Plain English Summary
Background and study aims
The researchers are conducting a study to determine the effectiveness of a school-based anxiety prevention program for primary school children in Jerantut, Pahang, Malaysia. The aim of this study is to find out whether the school-based anxiety prevention program is effective in reducing anxiety symptoms, as well as to improve the participants’ worry coping skill and self-esteem.
Who can participate?
Children aged 10-11 who are attending selected primary schools in Jerantut, Pahang, Malaysia
What does the study involve?
Participants complete an assessment and are randomly allocated to either the intervention group or the control group. Participants in the intervention group attend four sessions of a school-based anxiety prevention program over 4 weeks. After the participants in the intervention group complete all the sessions, the participants in the control group are offered the same program. Participants in both groups are followed up immediately and three months after the program.
What are the possible benefits and risk of participating?
The possible benefits of participating in the study are the participants will be able to know their current anxiety status and increase their worry coping skill and self-esteem. This possibly may help to reduce the symptoms of anxiety. There are no risks involved in this study.
Where is the study run from?
Primary schools in Jerantut, Pahang, Malaysia in collaboration with Universiti Putra Malaysia
Who is funding the study?
Universiti Putra Malaysia
Who is the main contact?
Prof. Dr Sherina Mohd Sidik
A randomized controlled trial on a school-based anxiety prevention program for primary school children in Jerantut, Pahang, Malaysia
It is hypothesized that the symptoms of anxiety will reduce in the intervention group as compared to the control group. Worry coping skill and self-esteem of the participants are also expected to improve after the intervention. The null hypothesis is there is no significant difference between the intervention and control groups, in terms of reduction of anxiety symptoms and improvement of worry coping skill and self-esteem.
University Putra Malaysia, 04/09/2015, ref: UPM/TNCPI/RMC/22.214.171.124 (JKEUPM)/F2
Parallel two-arm randomized controlled trial
Primary study design
Secondary study design
Cluster randomised trial
Patient information sheet
Not available in web format, please use the contact details to request a patient information sheet
The study enrolled 584 participants who have not participated in the first phase of this study (A cross-sectional study on associated factors of anxiety among primary school children in Jerantut, Pahang, Malaysia). Method for randomisation is simple randomisation method.
Participants in the intervention group were invited to participate in a 4-weeks school-based anxiety prevention program. The intervention program consists of 4 sessions, with each session implemented on each week.
The control group is a wait-list control group. After the participants in the intervention group completed all the sessions of the school-based anxiety prevention program, the participants in the control group were offered the same program thereafter.
Participants in both groups were followed-up immediately and at three months post intervention.
Primary outcome measure
Anxiety symptoms, measured using the sum score on the short version of Revised Child Anxiety and Depression Scale (RCADS-25) at baseline and follow-up assessments immediately and at three months post intervention
Secondary outcome measures
Worry coping skill and self-esteem, measured using the total score on the Children's Worry Management Scale (CWMS) and the Rosenberg Self-Esteem Scale (RSES) at baseline and follow-up assessments immediately and at three months post intervention
Overall trial start date
Overall trial end date
Reason abandoned (if study stopped)
Participant inclusion criteria
1. Primary school children who are attending selected primary schools in Jerantut, Pahang, Malaysia
2. Aged 10-11 years old
Target number of participants
This study aimed for 12 clusters (mean of participants in each cluster is 55) (6 clusters for intervention and 6 clusters for control group)
Participant exclusion criteria
1. Cannot comprehend and write English and Malay language
2. Non Malaysian
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
Government Primary School
Universiti Putra Malaysia
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
Planned publication in a high-impact peer reviewed journal.
IPD sharing statement
The datasets generated during and/or analysed during the current study will be stored in a repository. Type of data will be stored is the data gathered from the questionnaire, the process for requesting access is by obtaining permission through email, consent from participants was obtained and ethics approval was obtained from the Ethics Committee for Research involving Human Subjects of Universiti Putra Malaysia (JKEUPM) and Ministry of Education Malaysia.
Intention to publish date
Participant level data
Stored in repository
Basic results (scientific)