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1. Effectiveness of transition support interventions
1.1. Review question
What are effective and cost-effective interventions to support the social, emotional and mental wellbeing of children during periods of transition (such as between schools, life stages or due to traumatic events)?
1.1.1. Introduction
Social and emotional skills are key during children and young people’s development that may help to achieve positive outcomes in health, wellbeing and future success. Going through a time of transition whether planned e.g. moving from primary to secondary school or unexpected e.g. family break-up can potentially impact negatively on wellbeing. Interventions aimed at providing support at these times of transition may help to reduce poor outcomes.
1.1.2. Summary of the protocol
1.1.3. Methods and process
This evidence review was developed using the methods and process described in Developing NICE guidelines: the manual and in the methods chapter.. Methods specific to this review question are described in the review protocol in Appendix A and in the methods document.
Outcome measures
Where social and emotional outcome measures were reported in a study from multiple sources, the data used followed the following hierarchy of preference:
- Child/ young person reported
- Teacher reported
- Parent reported
However, for behavioural outcomes, measures reported by teachers were the preferred option as they are generally outcomes that are observed.
Cluster randomised controlled trials
Where cluster randomised controlled trials have been pooled with individually randomised controlled trials, the number of people included in the analysis from these trials have been adjusted using a reported or imputed intra-class correlation coefficient (ICC) for that outcome.
Declarations of interest were recorded according to NICE’s conflicts of interest policy.
1.1.4. Effectiveness evidence
1.1.4.1. Included studies
In total 19,749 references were identified through systematic searches for all 3 review questions in this review.. Of these, 349 references were considered relevant, based on title and abstract, to the protocols for transition support in schools and were ordered. A total of 25 studies from 28 references were included across the three review questions and 319 references were excluded. There were 2 studies where the full text was unavailable. Additionally, 5 studies on Managed Moves were added after the search was completed.
A total of 18 studies from 21 publications were included for this review question on the effectiveness of transition support interventions. Of these studies, 3 were individual randomised controlled trials, 8 were cluster randomised controlled trials and 7 were non-randomised controlled trials.
Of the studies identified, 13 focused on school transitions, 2 focused on family break-up and 3 focused on children and young people from immigrant and refugee families.
See Appendix D for full evidence tables.
1.1.4.2. Excluded studies
See Appendix J for a list of excluded studies.
1.1.5. Summary of studies included in the effectiveness evidence
1.1.6. Summary of the effectiveness evidence
School transitions: Intervention compared to control for social, emotional and mental wellbeing
Patient or population: Children and young people transitioning schools
Intervention: School transitions: Intervention
Comparison: Control
Outcomes | Illustrative comparative risks* (95% CI) | Relative effect (95% CI) | No of Participants (studies) | Quality of the evidence (GRADE) | Comments | |
---|---|---|---|---|---|---|
Assumed risk | Corresponding risk | |||||
Control | School transitions: Intervention | |||||
Social and emotional skills – NRCTs (Brouzos 2020, Qualter 2007, Vassilopoulos 2018a) |
The mean social and emotional skills - nrcts in the intervention groups was 1.06 higher (0.02 to 2.11 higher) |
535 (3 studies) |
⊕⊕⊕⊝ moderate 1 | MD 1.06 (0.02 to 2.11) | ||
Social and emotional skills – Self-esteem (Coehlo 2017) |
The mean social and emotional skills – self-esteem in the intervention group was 1.36 higher (0.71 to 2.01 higher) |
1148 (1 study) |
⊕⊕⊝⊝ | MD 1.36 (0.71 to 2.01) | ||
Emotional distress – Depression (Cross 2018, Dawes 2019, Vassilopoulos 2018b) |
The mean emotional distress - depression in the intervention groups was 0.04 lower (0.13 lower to 0.06 higher) |
5506 (3 studies) |
⊕⊝⊝⊝ | MD −0.04 (−0.13 to 0.06) | ||
Emotional distress – Depression (number scoring above clinical cut-off) (Makover 2019) | 381 per 1000 |
316 per 1000 (247 to 407) |
RR 0.83 (0.65 to 1.07) |
480 (1 study) |
⊕⊕⊝⊝ | |
Emotional distress – Anxiety (Cross 2018, Dawes 2019) |
The mean emotional distress - anxiety in the intervention groups was 0.02 lower (0.04 lower to 0 higher) |
5452 (2 studies) |
⊕⊕⊕⊝ moderate 1 | MD −0.02 (−0.04 to 0) | ||
Emotional distress – Stress (Cross 2018) |
The mean emotional distress - stress in the intervention groups was 0.01 lower (0.03 lower to 0.01 higher) |
2966 (1 study) |
⊕⊕⊝⊝ | MD −0.01 (0.03 to 0.01) | ||
Emotional distress - Emotional symptoms (NRCTs) (Bagnall 2021) |
The mean emotional distress - emotional symptoms (nrcts) in the intervention groups was 0.12 higher (0.01 lower to 0.25 higher) |
133 (1 study) |
⊕⊕⊝⊝ | MD 0.12 (0.01 to 0.25) | ||
Emotional distress – Emotional symptoms (Dawes 2019) |
The mean emotional distress – emotional symptoms in the intervention group was 0.02 lower (0.06 lower to 0.02 higher) |
2486 (1 study) |
⊕⊕⊝⊝ | MD −0.02 (−0.06 to 0.02) | ||
Emotional distress – Social anxiety (Dawes 2019) |
The mean emotional distress – social anxiety in the intervention group was 0.03 lower (0.07 lower to 0.01 higher) |
2486 (1 study) |
⊕⊕⊝⊝ | MD −0.03 (−0.07 to 0.01) | ||
Emotional distress - Anxiety (NRCTs) (Brouzos 2020) |
The mean emotional distress - anxiety (nrcts) in the intervention groups was 5.04 lower (7.83 to 2.25 lower) |
82 (1 study) |
⊕⊕⊕⊝ moderate 1 | MD −5.04 (−7.83 to −2.25) | ||
Emotional distress – Loneliness and social dissatisfaction (Vassilopoulos 2018b) |
The mean emotional distress – loneliness and social dissatisfaction in the intervention group was 2.36 lower (3.4 to 1.32 lower) |
54 (1 study) |
⊕⊕⊕⊝ moderate 5 | MD −2.36 (−3.40 to −1.32) | ||
School Attendance (Qualter 2007) |
The mean school attendance in the intervention groups was 0.18 lower (0.46 lower to 0.1 higher) |
339 (1 study) |
⊕⊕⊝⊝ | MD −0.18 (−0.46 to 0.1) | ||
Behavioural outcomes – SDQ difficulties (Mandy 2016) |
The mean behavioural outcomes – SDQ difficulties in the intervention group was 5.2 lower (9.21 to 1.19 lower) |
37 (1 study) |
⊕⊕⊝⊝ | MD −5.2 (−9.21 to −1.19) | ||
Behavioural outcomes – SDQ prosocial (Mandy 2016) |
The mean behavioural outcomes – SDQ prosocial in the intervention group was 0.85 higher (0.74 lower to 2.44 higher) |
37 (1 study) |
⊕⊝⊝⊝ | MD 0.85 (−0.74 to 2.44) | ||
Behavioural outcomes – aggressive and disruptive behaviour (Vassilopoulos 2018a) |
The mean behavioural outcomes – aggressive and disruptive behaviour in the intervention group was 0.3 lower (0.57 to 0.03 lower) |
114 (1 study) |
⊕⊕⊝⊝ | MD −0.3 (−0.57 to −0.03) | ||
Behavioural outcomes – prosocial behaviour (Vassilopoulos 2018a) |
The mean behavioural outcomes – prosocial behaviour in the intervention group was 0.77 higher (0.48 to 1.06 higher) |
114 (1 study) |
⊕⊕⊝⊝ | MD 0.77 (0.48 to 1.06) | ||
Behavioural outcomes – bullying victimisation (Cross 2018) |
The mean behavioural outcomes – bullying victimisation in the intervention group was 0.00 higher (0.03 lower to 0.03 higher) |
2739 (1 study) |
⊕⊕⊝⊝ | MD 0.00 (−0.03 t0 0.03) | ||
Behavioural outcomes – bullying perpetration (Cross 2018) |
The mean behavioural outcomes – bullying perpetration in the intervention group was 0.01 higher (0.01 lower to 0.03 higher) |
2739 (1 study) |
⊕⊕⊝⊝ | MD 0.01 (−0.01 to 0.03) | ||
Behavioural outcomes - Zero bullying victimisation (Cross 2018) | 299 per 1000 |
305 per 1000 (272 to 338) |
RR 1.02 (0.91 to 1.13) |
2966 (1 study) |
⊕⊕⊝⊝ | |
Behavioural outcomes - Zero bullying perpetration (Cross 2018) | 499 per 1000 |
499 per 1000 (464 to 539) |
RR 1 (0.93 to 1.08) |
2966 (1 study) |
⊕⊕⊝⊝ |
- *
The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
CI: Confidence interval; RR: Risk ratio;
GRADE Working Group grades of evidence
High quality: Further research is very unlikely to change our confidence in the estimate of effect.
Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
Very low quality: We are very uncertain about the estimate.
- 1
Unclear if participants were aware of intervention allocation. May bias subjective outcome reporting.
- 2
95% CI crosses the line of no effect
- 3
I2 > 50%
- 4
Did not use concurrent control group
- 5
Moderate risk of bias
- 6
Downgraded once as 95%CI crosses line of no effect and 1 MID
- 7
Downgraded once as 95%CI crosses 1 MID
- 8
Downgraded twice as 95%CI crosses line of no effect and 2 MIDs
Divorce: Intervention compared to control for social, emotional and mental wellbeing
Patient or population: Children and young people whose parents are going through a divorce
Intervention: Divorce: Intervention
Comparison: Control
Outcomes | Illustrative comparative risks* (95% CI) | Relative effect (95% CI) | No of Participants (studies) | Quality of the evidence (GRADE) | Comments | |
---|---|---|---|---|---|---|
Assumed risk | Corresponding risk | |||||
Control | Divorce: Intervention | |||||
Emotional distress (Pelleboer-Gunnink 2015) |
The mean emotional distress in the intervention groups was 0.08 higher (0.61 lower to 0.77 higher) |
156 (1 study) |
⊕⊕⊝⊝ | MD 0.08 (−0.61 to 0.77) | ||
Social and emotional skills (Pedro-Carroll 1999) |
The mean social and emotional skills in the intervention groups was 9.81 higher (1.59 lower to 21.21 higher) |
49 (1 study) |
⊕⊕⊝⊝ | MD 9.81 (−1.59 to 21.21) | ||
Behavioural problems (Pedro-Carroll 1999) |
The mean behavioural outcomes in the intervention group was 45.3 lower (−53.62 to 36.98 lower) |
49 (1 study) |
⊕⊕⊕⊝ moderate 1 | MD −45.3 (−53.62 to 36.98) |
- *
The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
CI: Confidence interval;
GRADE Working Group grades of evidence
High quality: Further research is very unlikely to change our confidence in the estimate of effect.
Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
Very low quality: We are very uncertain about the estimate.
- 1
Unclear if participants were aware of intervention allocation. May bias subjective outcome reporting.
- 2
95% CI crosses line of no effect
Support for immigrants and refugees: Theatre expression intervention compared to control for social, emotional and mental wellbeing
Patient or population: Children and young people from immigrant or refugee families
Intervention: Theatre expression intervention
Comparison: Control
Outcomes | Illustrative comparative risks* (95% CI) | Relative effect (95% CI) | No of Participants (studies) | Quality of the evidence (GRADE) | Comments | |
---|---|---|---|---|---|---|
Assumed risk | Corresponding risk | |||||
Control | Intervention: Theatre expression | |||||
Behavioural outcomes – SDQ impact (Rousseau 2014) |
The mean behavioural outcomes – SDQ impact in the intervention group was 0.08 lower (0.33 lower to 0.17 higher) |
320 (1 study) |
⊕⊕⊝⊝ | MD −0.08 (−0.33 to 0.17) |
- *
The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
CI: Confidence interval;
GRADE Working Group grades of evidence
High quality: Further research is very unlikely to change our confidence in the estimate of effect.
Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
Very low quality: We are very uncertain about the estimate.
- 1
Moderate risk of bias
- 2
Downgraded once as 95% CI crosses line of no effect
Support for immigrants and refugees: Group tutoring intervention compared to control for social, emotional and mental wellbeing
Patient or population: Children and young people from immigrant or refugee families
Intervention: Group tutoring intervention
Comparison: Control
Outcomes | Illustrative comparative risks* (95% CI) | Relative effect (95% CI) | No of Participants (studies) | Quality of the evidence (GRADE) | Comments | |
---|---|---|---|---|---|---|
Assumed risk | Corresponding risk | |||||
Control | Intervention: Group tutoring | |||||
Behavioural outcomes – SDQ impact (Rousseau 2014) |
The mean behavioural outcomes – SDQ impact in the intervention group was 0.05 higher (0.23 lower to 0.33 higher) |
297 (1 study) |
⊕⊕⊝⊝ | MD 0.05 (−0.23 to 0.33) |
- *
The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
CI: Confidence interval;
GRADE Working Group grades of evidence
High quality: Further research is very unlikely to change our confidence in the estimate of effect.
Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
Very low quality: We are very uncertain about the estimate.
- 1
Moderate risk of bias
- 2
Downgraded once as 95% CI crosses line of no effect
Support for immigrants and refugees: Recovery techniques program compared to control for social, emotional and mental wellbeing
Patient or population: Children and young people from immigrant or refugee families
Intervention: Recovery techniques program
Comparison: Control
Outcomes | Illustrative comparative risks* (95% CI) | Relative effect (95% CI) | No of Participants (studies) | Quality of the evidence (GRADE) | Comments | |
---|---|---|---|---|---|---|
Assumed risk | Corresponding risk | |||||
Control | Intervention: recovery techniques program | |||||
Behavioural outcomes – SDQ difficulties (Ooi 2016) |
The mean behavioural outcomes – SDQ difficulties in the intervention group was 0.49 higher (1.54 lower to 2.52 higher) |
82 (1 study) |
⊕⊕⊝⊝ | MD 0.49 (−1.54 to 2.52) | ||
Behavioural outcomes – SDQ prosocial (Ooi 2016) |
The mean behavioural outcomes – SDQ prosocial in the intervention group was 0.16 higher (0.59 lower to 0.91 higher) |
82 (1 study) |
⊕⊕⊝⊝ | MD 0.16 (−0.59 to 0.91) |
- *
The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
CI: Confidence interval;
GRADE Working Group grades of evidence
High quality: Further research is very unlikely to change our confidence in the estimate of effect.
Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
Very low quality: We are very uncertain about the estimate.
- 1
Moderate concerns of bias
- 2
Downgraded once as 95%CI crosses line of no effect and 1 MID
- 3
Downgraded once as 95%CI crosses 1 MID
See Appendix F for full GRADE tables
1.1.7. Economic evidence
A guideline wide search of published cost-effectiveness evidence was carried out for review questions 1.1, 3.1, 4.1, 5.1 and 6.1.
3504 records were assessed against eligibility criteria.
3433 records were excluded based on information in the title and abstract. Two reviewers assessed all the records. The level of agreement between the two reviewers was 100%.
The full-text papers of 71 documents were retrieved and assessed. 15 papers were assessed as meeting the eligibility criteria. However, this accounted for 13 distinct studies since some papers used the same underlying data.
Two reviewers assessed all full-text papers. The level of agreement between the two reviewers was 100%. There were no eligible studies for RQ 6.1 on Transitions.
The study selection process can be found in Appendix G.
The documents and reasons for their exclusion are listed in Appendix J – Excluded studies.
1.1.8. Economic model
A bespoke model was developed to capture the costs and consequences of an intervention, or combination of interventions, that promote social, emotional and mental wellbeing in children and young people in primary and secondary education. It covers more than 1 evidence review in the guideline so the full write up is contained in a separate document rather than in appendix I (see Evidence review J).
Study
Limitations | Applicability | Other comments | Incremental | Uncertainty | |||
---|---|---|---|---|---|---|---|
Costs | Effects | Cost-effective ness | |||||
Cootea (2021) A cost-consequence and cost-benefit analysis of interventions to improve social, emotion al and mental wellbeing in schools | Potentially serious limitationsb | Directly applicable |
A bespoke model was developed to capture the costs and consequences of an intervention, or combination of interventions, that promote social, emotional and mental wellbeing in children and young people in primary and secondary education. It is recommended that the model is used as a guide to explore the potential economic and wellbeing implications of interventions. The model was pre-populated with evidence from the NICE guideline reviews but it also allows users to adapt the perspective and input values and generate results, specific to the educational environment of interest. A worked example was provided that considered an intervention for transition between schools and its impact on bullying perpetration. The example used a hypothetical cohort of 200 pupils, a 1-year time horizon and took a societal perspective. |
Costs of the intervention per person; £: 17.71 Total intervention cost; £ 3,542 |
Relative Risk bullying perpetration 0.98 (Assumes the intervention reduces bullying by 2%, 4 out of 200 individuals undergoing the intervention) Utility value assigned to bullying 0.06 Length of utility benefit 1 year QALYs; 4 × 0.06 = 0.24 Monetary QALY; £: 4,800 (using monetary equivalent per QALY of £20,000) |
Net benefit; £: 1,258 | Sensitivity analyses showed that:
|
Abbreviations: ICER: incremental cost-effectiveness ratio; NHS: National Health Service; PSS: Personal Social Service; QALY: quality-adjusted life-year
- a
This economic model was developed for the current guideline update. Full details can be found in the separate economic modelling report.
- b
Due to substantial variability in the interventions available and heterogeneity across schools it is neither possible, nor judicious, for this model to provide ‘generalised’ results.
Limitations | Applicability | Other comments | Incremental | Uncertainty | |||
---|---|---|---|---|---|---|---|
Costs | Effects | Cost-effective ness | |||||
Cootea (2021) A cost-consequence and cost-benefit analysis of interventions to improve social, emotional and mental wellbeing in schools | Potentially serious limitationsb | Directly applicable |
A bespoke model was developed to capture the costs and consequences of an intervention, or combination of interventions, that promote social, emotional and mental wellbeing in children and young people in primary and secondary education. It is recommended that the model is used as a guide to explore the potential economic and wellbeing implications of interventions. The model was pre-populated with evidence from the NICE guideline reviews but it also allows users to adapt the perspective and input values and generate results, specific to the educational environment of interest. A worked example was provided that considered an intervention for transition between schools and its impact on bullying perpetration. The example used a hypothetical cohort of 200 pupils, a 1-year time horizon and took a societal perspective. |
Costs of the intervention per person; £: 17.71 Total intervention cost; £ 3,542 |
Relative Risk bullying perpetration 0.98 (Assumes the intervention reduces bullying by 2%, 4 out of 200 individuals undergoing the intervention) Utility value assigned to bullying 0.06 Length of utility benefit 1 year QALYs; 4 × 0.06 = 0.24 Monetary QALY; £: 4,800 (using monetary equivalent per QALY of £20,000) |
Net benefit; £: 1,258 | Sensitivity analyses showed that:
|
Abbreviations: ICER: incremental cost-effectiveness ratio; NHS: National Health Service; PSS: Personal Social Service; QALY: quality-adjusted life-year
- c
This economic model was developed for the current guideline update. Full details can be found in the separate economic modelling report.
- d
Due to substantial variability in the interventions available and heterogeneity across schools it is neither possible, nor judicious, for this model to provide ‘generalised’ results.
1.1.9. Evidence statements
Sufficient data were not extractable for the following studies and has therefore been reported as evidence statements.
School transitions
Social and emotional skills
Evidence from 1 RCT (Rutt 2015 [N= 557]) showed no difference in confidence and self-esteem for children receiving a targeted literacy programme compared to usual support as they transitioned from primary to secondary school (effect size = 0.14, 95%CI −0.03 to 0.32, p = 0.10). The risk of bias for this evidence was rated as some concerns.
Behavioural outcomes
Evidence from 1 NRCT (Johnson 2008 [N= 157]) reported a mean change in school related misconduct for both low-risk and high-risk pupils receiving an integrated universal and selected intervention compared to control (mean change high-risk 0.80 vs 2.55) (mean change low-risk −0.08 vs 0.41). The significance of the results were not reported. The risk of bias of this evidence was moderate.
Academic attainment and progression
Moderate quality evidence from 1 RCT (Rutt 2015 [N= 557]) showed no difference in reading scores for children receiving a targeted literacy programme compared to usual support as they transitioned from primary to secondary school. (Effect size 0.12 95% CI −0.02 to 0.25). The risk of bias for this evidence was rated as some concerns.
Evidence from 1 RCT (Corsello 2015 [N= 521]) reported a significant difference for reading and maths scores for young people receiving a universal programme as they transitioned from middle to high school. (MD and 95% CI not reported). The risk of bias for this evidence was rated as some concerns.
Support for immigrants and refugees
Social and emotional skills
Evidence from 1 cRCT (Rousseau 2007 [N= 123]) showed no difference for self-esteem in children from immigrant or refugee families participating in drama therapy compared to a control group. (MD and 95% CI not reported). The risk of bias for this evidence was rated as some concerns.
Behavioural outcomes
Evidence from 1 cRCT (Rousseau 2007 [N= 123]) showed no difference for behavioural problems in children from immigrant or refugee families participating in drama therapy compared to a control group. (MD and 95% CI not reported). The risk of bias for this evidence was rated as some concerns.
Economic evidence statements
There were no eligible published studies for this review on transitions.
Coote (2021) aimed to quantify the costs and effectiveness, and hence the impact, of introducing a range of mental health and wellbeing interventions. The large range of interventions on offer and the circumstances in which the interventions are implemented made it difficult to draw robust conclusions regarding the effectiveness of interventions and associated economic impact.
2. Acceptability of transition support interventions
2.1. Review question
Are interventions to support the social, emotional and mental wellbeing of children and young people during periods of transition (such as between schools, life stages or due to traumatic events) acceptable to:
- Children and young people
- Teachers/practitioners delivering the interventions
- Parents/Carers of children and young people receiving the interventions
- Schools/teachers dealing with the consequences of transition e.g. secondary schools dealing with a child’s transition from primary to secondary school
2.1.1. Introduction
Social and emotional skills are key during children and young people’s development that may help to achieve positive outcomes in health, wellbeing and future success. Going through a time of transition whether planned e.g. moving from primary to secondary school or unexpected e.g. family break-up can potentially impact negatively on wellbeing. Interventions aimed at providing support at these times of transition may help to reduce poor outcomes.
2.1.2. Summary of the protocol
2.1.3. Methods and process
This evidence review was developed using the methods and process described in Developing NICE guidelines: the manual and in the methods chapter.. Methods specific to this review question are described in the review protocol in Appendix A and in the methods document.
Declarations of interest were recorded according to NICE’s conflicts of interest policy.
2.1.4. Qualitative evidence
2.1.4.1. Included studies
In total 19749 references were identified through systematic searches. Of these, 349 references were considered relevant, based on title and abstract, to the protocols for transition support in schools and were ordered. A total of 25 studies from 28 references were included and 319 references were excluded. There were 2 studies where the full text was unavailable. Additionally, 5 studies on Managed Moves were added after the search was completed.
A total of 10 studies from 8 publications were included for this review question on acceptability of transition support interventions.
Of the studies identified, 4 focused on school transitions (primary to secondary), 1 focused on children and young people from immigrant and refugee families and 5 focussed on Managed Moves.
See Appendix D for full evidence tables.
