract

Adolescence is a sensitive period in life and a time to redefine and learn new skills. In Norway, school health services provide individual health-promoting consultations with all eighth-grade students. As an aid to support these consultations, a dialogue tool called SchoolHealth was developed using a co-creation approach. SchoolHealth consists of a web-based health information form designed to be completed by the students and generates individual feedback reports to help the school nurses to prepare for the consultation and tailor it to the individual student’s need. Our aims were to evaluate the feasibility and user experiences of SchoolHealth among students and school nurses using a mixed methods approach. A total of 79 eighth-grade students (69% of those invited) and four school nurses from three schools participated. Analyses indicated that SchoolHealth was feasible, promoted reflection among students, and helped prepare students and school nurses for the consultation.

Keywords

program development/evaluation evidence-based practice best practices/practice guidelines middle/junior/high school screening/risk identification mental health school-based clinics

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References

Antonovsky

(1979). Health, stress, and coping. San Francisco, CA: Jossey-Bass.

Costello

E. J.

Egger

H. L.

Angold

(2005). The developmental epidemiology of anxiety disorders: Phenomenology, prevalence, and comorbidity. Child and Adolescent Psychiatric Clinics of North America, 14, 631–648, vii.

Foss

Ellefsen

(2002). The value of combining qualitative and quantitative approaches in nursing research by means of method triangulation. Journal of Advanced Nursing, 40, 242–248.

Greenhalgh

Jackson

Shaw

Janamian

(2016). Achieving research impact through co-creation in community-based health services: Literature review and case study. Milbank Quarterly, 94, 392–429.

Haraldstad

Richter

(2014). Psychometric properties of the Norwegian version of KIDSCREEN. PsykTestBarn, 2, 1. doi:10.21337/0032

Helsedirektoratet [Norwegian Directorate of Health]. (2019). Nasjonal faglig retningslinje for det helsefremmende og forebyggende arbeidet i helsestasjon, skolehelsetjeneste og helsestasjon for ungdom. [The Norwegian guideline for health promoting and preventing work in the child and youth health clinics and the school health service]. Retrieved from https://helsedirektoratet.no/retningslinjer/helsestasjons-og-skolehelsetjenesten

Holen

Waaktaar

Sagatun

Å.

(2018). A chance lost in the prevention of school dropout? Teacher-student relationships mediate the effect of mental health problems on noncompletion of upper-secondary school. Scandinavian Journal of Educational Research, 62, 737–753.

Jahanfar

Howard

Medley

. (2014). Interventions for preventing or reducing domestic violence against pregnant women. Cochrane Database of Systematic Reviews, 11, CD009414.

Johnson

S. B.

Blum

R. W.

Giedd

J. N.

(2009). Adolescent maturity and the brain: The promise and pitfalls of neuroscience research in adolescent health policy. Journal of Adolescent Health, 45, 216–221.

10.

Jones

P. B.

(2013). Adult mental health disorders and their age at onset. British Journal of Psychiatry, 202, s5–s10. doi:10.1192/bjp.bp.112.119164

11.

Kessler

R. C.

Aguilar-Gaxiola

Alonso

Chatterji

Lee

Ormel

… Wang

P. S

. (2009). The global burden of mental disorders: An update from the WHO World Mental Health (WMH) surveys. Epidemiologia e Psichiatria Sociale, 18, 23–33.

12.

Krueger

R. A.

Casey

M. A.

(2000). Focus groups: A practical guide for applied research (3rd ed.). Thousand Oaks, CA: Sage.

13.

Kvale

Brinkmann

Anderssen

T. M.

Rygge

(2015). Det kvalitative forskningsintervju [The qualitative research interview] (3rd ed., 2nd printing). Oslo, Norway: Gyldendal Akademisk.

14.

Kvarme

L. G.

Misvær

Valla

Myhre

M. C.

Holen

Sagatun

. (2019). Bullying in school: Importance of and challenges involved in talking to the school nurse. Journal of School Nursing. doi:10.1177/1059840519846649

15.

Moen

L. Ø.

(2018). Helsesøsters utfordringer med psykisk uhelse i skolen [The school nurse’s challenges related to mental health in school]. Sykepleien forskning. doi:10.4220/Sykepleiens.2017.64615

16.

Mossige

Stefansen

(2016). Vold og overgrep mot barn og unge: omfang og utviklingstrekk 2007–2015 [Violence and abuse of children and young people: Scope and development 2007–2015] (Vol. 5). Oslo, Norway: Norsk institutt for forskning om oppvekst, velferd og aldring.

17.

NKVTS [Norwegian Centre for Violence and Traumatic Stress Studies]. (2015). KATE-Barn: Kartlegging av traumeerfaringer [KATE-Barn: Mapping of trauma experiences]. Oslo, Norway: Author.

18.

O’Brien

Harvey

Howse

Reardon

Creswell

(2016). Barriers to managing child and adolescent mental health problems: A systematic review of primary care practitioners’ perceptions. British Journal of General Practice, 66, e693–e707.

