A school-based anxiety prevention program for primary school children in Jerantut, Pahang, Malaysia

ISRCTN ISRCTN10083640
DOI https://doi.org/10.1186/ISRCTN10083640
Secondary identifying numbers N/A
Submission date
06/12/2017
Registration date
24/05/2018
Last edited
16/08/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

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?
Standard 4 and 5 children 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

Contact information

Prof Sherina Mohd Sidik
Scientific

Cancer Resource & Education Centre (CaRE)
Universiti Putra Malaysia
Selangor
43400
Malaysia

Study information

Study designParallel two-arm randomized controlled trial
Primary study designInterventional
Secondary study designCluster randomised trial
Study setting(s)School
Study typePrevention
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleA randomized controlled trial on a school-based anxiety prevention program for primary school children in Jerantut, Pahang, Malaysia
Study objectivesIt 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.
Ethics approval(s)University Putra Malaysia, 04/09/2015, ref: UPM/TNCPI/RMC/1.4.18.1 (JKEUPM)/F2
Health condition(s) or problem(s) studiedAnxiety
InterventionCurrent interventions as of 16/01/2019:
The study enrolled twelve primary schools which have not participated in the first phase of this study (An analytical 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.

Previous interventions:
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.
Intervention typeBehavioural
Primary outcome measureAnxiety 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 measuresWorry 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 study start date01/05/2016
Completion date31/12/2017

Eligibility

Participant type(s)Other
Age groupChild
SexBoth
Target number of participantsThis study aimed for 12 clusters (mean of participants in each cluster is 55) (6 clusters for intervention and 6 clusters for control group)
Key inclusion criteriaCurrent inclusion criteria as of 16/01/2019:
1. Primary school children who are attending selected primary schools in Jerantut, Pahang, Malaysia
2. Standard 4 and 5 primary school children

Previous inclusion criteria:
1. Primary school children who are attending selected primary schools in Jerantut, Pahang, Malaysia
2. Aged 10-11 years old
Key exclusion criteria1. Cannot comprehend and write English and Malay language
2. Non Malaysian
Date of first enrolment06/02/2017
Date of final enrolment17/07/2017

Locations

Countries of recruitment

  • Malaysia

Study participating centre

Government Primary School
Jerantut
Pahang
27000
Malaysia

Sponsor information

University Putra Malaysia
University/education

c/o Sherina Mohd Sidik
Cancer Resource & Education Centre (CaRE)
Universiti Putra Malaysia
UPM Serdang
Selangor
43400
Malaysia

ROR logo "ROR" https://ror.org/02e91jd64

Funders

Funder type

University/education

Universiti Putra Malaysia

No information available

Results and Publications

Intention to publish date31/12/2019
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryStored in repository
Publication and dissemination planPlanned publication in a high-impact peer reviewed journal.
IPD sharing planThe 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.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results 16/01/2019 16/01/2019 No No
Results article 05/12/2019 16/08/2022 Yes No

Additional files

ISRCTN10083640_BasicResults_16Jan19.pdf
Uploaded 16/01/2019

Editorial Notes

16/08/2022: Publication reference added.
23/01/2019: The intention to publish date has been changed from 31/07/2018 to 31/12/2019
16/01/2019: The following changes have been made to the trial record:
1. The interventions have been changed
2. Participant inclusion criteria have been changed
3. The plain English summary has been changed to reflect the changes above
4. The basic results of this trial have been uploaded as an additional file