2.1.4.2. Excluded studies
See Appendix J for a full list of excluded studies.
2.1.5. Summary of studies included in the qualitative evidence
Support for school transitions
Interventions to support children and young people from immigrant and refugee families
Interventions to support ‘Managed Moves’
Summary of themes:
- Making a new start
- Sense of belonging
- Building relationships with peers
2.1.6. Summary of the qualitative evidence
See Appendix F for full GRADE-CERQual tables
3. Barriers and facilitators to transition support interventions
3.1. Review question
- What are the barriers and facilitators to transition based interventions to promote social, emotional and mental wellbeing in children and young people?
3.1.1. Introduction
Social and emotional skills are key during children and young people’s development that may help to achieve positive outcomes in health, wellbeing and future success. Going through a time of transition whether planned e.g. moving from primary to secondary school or unexpected e.g. family break-up can potentially impact negatively on wellbeing. Interventions aimed at providing support at these times of transition may help to reduce poor outcomes.
3.1.2. Summary of the protocol
3.1.3. Methods and process
This evidence review was developed using the methods and process described in Developing NICE guidelines: the manual and in the methods chapter.. Methods specific to this review question are described in the review protocol in Appendix A and in the methods document.
Declarations of interest were recorded according to NICE’s conflicts of interest policy.
3.1.4. Qualitative evidence
3.1.4.1. Included studies
In total 19749 references were identified through systematic searches. Of these, 349 references were considered relevant, based on title and abstract, to the protocols for transition support in schools and were ordered. A total of 25 studies from 28 references were included and 319 references were excluded. There were 2 studies where the full text was unavailable. Additionally, 5 studies on Managed Moves were added after the search was completed.
A total of 4 studies from 2 publications were included for this review question on barriers and facilitators to transition support interventions.
Of the studies identified, 4 studies focused on school transitions (primary to secondary) and 5 studies focused on Managed Moves. See Appendix D for full evidence tables.
3.1.4.2. Excluded studies
See Appendix J for a list of excluded studies.
3.1.5. Summary of studies included in the qualitative evidence
Support for school transitions
Interventions to support ‘Managed Moves’
3.1.6. Summary of the qualitative evidence
See appendix F.2.1.3 for full GRADE-CERQual tables
4. Integration and discussion of the evidence
4.1. Mixed methods integration
4.1.1. Are the results/findings from individual syntheses supportive or contradictory?
The quantitative data was broadly mixed across all outcomes for school transition interventions. Effectiveness of interventions showed significant differences and non-significant differences for multiple outcomes. Qualitative evidence included themes around children and young people feeling supported and having worried alleviated by transition interventions, but this is not strongly supported by quantitative evidence. There was very limited qualitative data regarding support for refugees and immigrants, but this similarly included themes around benefits from derived from interventions. This somewhat contradicted the quantitative evidence, which showed no difference in social and emotional skills or behavioural outcomes.
4.1.2. Does the qualitative evidence explain why the intervention is/is not effective?
The quantitative data for school transition interventions was broadly mixed and the qualitative evidence did not explain why these interventions were effective or not effective. Regarding support for immigrants and refugees, qualitative evidence highlighted regarding privacy and schools being perceived as busy and hectic. This may partly explain quantitative data did not show significant effects.
4.1.3. Does the qualitative evidence explain differences in the direction and size of effect across the included quantitative studies?
Collectively the qualitative data did not provide clear explanations for the variations in quantitative data. However, it did highlight areas that could contribute to making transition interventions successful or unsuccessful. These elements included good staff appointments and flexibility as factors for success and timetabling and staffing issues.
4.1.4. Which aspects of the quantitative evidence were/were not explored in the qualitative studies and which aspects of the qualitative evidence were/were not tested in the quantitative studies?
The overlap between the quantitative and qualitative findings for this review does not make any meaningful integration possible. This is predominantly because the qualitative evidence is very much focussed on process related understanding. Additionally, qualitative themes around the impact of the interventions are only perceptions of impact and not objective measures. The themes are very useful in understanding why the transition interventions worked (or did not work), but other than at a very superficial level they unable (without substantial speculation) to explain the pupil level outcomes.
4.2. The committee’s discussion and interpretation of the evidence
4.2.1. The outcomes that matter most
The committee categorised outcomes of interest as social and emotional wellbeing (SEW) outcomes and academic outcomes and agreed that more weight should be given to the social and emotional outcomes. This is because, in theory, improvement in social and emotional wellbeing may lead to improvements in academic progression and attainment. Ultimately, an improvement in social and emotional outcomes may lead to overall improvement in quality of life. Within the category of social and emotional wellbeing, the committee agreed that these could be sub-categorised into social and emotional skills, behavioural outcomes and emotional distress.
Within the category of social and emotional outcomes, the committee agreed that a measure of emotional distress (e.g. depression or anxiety) was the most important, as this is often the reason a child or young person is identified as needing additional support. Furthermore, a reduction in symptoms of emotional distress is likely to have an immediate impact on the child’s wellbeing and reduce the chance of being diagnosed with a mental health disorder. This reduction in emotional distress may lead to fewer experiences of mental health difficulties and may also help the child or young person to concentrate better in class and achieve their academic goals for that school year. The committee also felt that less weight should be given to behavioural outcomes in this context as these might be a result of experiencing emotional distress. The committee acknowledged that social and emotional skills are very important in order to build the resilience needed to help manage adverse circumstances that might otherwise lead to emotional distress.
As mental health difficulties can impact on school measures, outcomes such as poor school attendance and school exclusions may serve as a proxy for identifying mental health-related problems. School exclusions are often a result of behavioural problems linked with emotional distress. The consequences of school exclusions often include family distress which may have a negative impact on mental wellbeing.
4.2.2. The quality of the evidence
School transitions
Quantitative evidence
There were 13 studies identified that evaluated interventions that provide support at a time of school transition. Of these studies, 4 were carried out in the UK, 4 in the USA, 3 in Greece, 1 in Portugal and 1 in Australia. Most of the studies focused on the transition between primary and secondary school (n=9). Other studies (n=3) focused on the middle to high school transition (UK equivalent KS3 to KS4) and the final study focused on children who had recently transitioned to the first year of primary school (UK equivalent KS1). Although education environments vary across different countries, the committee acknowledged that the type and timing of the transitions in the evidence were equally important in the UK setting.
The interventions evaluated in the studies varied. They included universal approaches which included transition-specific content in the curriculum or focused on social and emotional learning skills such as emotional literacy. Some interventions took a more whole-school approach to transitions. Other studies focused on targeted populations that needed extra support during transitions due to reasons including below average scores in literacy, elevated depression symptoms or children with ASD. Many of the interventions were delivered by school staff such as teachers, teaching assistants and SENCOs. Other interventions required a specialist provider such as an educational psychologist. One of the targeted interventions was provided by a counsellor.
The studies used usual support or other undefined control interventions as the comparator but did not always explain in detail what the students received. The committee would have liked to have had this detail, to enable a better interpretation of the findings and how it might apply to or differ from the UK setting.
The duration of the interventions ranged between 5 -12 weeks with some being delivered throughout most of the school year. The committee noted that this fitted an older model of school term time whereas in the UK, schools are starting to move towards a 6-term academic year with each term lasting at least 6 weeks. The committee acknowledged that the 9 to 10-week timeframe for interventions in the evidence might not be generalisable to this system.
Of the studies identified, 4 were cluster randomised controlled trials (cRCT), 3 were individually randomised controlled trials (RCT) and 6 were non-randomised controlled trials (NRCT). In a cluster design, participant data cannot be assumed to be independent of one another and should be accounted for in the analysis of the cRCT. Failure to do so leads to a unit of analysis error and over-estimation in the results. Whilst this is a known concern about analysing data in cRCTs, not all the included studies reported how they adjusted their analyses for clustering which impacted on the overall confidence in the evidence for these studies.
All the outcomes reported in these studies were obtained through self-reported measures. The committee identified that this may have implications with regards methodological limitations. For example, it is likely that participants knew which intervention they were allocated to and therefore the use of self-reported outcomes may introduce bias in outcome reporting.
There were no studies identified that reported on school exclusions. There were no unintended consequences reported in the studies, but the committee noted that there was no evidence that the interventions led to any harm based on the outcomes that were reported.
All outcomes were rated moderate to very low confidence in GRADE with most studies being low. The main reasons for downgrading were risk of bias of the study and imprecision of the effect estimates.
Qualitative evidence
There were 5 studies identified that contributed to the qualitative findings that included views and experiences of children moving between primary and secondary education. Two studies focused on those receiving a transition intervention. Three studies focused on curriculum support (universal literacy or maths and targeted support for both) at the time of transition through a programme that enhances the link between a secondary school and its feeder primary schools. These studies also included views and experiences of the teachers involved in the programmes, headteachers and education authority representatives. The themes identified included pre-intervention school transition expectations, the primary to secondary school link, impact on transition, post-intervention expectations of school transition and the post-intervention transition experience. Four studies also contributed to the findings for barriers and facilitators to implementing the intervention. The overall confidence in the evidence was moderate to high across all of the identified themes. The committee considered the evidence for managed moves separately from the general school transitions evidence because they agreed that managed moves might be a different case that made it more difficult for children and young people to integrate with their new school. They agreed that the evidence for managed moves raised the same kinds of themes that were found in the general data and were reassured that the recommendations they were making applied equally to people who were placed in schools as the result of a managed move.
Life transitions
Quantitative evidence
The committee reviewed some limited evidence about support for family break-up. There were 2 studies identified that evaluated interventions that provide support for children who are experiencing parental separation or divorce. Of these studies, 1 was carried out in the USA and 1 in The Netherlands. Both studies focused on primary school-aged children and were group interventions that specifically focused on divorce and parental separation. The interventions differed in the two studies in terms of who provided the group sessions. One study used school psychologists, social workers or the school principal. The other study used a psychiatric nurse, advanced clinical psychology graduate students or trained para-professionals. This does not reflect current practice and the committee were concerned about generalisability to the UK school setting.
Both studies used an undefined control intervention as the comparator did not further explain exactly what the children in the control group received. The committee would have liked to have had this detail, to enable a better interpretation of the findings and how it might apply to or differ from the UK setting.
There were 4 studies identified that evaluated interventions that provided support for young people who were from immigrant or refugee families. One study was carried out in Australia and three were carried out in Canada. One study included young people who had experienced war violence, one study included young people who were newly arrived immigrant and refugees. The remaining two studies included immigrant and refugee youth who had been assigned to special classes due to behavioural problems.
The interventions evaluated in the studies included drama therapy, theatre workshops, group tutoring and a CBT-based intervention. They were provided by a range of people including people from a variety of cultural backgrounds with training in psychology and/or creative arts therapies. One study used a core teacher and other studies used graduate psychology students. The interventions were delivered in sessions lasting 60-90mins.
The duration of the interventions were 8-12 weeks. As with school transition interventions, this fitted an older model of school term time and may not be generalisable to the newer model that schools are moving towards.
Five of the studies identified were cRCTs and the other was an NRCT. Not all the cRCTs reported how they adjusted their analyses for clustering which impacted on the overall confidence in the evidence from those studies.
All the outcomes reported in these studies were obtained through self-reported measures. The committee identified that this may have implications with regards to methodological limitations. For example, it is likely that participants knew which intervention they were allocated to and therefore the use of self-reported outcomes may introduce bias in outcome reporting.
There were no studies identified that reported on academic attainment and progression, school attendance or school exclusions. There were no unintended consequences reported in the studies, but the committee noted that there was no evidence that the interventions led to any harm based on the outcomes that were reported.
Qualitative evidence
There was one study identified that contributed to the qualitative findings for transition support for young people from immigrant and refugee families. This study explored the views and experiences of these young people who had received support from a secondary school-based mental health service. The themes identified in the study were the acceptability of the school setting, the role of teachers and impact of the intervention. Barriers to delivering the intervention were also identified in the study. The overall confidence in the evidence was moderate mainly due to just one study being identified.