19.

O’Doherty

Hegarty

Ramsay

Davidson

Feder

Taft

. (2015). Screening women for intimate partner violence in healthcare settings. Cochrane Database of Systematic Reviews, 7, CD007007.

20.

Patel

Flisher

A. J.

Hetrick

McGorry

(2007). Mental health of young people: A global public-health challenge. The Lancet, 369, 1302–1313.

21.

Polanczyk

G. V.

Salum

G. A.

Sugaya

L. S.

Caye

Rohde

L. A.

(2015). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, 56, 345–365.

22.

Powell

B. J.

Waltz

T. J.

Chinman

M. J.

Damschroder

L. J.

Smith

J. L.

Matthieu

M. M.

… Kirchner

J. E.

(2015). A refined compilation of implementation strategies: Results from the Expert Recommendations for Implementing Change (ERIC) project. Implementation Science, 10, 21.

23.

Prochaska

J. O.

Velicer

W. F.

(1997). The transtheoretical model of health behavior change. American. Journal of Health Promotion, 12, 38–48

24.

Rappapon

(1984). Studies in empowerment: Introduction to the issue. Prevention in Human Services, 3, 1–7.

25.

Sachser

Berliner

Holt

Jensen

T. K.

Jungbluth

Risch

… Goldbeck

. (2017). International development and psychometric properties of the Child and Adolescent Trauma Screen (CATS). Journal of Affective Disorders, 210, 189–195.

26.

Sagatun

Å.

Heyerdahl

Wentzel-Larsen

Lien

(2014). Mental health problems in the 10th grade and non-completion of upper secondary school: The mediating role of grades in a population-based longitudinal study. BMC Public Health, 14, 16.

27.

Sagatun

Å.

Heyerdahl

Wentzel-Larsen

Lien

(2015). Medical benefits in young adulthood: A population-based longitudinal study of health behaviour and mental health in adolescence and later receipt of medical benefits. BMJ Open, 5, e007139.

28.

Sawyer

S. M.

Afifi

R. A.

Bearinger

L. H.

Blakemore

S. J.

Dick

Ezeh

A. C.

Patton

G. C.

(2012). Adolescence: A foundation for future health. The Lancet, 379, 1630–1640.

29.

Shaffer

D. R.

Kipp

(2014). Developmental psychology: Childhood and adolescence (9th ed.). Belmont, CA: Wadsworth Cengage Learning.

30.

Silje

(2013). Tåler noen barn mer juling? En kartlegging av hjelpeapparatets håndtering av vold mot barn i minoritetsfamilier [Can some children tolerate more beating? A study on the response of Norwegian Child Welfare Services to violence in ethnic minority families]. Oslo, Norway: Save the Children Norway.

31.

Sjetne

I. S.

(2009). Pasienterfaringer i spesialisthelsetjenesten: et generisk, kort spørreskjema [Patient experiences in the specialist health service: A generic, short questionnaire]. Oslo, Norway: Notat fra Kunnskapssenteret.

32.

Snell

Knapp

Healey

Guglani

Evans-Lacko

Fernandez

J. L.

… Ford

. (2013). Economic impact of childhood psychiatric disorder on public sector services in Britain: Estimates from national survey data. Journal of Child Psychology and Psychiatry, 54, 977–985.

33.

Szklo

(2007). Epidemiology: Beyond the basics. Sudbury, MA: Jones & Bartlett.

34.

Viner

R. M.

Ozer

E. M.

Denny

Marmot

Resnick

Fatusi

Currie

(2012). Adolescence and the social determinants of health. The Lancet, 379, 1641–1652.

35.

Waldum-Grevbo

K. S.

(2018). Helsesøster: Følger du de nye, nasjonale anbefalingene? [School nurse: Do you follow the new national guidelines?]. Sykepleien Fag. doi:10.4220/Sykepleiens.2018.70773

36.

Waldum-Grevbo

K. S.

Haugland

(2015). En kartlegging av helsesøsterbemanningen i skolehelsetjenesten. [A mapping of the school nurse staffing in the school health service]. Sykepleien Forskning, 10, 352–360.

37.

Walker

L. S.

Beck

J. E.

Garber

Lambert

(2009). Children’s somatization inventory: Psychometric properties of the revised form (CSI-24). Journal of Pediatric Psychology, 34, 430–440. doi:10.1093/jpepsy/jsn093

38.

Waltz

T. J.

Powell

B. J.

Matthieu

M. M.

Damschroder

L. J.

Chinman

M. J.

Smith

J. L.

… Kirchner

J. E

. (2015). Use of concept mapping to characterize relationships among implementation strategies and assess their feasibility and importance: Results from the Expert Recommendations for Implementing Change (ERIC) study. Implementation Science, 10, 109.

39.

Youthinmind. (2012). Information for researchers and professionals about the Strengths & Difficulties Questionnaires. Retrieved from http://www.sdqinfo.com/

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