4.2.3. Benefits and harms
School transitions
The quantitative evidence showed that interventions that used a transition-focused curriculum improved self-esteem and reduced loneliness and social dissatisfaction in children transitioning from primary to secondary school. An intervention that used a social and emotional learning curriculum showed an improvement in social skills and prosocial behaviour and a reduction in aggressive and disruptive behaviour in children who were in their first year of primary school.
Whole school approaches to transition showed no significant difference for bullying, depression symptoms, emotional symptoms, anxiety or stress.
Targeted approaches to transition may reduce behavioural difficulties for children moving from primary to secondary school but showed no significant difference for self-esteem or prosocial behaviour. A targeted intervention showed no significant difference for the number of young people above the clinical cut off for depression who were transitioning from middle to high school.
The qualitative evidence showed that children were mostly concerned about the fear of the unknown when moving from primary to secondary school. This was alleviated through increasing familiarisation with the new school environment and increasing preparedness with regards to the schoolwork that children and young people are expected to carry out in secondary education. These factors were key to the acceptability of the interventions aimed at supporting school transitions and were achieved through the implementation of an intervention that introduced cross-working between secondary schools and their feeder primaries. Considering this, the committee agreed that it was important for children to understand the culture and the environment of the school that they were moving into. They acknowledged that some of the interventions were curriculum-focused and this is important to schools, but they considered it important not to lose sight of the concerns of children undergoing transition. The committee also noted that because children and young people with SEND often require more support, it might be that extra opportunities for familiarisation of a new school would be needed for these children. Early transition arrangements are particularly important for SEND pupils.
The committee agreed that based on the evidence and extrapolating from it with their own experience and expertise it was clear that having a relationship with the child or young person would enable staff to understand the child or young person’s concerns and thoughts about changing schools and could plan ways to support them.
Some teachers in the qualitative evidence expressed concerns about the cross-working initially because of the risk of ‘stepping on the toes’ of teachers in the other schools. However, having a person in this role that can help build positive relationships between the schools can reduce these concerns and help to facilitate the intervention delivery. The committee would have liked more detail on what person would be ideal in this role but agreed that it did not have to be a teacher but could be another member of school staff. Whoever the person was, the appropriate sharing of information between schools can help smooth the transition for the child or young person, especially for those at risk of poor social, emotional and mental wellbeing.
The committee acknowledged that the qualitative evidence was based only on secondary schools and their feeder schools and that there was a gap in the evidence for children who move to a secondary school from a non-feeder school. These children will often move to their new school without the support of existing friendships. The committee reflected the importance of supporting children and young people with the loss of important relationships caused by school transitions, in their recommendations.
Significant life changes
The quantitative evidence showed that group interventions used to support children who have experienced parental separation or divorce may reduce behavioural problems but showed no statistical difference in improving competencies or reducing emotional distress.
The quantitative evidence showed that interventions to support newly arrived immigrant and refugee youth, including those who were targeted for behavioural problems showed no significant difference in improving self-esteem or prosocial behaviour. There was also no significant difference in reducing behavioural problems.
The qualitative evidence showed that refugee and immigrant youth were acceptinge of mental health support taking place in the school setting. They valued the safety and the familiarity that schools provided compared to a clinical setting and said that it helped to remove the stigma of seeking mental health support. However, some pupils were concerned about the hectic nature of schools and the potential for lack of privacy. Pupils also acknowledged that teachers played an important role in mediating or supporting their contact with the mental health service.
The committee noted the paucity of the evidence about the role that schools could play in supporting children and young people through difficult life changes outside of school, but agreed that schools should try to address any reasonable needs identified by children or young people going through these kinds of transitions, with the help of internal specialists (for example the safeguarding lead) and external agencies.
4.2.4. Cost effectiveness and resource use
The committee noted that no published cost effectiveness evidence had been identified on interventions to support the social, emotional and mental wellbeing of children during periods of transition (such as between schools, life stages or due to traumatic events).
In the absence of published evidence, the committee agreed it would be informative to develop a bespoke economic model to support decision makers understanding of the potential economic and wellbeing implications of introducing a new intervention. The model adopted cost consequences analysis as well as cost benefit analysis out of concern that the QALY is limited with regard to capturing the wide variety of outcomes relevant to childhood current and future wellbeing. Expert views were taken into account in the model. The committee noted that data paucity considerably limited the assessment of impact and cost effectiveness.
The committee considered the findings of the model which showed the interventions could be cost effective and what the key drivers of cost effectiveness were. However, they were mindful that the outcomes used in the model are associated with great uncertainty. They observed that children and young people’s outcomes could be positive or negative or a combination of the two. and that there was no evidence available to know the combined effect of an intervention across different outcomes. For positive outcomes they considered the model may over-estimate the overall benefit whereas for negative outcomes it may underestimate the total benefit. The committee believed it crucially important schools and other education settings take account of any potential adverse consequences in deciding whether to fund an intervention.
The committee were particularly concerned by the lack of studies on the long-term impact of intervening. They agreed that improvement in social and emotional wellbeing could lead to improvements in quality of life as well as improvements in academic progression and attainment. They also agreed there were likely to be benefits to the wider system including helping young people to become happy and successful adults, prepared for the opportunities, responsibilities and experiences of adult life. That the model was unable to capture these potential benefits due to an absence of data was considered a major limitation. From this view, the model could underestimate the benefit of all interventions. Other limitations noted include an oversimplification of the effect of an intervention by dichotomising continuous variables above and below a determined threshold and the lack of evidence on utility values. This could result in either underestimates or overestimates of the cost effectiveness outcomes.
They were also aware that the lack of data meant it had not been possible to adopt a holistic approach which captures the importance of a supportive and secure environment (e.g. supportive peers, role models, personal feelings of safety - to feel safe from being bullied, safe to report things without fear of stigma) and an ethos that avoids stigma and discrimination in relation to mental health and social and emotional difficulties.
The committee agreed that the potential cost effectiveness of an intervention is impacted by a myriad of factors including those relating to the intervention such as the local cost of delivery and who delivers the intervention as well as external factors such as family and peer relationships. It was also acknowledged by some that this is a relatively new field of science by which very minor changes in context or circumstance can dramatically impact the findings. Taken together with the substantial variability in the interventions available, the heterogeneity across schools and the limitations of the evidence the committee considered it unwise to draw broad conclusions from the model. Rather the committee agreed decision makers should make use of the economic model to understand the potential economic and wellbeing implications when considering the introduction of a new intervention in school and help identify any gaps in current research. The committee believe this could also help guide future research with the aim of improving the mental health and wellbeing of children and young people.
The committee highlighted that schools and higher educational settings have a statutory duty to address mental health issues – by teaching about and promoting mental well-being and ways to prevent negative impacts on mental well-being.
Finally, whilst the committee considered that implementing interventions might incur additional costs where these are not already in place, they believe that an integrated approach, using universal, whole school, targeted and transition interventions could prevent outcomes which can lead to costly consequences for wider system including the NHS, social services and the criminal justice system.
4.2.5. Other factors the committee took into account
The committee discussed the environment in primary schools where children frequently have close supervision from a trusted key adult and learn in small groups in a safe and nurturing environment. This environment should help with providing the framework for implementing extra support for social and emotional wellbeing. In contrast the environment in secondary school where children and young people work in different groups with multiple teachers and where there are generally different expectations, requires them to take care of themselves more. The qualitative evidence supports this view in that pupils moving from primary to secondary school were anxious about the new daunting and complex environment. This type of dynamic environment may contribute to a delay in identifying children and young people with poor social and emotional competencies. The committee agreed that children and young people need to be supported through those changing relationships.
The committee considered that key information about the pupil should be transferred when they start a new school but should be used in a non-stigmatised way. This information should focus on the pupil’s strengths as well as their needs. The committee considered parent involvement in discussions around the information that is transferred between schools. They noted that is was good practice for schools to be working in a person-centred way which would involve scheduling a transition meeting with parents to consider their child’s social and emotional wellbeing if a possible need for support has been identified.
The committee noted that in practice, access to peer support such as mentors and ‘buddy’ systems is key to successful school transitions, though training needed to be given to the mentors and made recommendations to this effect. They considered that primary schools could focus on building friendships ahead of these pupils meeting new peers. They also considered that it was important to continue the transition support once the child was at their new school and the new school had a responsibility to make sure that each child and young person was thriving in the new environment. The committee therefore made a recommendation to continue provide support after transitions have taken place. They were of the opinion that children who were known to be at higher risk of poor social, emotional and mental wellbeing should be monitored more often. They acknowledged that the new statutory guidance “Relationships education, relationships and sex education (RSE) and health education” (Department for Education) will help to schools enable pupils feel comfortable and confident during school transition.
Finally, the committee discussed managed moves, where a child or young person is placed in a new school by the local authority or by school-to-school voluntary agreement. They agreed that in their experience these transitions should be treated in the same way as other transitions and therefore all of the recommendations would apply to them.
4.2.6. Recommendations supported by this evidence review
This evidence review supports recommendations 1.5.1 to 1.5.7 and the research recommendation on Transitions.
5. References – included studies
- Bagley, C. and Hallam, S. (2015) Managed moves: school and local authority staff perceptions of processes, success and challenges. Emotional and Behavioural Difficulties 20(4): 432–447
- Bagley, Christopher and Hallam, Susan (2016) Young people’s and parent’s perceptions of managed moves. Emotional & Behavioural Difficulties 21(2): 205–227
- Bagnall, Charlotte Louise, Fox, Claire Louise, Skipper, Yvonne et al. (2021) Evaluating a universal emotional-centred intervention to improve children’s emotional well-being over primary-secondary school transition. Advances in Educational Research and Evaluatio. 2(1): 113–126
- Blossom, JB, Adrian, MC, Stoep, AV et al. (2019) Mechanisms of Change in the Prevention of Depression: an Indicated School-Based Prevention Trial at the Transition to High School. Journal of the American Academy of Child and Adolescent Psychiatry [PMC free article: PMC6920576] [PubMed: 31228560]
- Brouzos, Andreas, Vassilopoulos, Stephanos P, Vlachioti, Antigone et al. (2020) A coping?oriented group intervention for students waiting to undergo secondary school transition: Effects on coping strategies, self?esteem, and social anxiety symptoms. Psychology in the Schools 57(1): 31–43
- Bryan R; Treanor M; MVA C (2007) Evaluation of pilots to improve primary to secondary school transitions *EAST AYRSHIRE*. Scottish Executive
- Bryan R; Treanor M; MVA C (2007) Evaluation of pilots to improve primary to secondary school transitions *EASTBANK ACADEMY*. Scottish Executive
- Bryan, Ruth; Treanor, Morag; MVA, Consultancy (2007) Evaluation of pilots to improve primary to secondary school transitions *NORTH LANARKSHIRE*. Scottish Executive
- Bunn, Helena and Boesley, Lauren (2019) My New School: Transition to high school for children with special educational needs in England-Findings and ideas for practice. Support for Learning 34(2): 128–147
- Coelho, Vitor Alexandre; Marchante, Marta; Jimerson, Shane R (2017) Promoting a Positive Middle School Transition: A Randomized-Controlled Treatment Study Examining Self-Concept and Self-Esteem. Journal of youth and adolescence 46(3): 558–569 [PubMed: 27230119]
- Corsello, Maryann and Sharma, Anu (2015) The Building Assets-Reducing Risks Program: Replication and Expansion of an Effective Strategy to Turn Around Low-Achieving Schools. i3 Development Grant. Final Report. Grantee Submission: 1–59
- Corsello, Maryann; Sharma, Anu; Jerabek, Angela (2015) Successful Transition to High School: A Randomized Controlled Trial of the Barr Model with 9th Grade Students.: 1–11
- Craggs, Holly and Kelly, Catherine (2018) School Belonging: Listening to the Voices of Secondary School Students Who Have Undergone Managed Moves. School Psychology International 39(1): 56–73
- Cross, D., Shaw, T., Epstein, M. et al. (2018) Impact of the Friendly Schools whole-school intervention on transition to secondary school and adolescent bullying behaviour. European Journal of Education 53(4): 495–513
- Dawes, M, Farmer, T, Hamm, J et al. (2019) Creating Supportive Contexts for Early Adolescents during the First Year of Middle School: impact of a Developmentally Responsive Multi-Component Intervention. Journal of youth and adolescence [PubMed: 31705384]
- Fazel, Mina; Garcia, Jo; Stein, Alan (2016) The right location? Experiences of refugee adolescents seen by school-based mental health services. Clinical child psychology and psychiatry 21(3): 368–80 [PubMed: 26907460]
- Flitcroft, D. and Kelly, C. (2016) An appreciative exploration of how schools create a sense of belonging to facilitate the successful transition to a new school for pupils involved in a managed move. Emotional and Behavioural Difficulties 21(3): 301–313
- Harris, B., K. Vincent, P. Thomson ART (2006) Does Every Child Know They Matter? Pupils’ Views of One Alternative to Exclusion. Pastoral Care in Education: 28–38
- Humphrey, Neil and Ainscow, Mel (2006) Transition Club: Facilitating Learning, Participation and Psychological Adjustment during the Transition to Secondary School. European Journal of Psychology of Education 21(3): 319–331
- Johnson, Valerie L, Holt, Laura J, Bry, Brenna H et al. (2008) Effects of an integrated prevention program on urban youth transitioning into high school. Journal of Applied School Psychology 24(2): 225–246
- Makover, H, Adrian, M, Wilks, C et al. (2019) Indicated Prevention for Depression at the Transition to High School: outcomes for Depression and Anxiety. Prevention science 20(4): 499–509 [PubMed: 30852711]
- Mandy, William, Murin, Marianna, Baykaner, Ozlem et al. (2016) Easing the Transition to Secondary Education for Children with Autism Spectrum Disorder: An Evaluation of the Systemic Transition in Education Programme for Autism Spectrum Disorder (STEP-ASD). Autism: The International Journal of Research and Practice 20(5): 580–590 [PMC free article: PMC4887819] [PubMed: 26304678]
- Ooi, Chew S., Rooney, Rosanna M., Roberts, Clare et al. (2016) The Efficacy of a Group Cognitive Behavioral Therapy for War-Affected Young Migrants Living in Australia: A Cluster Randomized Controlled Trial. Frontiers in psychology 7: 1641 [PMC free article: PMC5086861] [PubMed: 27843435]
- Pedro-Carroll, J.L., Alpert-Gillis L (1997) Preventive Interventions for Children of Divorce: A Developmental Model for 5 and 6 Year Old Children. Journal of Primary Prevention 18: 5–23
- Pedro-Carroll, JoAnne L; Sutton, Sara E; Wyman, Peter A (1999) A two-year follow-up evaluation of a preventive intervention for young children of divorce. School Psychology Review 28(3): 467–476
- Pelleboer-Gunnink, Hannah A, Van der Valk, Inge E, Branje, Susan J T et al. (2015) Effectiveness and moderators of the preventive intervention kids in divorce situations: A randomized controlled trial. Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) 29(5): 799–805 [PubMed: 26121535]
- Qualter, P., Whiteley, H. E., Hutchinson, J. M. et al. (2007) Supporting the Development of Emotional Intelligence Competencies to Ease the Transition from Primary to High School. Educational Psychology in Practice 23(1): 79–95
- Rousseau, Cecile, Beauregard, Caroline, Daignault, Katherine et al. (2014) A cluster randomized-controlled trial of a classroom-based drama workshop program to improve mental health outcomes among immigrant and refugee youth in special classes. PloS one 9(8): e104704 [PMC free article: PMC4134233] [PubMed: 25127251]
- Rousseau, Cecile, Benoit, Maryse, Gauthier, Marie-France et al. (2007) Classroom drama therapy program for immigrant and refugee adolescents: a pilot study. Clinical child psychology and psychiatry 12(3): 451–65 [PubMed: 17953131]
- Rutt, Simon; Kettlewell, Kelly; Bernardinelli, Daniele (2015) Catch Up? Literacy: Evaluation Report and Executive Summary.: 1–33
- Vassilopoulos, Stephanos P.; Brouzos, Andreas; Koutsianou, Athina (2018) Outcomes of a Universal Social and Emotional Learning (SEL) Group for Facilitating First-Grade Students’ School Adjustment. International Journal of School & Educational Psychology 6(3): 223–236
- Vassilopoulos, Stephanos P., Diakogiorgi, Kleopatra, Brouzos, Andreas et al. (2018) A Problem-Oriented Group Approach to Reduce Children’s Fears and Concerns about the Secondary School Transition. Journal of Psychologists and Counsellors in Schools 28(1): 84–101
- Vincent, K., B. Harris, P. Thomson ART (2007) Managed Moves: Schools Collaborating for Collective Gain. Emotional and Behavioural Difficulties 4(12): 283–298
5.1. Effectiveness and qualitative
5.2. Economic
No economic studies were included.
Appendices
Appendix A. Review protocols
A.1. Review protocol for transition support (PDF, 236K)
Appendix B. Literature search strategies
Please see below for Medline strategy. For full search strategies refer to the searches document on the guideline webpage. Source: MEDLINE
Database: Ovid MEDLINE(R) <1946 to January 22, 2020>
Search Strategy:
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- ((school* or year or class or “key stage*”) and transition*).ti,ab. (21405)
- “education* transition*”.ti,ab. (63)
- (school adj2 (adjust* or maladjust* or engagement* or intergrat* or connected* or belonging)).ti,ab. (1354)
- ((school* or academic) adj2 (achieve* or attain* or progress* or success or motivat*)).ti,ab. (7916)
- or/1-4 (30311)
- ((start* or move or moving or change or changing or enter or entering or entry or admission* or transfer* or settle or settling or transition*) adj2 school*).ti,ab. (3949)
- (“ready child*” or “ready school*” or “ready famil*”).ti,ab. (4)
- “school readiness”.ti,ab. (457)
- (school* and (exclud* or exclusion* or refus* or isolat*)).ti,ab. (8276)
- (admission* and (casual or “in year” or in-year or fair) and school*).ti,ab. (59)
- (life adj2 (chang* or transition* or disrupt*)).ti,ab. (7422)
- “adverse childhood experience*”.ti,ab. (1072)
- Life Change Events/ (22457)
- ((famil* or parent* or marital or marriage) adj3 (break* or split or divorce or separat*)).ti,ab. (5920)
- Family separation/ or Divorce/ (4648)
- child abuse/ or child abuse, sexual/ (29836)
- ((domestic or family or child* or physical or emotional or sexual) adj3 (abuse* or violence or exploit*)).ti,ab. (36111)
- (child* adj3 (neglect* or mistreat* or maltreat* or molest*)).ti,ab. (7596)
- puberty.ti,ab. (24407)
- Puberty/ (13149)
- (grief or death or bereave* or mourn*).ti,ab. (603096)
- bereavement/ or grief/ (12975)
- ((parent* or carer*) adj3 (depress* or anxiet* or “mental health”)).ti,ab. (5746)
- ((family or parent*) and ((alcohol or drug or substance) adj2 (use* or misuse* or abuse* or addict*))).ti,ab. (18248)
- ((parent* or carer*) and (prison* or imprisoned or incarcerat*)).ti,ab. (624)
- ((move or moving) adj2 (home or house)).ti,ab. (164)
- (migrant* or migrat* or immigrant* or refugee* or “asylum seek*”).ti,ab. (292420)
- Refugees/ or “Transients and Migrants”/ or “Emigrants and Immigrants”/ (30760)
- ((homeless* or housing or street) adj3 (child* or teen* or youth* or “young person*” or “young people” or adolescen*)).ti,ab. (2173)
- (runaway* adj3 (child* or teen* or youth* or “young person*” or “young people” or adolescen*)).ti,ab. (232)
- Homeless Youth/ (1250)
- ((poverty or impoverish* or poor or “low income”) and (child* or teen* or youth* or “young person*” or “young people” or adolescen* or famil* or parent*)).ti,ab. (92323)
- Poverty/ (36646)
- ((chronic or “long term” or long-term) adj2 (illness or ill-health or “ill health” or disease* or condition*)).ti,ab. (197760)
- Chronic Disease/ (259476)
- Disabled Children/ (6109)
- ((disabled or disabilit* or handicap*) adj3 (child* or teen* or youth* or “young person*” or “young people” or adolescen*)).ti,ab. (14318)
- or/6-37 (1546787)
- (school* or pupil* or teacher or teaching or headteacher* or headmaster* or headmistress*).ti,ab. (367463)
- (((city or technical) and (academy or academies or college*)) or sixth-form* or “sixth form*” or “6th form*” or “lower six*” or “upper six*” or “post 16” or post-16 or “further education”).ti,ab. (4715)
- (“secure children* home*” or “young offender* institution*” or “secure training cent*” or “secure school*”).ti,ab. (50)
- (“year one” or “year 1” or “year two” or “year 2” or “year three” or “year 3” or “year four” or “year 4” or “year five” or “year 5” or “year six” or “year 6” or “year seven” or “year 7” or “year eight” or “year 8” or “year nine” or “year 9” or “year ten” or “year 10” or “year eleven” or “year 11” or “year twelve” or “year 12” or “year thirteen” or “year 13” or “key stage one” or “key stage 1” or “key stage two” or “key stage 2” or “key stage three” or “key stage 3” or “key stage four” or “key stage 4” or “key stage five” or “key stage 5” or KS1 or KS2 or KS3 of KS4 or KS5 or “grade one” or “grade 1” or “grade two” or “grade 2” or “grade three” or “grade 3” or “grade four” or “grade 4” or “grade five” or “grade 5” or “grade six” or “grade 6” or “grade seven” or “grade 7” or “grade eight” or “grade 8” or “grade nine” or “grade 9” or “grade ten” or “grade 10” or “grade eleven” or “grade 11” or “grade twelve” or “grade 12” or “first grade” or “1st grade*” or “second grade*” or “2nd grade*” or “third grade*” or “3rd grade*” or “fourth grade*” or “4th grade*” or “fifth grade*” or “5th grade*” or “sixth grade*” or “6th grade*” or “seventh grade*” or “7th grade*” or “eighth grade*” or “8th grade*” or “ninth grade*” or “9th grade*” or “tenth grade*” or “10th grade*” or “eleventh grade*” or “11th grade*” or “twelfth grade*” or “12th grade*”).ti,ab. (101504)
- schools/ or school health services/ or school nursing/ or school teachers/ (55762)
- or/39-43 (468490)
- (medical or medicine or dental or dentist* or doctor* or physician* or nursing or “teaching hospital*” or undergraduate* or graduate* or postgraduate* or preschool* or pre-school* or nursery or “higher education” or university or universities).ti,ab. (2180256)
- 44 not 45 (280236)
- 5 and 38 and 46 (2418)
- limit 47 to (letter or historical article or comment or editorial or news or case reports) (50)
- 47 not 48 (2368)
- limit 49 to english language (2285)
- limit 50 to yr=“1995 -Current” (2025)
- remove duplicates from 51 (2017)
Appendix C. Effectiveness and qualitative evidence study selection
Download PDF (118K)
Appendix D. Effectiveness and Qualitative evidence
D.1. Effectiveness evidence (PDF, 892K)
D.2. Acceptability and barriers and facilitators evidence (PDF, 306K)
D.3. Managed Moves (PDF, 259K)
Appendix F. GRADE and GRADE-CERQual tables
F.1. GRADE tables (PDF, 207K)
F.2. GRADE CERQual tables (PDF, 189K)
Appendix G. Economic evidence study selection
Download PDF (255K)
Appendix H. Economic evidence tables
No published economic evaluations were identified for RQ6.1 on Transitions.
Appendix I. Health economic model
A bespoke model was developed to capture the costs and consequences of an intervention, or combination of interventions, that promote social, emotional and mental wellbeing in children and young people in primary and secondary education. It covers more than 1 evidence review in the guideline so the full write up is contained in a separate document rather than in appendix I (see Evidence review J).
Appendix J. Excluded studies
Study | Code [Reason] |
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(2011) Coping Power. What Works Clearinghouse Intervention Report. What Works Clearinghouse: 1–24 |
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(2020) Bridging the Gap: How Wentworth Provides a Personalized and Local Approach to College and Career Readiness. Rennie Center for Education Research & Policy: 1–22 |
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Abbott, David and Heslop, Pauline (2009) Out of sight, out of mind? Transition for young people with learning difficulties in out-of-area residential special schools and colleges. BRITISH JOURNAL OF SPECIAL EDUCATION |
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Akos, Patrick (2002) Student perceptions of the transition to middle school. Professional School Counseling 5(5): 339–345 |
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Akos, Patrick and Galassi, John P. (2004) Middle and High School Transitions as Viewed by Students, Parents, and Teachers. Professional School Counseling 7(4): 10–212 |
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Aktas, Burcu; Kot, Mehtap; Yikmis, Ahmet (2020) Transition Planning and Transition Services in Special Education. |
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Andrews, Colin and Bishop, Penny (2012) Middle grades transition programs around the globe: Effective school transition programs take a comprehensive approach to ensuring student success in the middle grades. Middle School Journal 44(1): 8–14 |
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Aragon, Lisa Teachanarong (2020) Improving Outcomes for Children Impacted by Adverse Childhood Experiences (ACEs): A Study of Intervention Effectiveness Guided by Developmental Theory. |
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Arum, R. and Shavit, Y. (1995) SECONDARY VOCATIONAL-EDUCATION AND THE TRANSITION FROM SCHOOL TO WORK. Sociology of Education 68(3): 187–204 |
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Ashburner, J. K.; Bobir, N. I.; van Dooren, K. (2018) Evaluation of an Innovative Interest-Based Post-School Transition Programme for Young People with Autism Spectrum Disorder. International Journal of Disability Development and Education 65(3): 262–285 |
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Ashton, Rebecca (2008) Improving the Transfer to Secondary School: How Every Child’s Voice Can Matter. Support for Learning 23(4): 176–182 |
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Awsumb, Jessica M., Carter, Erik W., Schutz, Michele A. et al. (2020) Perspectives of pre-employment transition services providers on preparing youth with disabilities for employment. Journal of Vocational Rehabilitation 53(2): 205–218 |
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Baert, S. and Cockx, B. (2013) Pure ethnic gaps in educational attainment and school to work transitions: When do they arise?. Economics of Education Review 36: 276–294 |
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Bagnall, Charlotte L; Fox, Claire L; Skipper, Yvonne (2021) What emotional-centred challenges do children attending special schools face over primary-secondary school transition?. Journal of Research in Special Educational Needs: no-specified |
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Bagnall, Charlotte Louise (2020) Talking about School Transition (TaST): an emotional centred intervention to support children over primary-secondary school transition. Pastoral Care in Education 38(2): 116–137 |
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Bagnall, Charlotte Louise; Skipper, Yvonne; Fox, Claire Louise (2019) ‘You’re in this world now’: Students’, teachers’, and parents’ experiences of school transition and how they feel it can be improved. The British journal of educational psychology [PubMed: 30868577] |
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Bagnall, Charlotte Louise; Skipper, Yvonne; Fox, Claire Louise (2020) ‘You’re in this world now’: Students’, teachers’, and parents’ experiences of school transition and how they feel it can be improved. The British journal of educational psychology 90(1): 206–226 [PubMed: 30868577] |
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Bailey, Suzanne and Baines, Ed (2012) The impact of risk and resiliency factors on the adjustment of children after the transition from primary to secondary school. Educational and Child Psychology 29(1): 47–63 |
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Bark, Caroline and Brooks, Greg (2016) How Can Children with Mild Literacy Difficulties Be Supported at the Transition to Secondary School? A Small-Scale Quasi-Experimental Study. British Journal of Special Education 43(4): 373–393 |
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Barry, Mark; Murphy, Mike; O’Donovan, Hugh (2017) Assessing the effectiveness of a cognitive behavioural group coaching intervention in reducing symptoms of depression among adolescent males in a school setting. International Coaching Psychology Review 12(2): 101–109 |
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Bayer, Amanda; Grossman, Jean Baldwin; DuBois, David L. (2013) School-Based Mentoring Programs: Using Volunteers to Improve the Academic Outcomes of Underserved Students. MDRC: 1–46 |
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Bayer, J.K., Mundy, L., Stokes, I. et al. (2018) Bullying, mental health and friendship in Australian primary school children. Child and Adolescent Mental Health 23(4): 334–340 [PubMed: 32677138] |
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Bennouna, Cyril, Khauli, Nicole, Basir, Mashal et al. (2019) School-based programs for Supporting the mental health and psychosocial wellbeing of adolescent forced migrants in high-income countries: A scoping review. Social science & medicine (1982) 239: 112558 [PubMed: 31539785] |
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BERESFORD, Bryony and CAVET, Judith (2009) Transitions to adult services by disabled young people leaving out of authority residential schools. Social Care Online: 4p- |
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Berlin, Lisa J; Dunning, Rebecca D; Dodge, Kenneth A (2011) Enhancing the Transition to Kindergarten: A Randomized Trial to Test the Efficacy of the “Stars” Summer Kindergarten Orientation Program. Early childhood research quarterly 26(2): 247–254 [PMC free article: PMC3184005] [PubMed: 21969767] |
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BERRIDGE, David and et al (2015) The educational progress of looked after children in England. Technical report 3: perspectives of young people, social workers, carers and teachers. Social Care Online: 36- |
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Beyer, Stephen and Kaehne, Axel (2008) The transition of young people with learning disabilities1 to employment: What Works?. Journal on Developmental Disabilities 14(1): 85–94 |
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Bharara, Gazal (2020) Factors facilitating a positive transition to secondary school: A systematic literature review. International Journal of School & Educational Psychology 8(sup1): 104–123 |
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Bierman, Karen L., Welsh, Janet A., Heinrichs, Brenda S. et al. (2015) Helping Head Start Parents Promote Their Children’s Kindergarten Adjustment: The Research-Based Developmentally Informed Parent Program. Child Development 86(6): 1877–1891 [PMC free article: PMC4626262] [PubMed: 26494108] |
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Birturk, Atilay and Karagun, Elif (2015) The Effect of Recreational Activities on the Elimination of State-Trait Anxiety of the Students Who Will Take the SBS Placement Test. Educational Research and Reviews 10(7): 894–900 |
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Blackman, David (2004) Countdown to big school. NEW START |
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Bloyce, Jackie and Frederickson, Norah (2012) Intervening to improve the transfer to secondary school. Educational Psychology in Practice 28(1): 1–18 |
|
Borman, Geoffrey D, Rozek, Christopher S, Pyne, Jaymes et al. (2019) Reappraising academic and social adversity improves middle school students’ academic achievement, behavior, and well-being. Proceedings of the National Academy of Sciences of the United States of America 116(33): 16286–16291 [PMC free article: PMC6697885] [PubMed: 31358624] |
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Bottcher, L. (2014) Transition between home and school in children with severe disabilities - Parents’ possibilities for influencing their children’s learning environment. Learning Culture and Social Interaction 3(3): 195–201 |
|
Boyle, T.; Grieshaber, S.; Petriwskyj, A. (2018) An integrative review of transitions to school literature. Educational Research Review 24: 170–180 |
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Brown, Chris; Taylor, Carol; Ponambalum, Lorna (2016) Using Design-Based Research to Improve the Lesson Study Approach to Professional Development in Camden (London). London Review of Education 14(2): 4–24 |
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BRYAN, Ruth; TREANOR, Morag; HILL, Malcolm (2007) Evaluation of pilots to improve primary and secondary school transitions. Social care online: 141p- |
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Burke, K. M., Shogren, K. A., Antosh, A. A. et al. Implementing the SDLMI With Students With Significant Support Needs During Transition Planning. Career Development and Transition for Exceptional Individuals |
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Cahill, Susan M and Beisbier, Stephanie (2020) Occupational Therapy Practice Guidelines for Children and Youth Ages 5-21 Years. The American journal of occupational therapy : official publication of the American Occupational Therapy Association 74(4): 7404397010p1–7404397010p48 [PubMed: 32602457] |
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Cantali, Dianne (2019) Moving to Secondary School for Children with ASN: A Systematic Review of International Literature. British Journal of Special Education 46(1): 29–52 |
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Carlgren, I. (2009) The Swedish comprehensive school-lost in transition?. Zeitschrift Fur Erziehungswissenschaft 12(4): 633–649 |
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Carmen, Brenda; Waycott, Louise; Smith, Ken (2011) Rock Up: An initiative supporting students’ wellbeing in their transition to secondary school. Children and Youth Services Review 33(1): 167–172 |
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Carroll, C. (2015) A review of the approaches investigating the post-16 transition of young adults with learning difficulties. International Journal of Inclusive Education 19(4): 347–364 |
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Carter, Erik W., Lane, Kathleen L., Pierson, Melinda R. et al. (2008) Promoting Self-Determination for Transition-Age Youth: Views of High School General and Special Educators. Exceptional Children 75(1): 55–70 |
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Carter, Erik W., Trainor, Audrey A., Ditchman, Nicole et al. (2009) Evaluation of a Multicomponent Intervention Package to Increase Summer Work Experiences for Transition-Age Youth with Severe Disabilities. Research and Practice for Persons with Severe Disabilities (RPSD) 34(2): 1–12 |
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Cassoni, Cynthia, Correia-Zanini, Marta RG, Marturano, Edna Maria et al. (2020) Adaptive tasks: school transition from the 5th to 6th grade of elementary education. Psico-USF 25: 481–492 |
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Catterall, J. S. (1998) Risk and resilience in student transitions to high school. American Journal of Education 106(2): 302–333 |
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Certo, N. J., Luecking, R. G., Murphy, S. et al. (2008) Seamless Transition and Long-Term Support for Individuals With Severe Intellectual Disabilities. Research and Practice for Persons with Severe Disabilities 33(3): 85–95 |
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Chan, M. C. and Chadsey, J. G. (2006) High school teachers’ perceptions of school-to-work transition practices in Taiwan. Education and Training in Developmental Disabilities 41(3): 280–289 |
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Channell, M. M. and Loveall, S. J. (2018) Post-High School Transition for Individuals With Down Syndrome. International Review of Research in Developmental Disabilities, Vol 54 54: 105–135 |
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CHAPMAN Mimi, V. and SAWYER Jeffery, S. (2001) Bridging the gap for students at risk of school failure: a social work-initiated middle to high school transition program. Children and Schools 23(4): 235–240 |
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Chedzoy, S. M. and Burden, R. L. (2005) Making the Move: Assessing Student Attitudes to Primary-Secondary School Transfer. Research in Education 74: 22–35 |
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Chiumento, Anna, Nelki, Julia, Dutton, Carl et al. (2011) School-based mental health service for refugee and asylum seeking children: Multi-agency working, lessons for good practice. Journal of Public Mental Health 10(3): 164–177 |
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Cho, Y. and Kim, M. (2019) Achievement goal pursuit during the transition from middle school to high school: its antecedents and consequences from a self-determination perspective. Educational Psychology 39(8): 984–1004 |
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Cocorada, Elena and Mihalascu, Violeta (2012) Adolescent coping strategies in secondary school. Procedia-Social and Behavioral Sciences 33: 188–192 |
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Corrin, William, Sepanik, Susan, Rosen, Rachel et al. (2016) Addressing Early Warning Indicators: Interim Impact Findings from the Investing in Innovation (i3) Evaluation of Diplomas Now.: 1–126 |
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Cousineau, TM, Franko, DL, Trant, M et al. (2010) Teaching adolescents about changing bodies: randomized controlled trial of an Internet puberty education and body dissatisfaction prevention program. Body image 7(4): 296–300 [PMC free article: PMC2952729] [PubMed: 20638919] |
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Cox, Petrina; Bamford, Gillian M; Lau, Jennifer Y F (2016) Cognitive bias modification as a strategy to reduce children’s fears and concerns about the secondary school transition. Anxiety, stress, and coping 29(4): 447–56 [PubMed: 26110551] |
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Craig, Lesley J (2009) Post-school transitions: Exploring practice in one local authority. Educational and Child Psychology 26(1): 41–51 |
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Craven, Cindy; Mengel, Tammi; Barham, Martha (2004) Transitioning from school-to-work: one successful model. North Carolina medical journal 65(2): 107–9 [PubMed: 15239516] |
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Crooks, Claire V, Exner-Cortens, Deinera, Burm, Sarah et al. (2017) Two Years of Relationship-Focused Mentoring for First Nations, Metis, and Inuit Adolescents: Promoting Positive Mental Health. The journal of primary prevention 38(12): 87–104 [PubMed: 27848172] |
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Crooks, Claire V; Hoover, Sharon; Smith, Alexandra C. G (2020) Feasibility trial of the school-based strong intervention to promote resilience among newcomer youth. Psychology in the Schools: no-specified |
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DaGiau, Bette J (1997) A Program of Counseling and Guidance To Facilitate the Transition from Middle School to High School. |
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Davis II, Robert (2021) The Middle to High School Transition: An Applied Research Study to Improve and Support High School Readiness in High-Poverty Schools. |
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Davis, John M.; Ravenscroft, John; Bizas, Nik (2015) Transition, Inclusion and Partnership: Child-, Parent- and Professional-Led Approaches in a European Research Project. Child Care in Practice 21(1): 33–49 |
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Dawes, Molly, Farmer, Thomas, Hamm, Jill et al. (2020) Creating Supportive Contexts for Early Adolescents during the First Year of Middle School: Impact of a Developmentally Responsive Multi-Component Intervention. Journal of youth and adolescence 49(7): 1447–1463 [PubMed: 31705384] |
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Derrington, Chris (2005) Perceptions of Behaviour and Patterns of Exclusion: Gypsy Traveller Students in English Secondary Schools. Journal of Research in Special Educational Needs 5(2): 55–61 |
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Deuchar, R. (2009) Seen and heard, and then not heard: Scottish pupils’ experience of democratic educational practice during the transition from primary to secondary school. Oxford Review of Education 35(1): 23–40 |
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Diebel, Tara, Woodcock, Colin, Cooper, Claire et al. (2016) Establishing the effectiveness of a gratitude diary intervention on children’s sense of school belonging. Educational and Child Psychology 33(2): 117–129 |
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Dillon, Gayle Victoria and Underwood, Jean D. M. (2012) Parental Perspectives of Students with Autism Spectrum Disorders Transitioning from Primary to Secondary School in the United Kingdom. Focus on Autism and Other Developmental Disabilities 27(2): 111–121 |
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Dishion, Thomas J, Kavanagh, Kathryn, Schneiger, Alison et al. (2002) Preventing early adolescent substance use: a family-centered strategy for the public middle school. Prevention science : the official journal of the Society for Prevention Research 3(3): 191–201 [PubMed: 12387554] |
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Dockett, S. and Perry, B. (2003) The transition to school: What’s important?. Educational Leadership 60(7): 30–33 |
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Dockett, S.; Perry, B.; Whitton, D. (2010) What will my teacher be like? Picture storybooks about starting school. Australasian Journal of Early Childhood 35(3): 33–41 |
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Dockrell, Julie E and Lindsay, Geoff (2007) Identifying the educational and social needs of children with specific speech and language difficulties on entry to secondary school. Educational and Child Psychology 24(4): 101–115 |
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Easton-Brooks, D.; Robinson, D.; Williams, S. M. (2018) Schools in Transition: Creating a Diverse School Community. Teachers College Record 120(13) |
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Eisenhower, Abbey; Taylor, Heather; Baker, Bruce L. (2016) Starting Strong: A School-Based Indicated Prevention Program during the Transition to Kindergarten. School Psychology Review 45(2): 141–170 |
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Elizabeth Kim, B K, Oesterle, Sabrina, Catalano, Richard F et al. (2015) Change in Protective Factors Across Adolescent Development. Journal of applied developmental psychology 40: 26–37 [PMC free article: PMC4576918] [PubMed: 26405365] |
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Ellerbrock, Cheryl R.; Abbas, Bridget; DiCicco, Michael (2014) Developmentally Responsive Teacher Practices across the Middle-to-High-School Transition. Journal of Research in Education 24(1): 17–37 |
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Ellerbrock, Cheryl R., Denmon, Jennifer, Owens, Ruchelle et al. (2015) Fostering a Developmentally Responsive Middle-to-High School Transition: The Role of Transition Supports. Middle Grades Research Journal 10(1): 83–101 |
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Eva, Amy L and Thayer, Natalie M (2017) Learning to BREATHE: A Pilot Study of a Mindfulness-Based Intervention to Support Marginalized Youth. Journal of evidence-based complementary & alternative medicine 22(4): 580–591 [PMC free article: PMC5871269] [PubMed: 29228794] |
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Evans, Danielle; Borriello, Giulia A; Field, Andy P (2018) A review of the academic and psychological impact of the transition to secondary education. Frontiers in psychology 9: 1482 [PMC free article: PMC6123573] [PubMed: 30210385] |
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Facchin, Federica, Margola, Davide, Molgora, Sara et al. (2014) Effects of benefit-focused versus standard expressive writing on adolescents’ self-concept during the high school transition. Journal of Research on Adolescence 24(1): 131–144 |
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Fane, Jennifer, MacDougall, Colin, Redmond, Gerry et al. (2016) Young children’s health and wellbeing across the transition to school: a critical interpretive synthesis. Children Australia 41(2): 126–140 |
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Farmer, Thomas W. (2011) Overview of Project REAL and the Conceptual Foundations of the SEALS Model. Society for Research on Educational Effectiveness: 1–12 |
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Farmer, Thomas W., Hamm, Jill V., Petrin, Robert A. et al. (2010) Supporting Early Adolescent Learning and Social Strengths: Promoting Productive Contexts for Students At-Risk for EBD during the Transition to Middle School. Exceptionality 18(2): 94–106 |
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Firth, Nola, Frydenberg, Erica, Steeg, Charlotte et al. (2013) Coping Successfully with Dyslexia: An Initial Study of an Inclusive School-Based Resilience Programme. Dyslexia 19(2): 113–130 [PubMed: 23526752] |
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Fite, Paula, Frazer, Andrew, DiPierro, Moneika et al. (2019) Youth Perceptions of What Is Helpful during the Middle School Transition and Correlates of Transition Difficulty. Children & Schools 41(1): 55–64 |
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Foley, Tom; Foley, Shane; Curtin, Alicia (2016) Primary to Post-Primary Transition for Students with Special Educational Needs from an Irish Context. International Journal of Special Education 31(2): 1–27 |
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Fontil, L., Gittens, J., Beaudoin, E. et al. (2019) Barriers to and Facilitators of Successful Early School Transitions for Children with Autism Spectrum Disorders and Other Developmental Disabilities: A Systematic Review. Journal of Autism and Developmental Disorders [PubMed: 30806855] |
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Fontil, Laura, Gittens, Jalisa, Beaudoin, Emily et al. (2020) Barriers to and Facilitators of Successful Early School Transitions for Children with Autism Spectrum Disorders and Other Developmental Disabilities: A Systematic Review. Journal of autism and developmental disorders 50(6): 1866–1881 [PubMed: 30806855] |
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Foulder-Hughes, Lynda and Prior, Clare (2014) Supporting Pupils with DCD and ASD with the Transition to Secondary School. Research in Education 92: 79–92 |
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Frahm, S., Goy, M., Kowalski, K. et al. (2011) Transition and development from lower secondary to upper secondary school. Zeitschrift Fur Erziehungswissenschaft 14: 217–232 |
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Gaias, Larissa M., Cook, Clayton R., Nguyen, Lillian et al. (2020) A Mixed Methods Pilot Study of an Equity-Explicit Student-Teacher Relationship Intervention for the Ninth-Grade Transition. Journal of School Health 90(12): 1004–1018 [PMC free article: PMC7702116] [PubMed: 33184887] |
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Galton, M. and McLellan, R. (2018) A transition Odyssey: pupils’ experiences of transfer to secondary school across five decades. Research Papers in Education 33(2): 255–277 |
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Garoni, Stephanie; Edwards-Groves, Christine; Davidson, Christina (2021) The ‘doubleness’ of transition: Investigating classroom talk practices in literacy lessons at the end of primary school and the beginning of secondary school. Australian Journal of Language & Literacy 44(2) |
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Giallo, Rebecca, Treyvaud, Karli, Matthews, Jan et al. (2010) Making the Transition to Primary School: An Evaluation of a Transition Program for Parents. Australian Journal of Educational & Developmental Psychology 10: 1–17 |
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Gillock, Karen L and Reyes, Olga (1996) High school transition-related changes in urban minority students’ academic performance and perceptions of self and school environment. Journal of Community Psychology 24(3): 245–261 |
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Goff, W. (2019) The Processes that Adults Engage with When They Come Together to Support the Learning of Children Making the Transition to School. Early Childhood Education Journal 47(6): 687–697 |
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Goldstein, Sara E.; Boxer, Paul; Rudolph, Erin (2015) Middle School Transition Stress: Links with Academic Performance, Motivation, and School Experiences. Contemporary School Psychology 19(1): 21–29 |
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Gonzales, Nancy A, Wong, Jessie J, Toomey, Russell B et al. (2014) School engagement mediates long-term prevention effects for Mexican American adolescents. Prevention science : the official journal of the Society for Prevention Research 15(6): 929–39 [PMC free article: PMC4087099] [PubMed: 24398825] |
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Goossens, Ferry X, Onrust, Simone A, Monshouwer, Karin et al. (2016) Effectiveness of an empowerment program for adolescent second generation migrants: a cluster randomized controlled trial. Children and Youth Services Review 64: 128–135 |
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Gorard, S.; Siddiqui, N.; See, B. H. (2017) What works and what fails? Evidence from seven popular literacy “catch-up’ schemes for the transition to secondary school in England. Research Papers in Education 32(5): 626–648 |
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Gould, Siobhan (2017) Promoting the Social Inclusion and Academic Progress of Gypsy, Roma and Traveller Children: A Secondary School Case Study. Educational Psychology in Practice 33(2): 126–148 |
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Goyer, J Parker, Garcia, Julio, Purdie-Vaughns, Valerie et al. (2017) Self-affirmation facilitates minority middle schoolers’ progress along college trajectories. Proceedings of the National Academy of Sciences of the United States of America 114(29): 7594–7599 [PMC free article: PMC5530645] [PubMed: 28630338] |
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Grant, Marisha (2020) Pupils with SEMH needs’ experiences of a successful transition To secondary school. A Grounded Theory study. |
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Griebling, Susan and Gilbert, Jaesook (2020) Examining the value of a summer kindergarten transitioning program for children, families, and schools. The School Community Journal 30(1): 191–208 |
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Hagiwara, M., Palmer, S. B., Hancock, C. L. et al. (2019) Sibling Roles in Family-School Partnerships for Students With Disabilities During Transition Planning. Career Development and Transition for Exceptional Individuals 42(3): 194–200 |
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Hall, C.; Hollingshead, A.; Christman, J. (2019) Implementing Video Modeling to Improve Transitions Within Activities in Inclusive Classrooms. Intervention in School and Clinic 54(4): 235–240 |
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Hamerslag, R.; Oostdam, R.; Tavecchio, L. (2018) Inside school readiness: the role of socioemotional and behavioral factors in relation to school, teachers, peers and academic outcome in kindergarten and first grade. European Early Childhood Education Research Journal 26(1): 80–96 |
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Hamm, Jill V., Farmer, Thomas W., Dadisman, Kimberly et al. (2011) Teachers’ Attunement to Students’ Peer Group Affiliations as a Source of Improved Student Experiences of the School Social-Affective Context following the Middle School Transition. Journal of Applied Developmental Psychology 32(5): 267–277 |
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Hammond, Nick (2016) Making a Drama out of Transition: Challenges and Opportunities at Times of Change. Research Papers in Education 31(3): 299–315 |
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Han, Jisu and Neuharth-Pritchett, Stacey (2021) Predicting students’ mathematics achievement through elementary and middle school: The contribution of state-funded prekindergarten program participation. Child & Youth Care Forum: no-specified |
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Harklau, L. (2001) From high school to college: Student perspectives on literacy practices. Journal of Literacy Research 33(1): 33–70 |
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HARRIS, Val (2010) Research into practice: nurture groups. Young Minds Magazine 108: 34 |
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Hart, Katie C., Graziano, Paulo A., Kent, Kristine M. et al. (2016) Early Intervention for Children with Behavior Problems in Summer Settings: Results from a Pilot Evaluation in Head Start Preschools. Journal of Early Intervention 38(2): 92–117 |
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Hastings, Catherine (2012) The Experience of Male Adolescent Refugees during Their Transfer and Adaptation to a UK Secondary School. Educational Psychology in Practice 28(4): 335–351 |
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Hatfield, Megan, Falkmer, Marita, Falkmer, Torbjorn et al. (2017) “Leaps of Faith”: Parents’ and Professionals’ Viewpoints on Preparing Adolescents on the Autism Spectrum for Leaving School. Journal of Research in Special Educational Needs 17(3): 187–197 |
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Hawkins, Renee O, Haydon, Todd, McCoy, Dacia et al. (2017) Effects of an interdependent group contingency on the transition behavior of middle school students with emotional and behavioral disorders. School psychology quarterly : the official journal of the Division of School Psychology, American Psychological Association 32(2): 282–289 [PubMed: 28383928] |
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Hertzog, C Jay and Morgan, P Lena (1999) Making the Transition from Middle Level to High School. High School Magazine 6(4): 26–30 |
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Hoffman, Jill A, Uretsky, Mathew C, Patterson, Lindsey B et al. (2020) Effects of a school readiness intervention on family engagement during the kindergarten transition. Early Childhood Research Quarterly 53: 86–96 |
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Hopwood, Belinda; Hay, Ian; Dyment, Janet (2016) The Transition from Primary to Secondary School: Teachers’ Perspectives. Australian Educational Researcher 43(3): 289–307 |
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Seong, Youjin, Wehmeyer, Michael L., Palmer, Susan B. et al. (2015) Effects of the Self-Directed Individualized Education Program on Self-Determination and Transition of Adolescents with Disabilities. Career Development and Transition for Exceptional Individuals 38(3): 132–141 |
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Serry, Tanya, Imms, Christine, Froude, Elspeth et al. (2014) Preparatory Teachers’ Perceptions of School Readiness: A Survey of Victorian Teachers. Australian Educational Researcher 41(1): 109–124 |
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Shahraki-Sanavi, Fariba, Ansari-Moghaddam, Alireza, Mohammadi, Mahdi et al. (2020) Effectiveness of school-based mental health programs on mental health among adolescents. Journal of education and health promotion 9 [PMC free article: PMC7377131] [PubMed: 32766327] |
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Shogren, Karrie A., Burke, Kathryn M., Anderson, Mark H. et al. (2018) Evaluating the Differential Impact of Interventions to Promote Self-Determination and Goal Attainment for Transition-Age Youth with Intellectual Disability. Research and Practice for Persons with Severe Disabilities 43(3): 165–180 |
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Shogren, Karrie A. and Wittenburg, David (2020) Improving Outcomes of Transition-Age Youth with Disabilities: A Life Course Perspective. Career Development and Transition for Exceptional Individuals 43(1): 18–28 |
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Shoshani, Anat and Steinmetz, Sarit (2014) Positive psychology at school: A school-based intervention to promote adolescents? mental health and well-being. Journal of Happiness Studies 15(6): 1289–1311 |
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SmithBennett, LaTonya Chenelle (2020) A Case Study Examining the Effective Transition from Elementary to Middle School: Perspectives from School Administrators, Teachers, and School Counselors on Transitioning Students with Autism Spectrum Disorder. |
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Spencer-Ernandez, J. and Edwards-Kerr, D. (2018) Transitioning from basic school to grade one: early identification of students at-risk for reading difficulties. Early Child Development and Care 188(9): 1271–1286 |
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Stormshak, Elizabeth A, DeGarmo, David, Garbacz, S Andrew et al. (2020) Using Motivational Interviewing to Improve Parenting Skills and Prevent Problem Behavior During the Transition to Kindergarten. Prevention science : the official journal of the Society for Prevention Research [PMC free article: PMC8318938] [PubMed: 32036553] |
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Excluded economic studies
Reference | Reason for exclusion |
---|---|
Anderson, R., et al. (2014). Cost-effectiveness of classroom-based cognitive behaviour therapy in reducing symptoms of depression in adolescents: a trial-based analysis. Journal of Child Psychology and Psychiatry 55(12) 1390–1397. [PubMed: 24813670] | NA |
Anttila
S, Clausson
E, Eckerlund
I, Helgesson
G, Hjern
A, Hakansson
PA, et al. Methods of preventing mental ill-health among schoolchildren. The Swedish Council on Health Technology A; 05
May
2010
2010. Available from: http://www | Paper not found |
Bak PL, Midgley N, Zhu JL, Wistoft K, Obel C. The Resilience Program: preliminary evaluation of a mentalization-based education program. Frontiers in psychology. 2015;6:753. [PMC free article: PMC4468359] [PubMed: 26136695] | No economic evaluation |
Bannink R, Joosten-van Zwanenburg E, van de Looij-Jansen P, van As E, Raat H. Evaluation of computer-tailored health education (‘E-health4Uth’) combined with personal counselling (‘E-health4Uth + counselling’) on adolescents’ behaviours and mental health status: design of a three-armed cluster randomised controlled trial. BMC public health. 2012;12:1083. [PMC free article: PMC3532079] [PubMed: 23244449] | No economic evaluation |
Beckman L, Svensson M. The cost-effectiveness of the Olweus Bullying Prevention Program: Results from a modelling study. Journal of Adolescence. 2015;45:127–37. [PubMed: 26433734] | NA |
Belfield C, Bowden AB, Klapp A, Levin H, Shand R, Zander S. The Economic Value of Social and Emotional Learning. Journal of Benefit-Cost Analysis. 2015;6(3):508–44. | Wrong outcomes |
Borman GD, Rozek CS, Pyne J, Hanselman P. Reappraising academic and social adversity improves middle school students’ academic achievement, behavior, and well-being. Proceedings of the National Academy of Sciences of the United States of America. 2019;116(33):16286–91. [PMC free article: PMC6697885] [PubMed: 31358624] | No economic evaluation |
Bowden AB, Shand R, Levin HM, Muroga A, Wang A. An Economic Evaluation of the Costs and Benefits of Providing Comprehensive Supports to Students in Elementary School. Prevention science : the official journal of the Society for Prevention Research. 2020;21(8):1126–35 [PubMed: 32886319] | NA |
Bungay H, Vella-Burrows T. The effects of participating in creative activities on the health and well-being of children and young people: A rapid review of the literature. Perspectives in Public Health. 2013;133(1):44–52. [PubMed: 23308007] | Systematic review |
Cook PJ, Dodge K, Farkas G, Fryer RG, Jr., Guryan J, Ludwig J, et al. The (Surprising) Efficacy of Academic and Behavioral Intervention with Disadvantaged Youth: Results from a Randomized Experiment in Chicago. 2014 | No economic evaluation |
Das JK, Salam RA, Arshad A, Finkelstein Y, Bhutta ZA. Interventions for Adolescent Substance Abuse: An Overview of Systematic Reviews. Journal of Adolescent Health. 2016;59(2 Supplement):S61–S75. [PMC free article: PMC5026681] [PubMed: 27664597] | Systematic review |
Domitrovich CE, Durlak JA, Staley KC, Weissberg RP. Social-Emotional Competence: An Essential Factor for Promoting Positive Adjustment and Reducing Risk in School Children. Child development. 2017;88(2):408–16. [PubMed: 28213889] | Systematic review |
Ekwaru JP, Ohinmaa A, Tran BX, Setayeshgar S, Johnson JA, Veugelers PJ. Cost-effectiveness of a school-based health promotion program in Canada: A life-course modeling approach. PLoS ONE. 2017;12(5):e0177848. [PMC free article: PMC5436822] [PubMed: 28542399] | Wrong outcomes |
Ford T, Hayes R, Byford S, Edwards V, Fletcher M, Logan S, et al. The effectiveness and cost-effectiveness of the Incredible Years Teacher Classroom Management programme in primary school children: results of the STARS cluster randomised controlled trial. Psychological medicine. 2019;49(5):828–42. [PMC free article: PMC6425365] [PubMed: 30017006] | NA |
Foster EM, Johnson-Shelton D, Taylor TK. Measuring time costs in interventions designed to reduce behavior problems among children and youth. American journal of community psychology. 2007;40(1–2):64–81. [PMC free article: PMC1935433] [PubMed: 17592769] | Wrong study design |
Foster EM. Costs and Effectiveness of the Fast Track Intervention for Antisocial Behavior. Journal of Mental Health Policy and Economics. 2010;13(3):101–19. [PMC free article: PMC3755453] [PubMed: 21051793] | Wrong outcomes |
Frick KD, Carlson MC, Glass TA, McGill S, Rebok GW, Simpson C, et al. Modeled cost-effectiveness of the Experience Corps Baltimore based on a pilot randomized trial. Journal of Urban Health. 2004;81(1):106–17. [PMC free article: PMC3456137] [PubMed: 15047789] | Wrong patient population |
Garmy P, Clausson EK, Berg A, Steen Carlsson K, Jakobsson U. Evaluation of a school-based cognitive-behavioral depression prevention program. Scandinavian journal of public health. 2019;47(2):182–89. [PMC free article: PMC6442019] [PubMed: 29226799] | NA |
Garmy P, Jakobsson U, Carlsson KS, Berg A, Clausson EK. Evaluation of a school-based program aimed at preventing depressive symptoms in adolescents. The Journal of school nursing : the official publication of the National Association of School Nurses. 2015;31(2):117–25. [PMC free article: PMC4390603] [PubMed: 24526572] | No economic evaluation |
George M, Taylor L, Schmidt SC, Weist MD. A review of school mental health programs in SAMHSA’s national registry of evidence-based programs and practices. Psychiatric services (Washington, D.C.). 2013;64(5):483–6. [PubMed: 23632576] | Systematic review |
Grimes KE, Schulz MF, Cohen SA, Mullin BO, Lehar SE, Tien S. Pursuing cost-effectiveness in mental health service delivery for youth with complex needs. Journal of Mental Health Policy and Economics. 2011;14(2):73–86. [PubMed: 21881163] | Wrong setting |
Guo JJ, Wade TJ, Keller KN. Impact of school-based health centers on students with mental health problems. Public Health Reports. 2008;123(6):768–80. [PMC free article: PMC2556722] [PubMed: 19711658] | No economic evaluation |
Haynes NM. Addressing students’ social and emotional needs: The role of mental health teams in schools. Journal of Health and Social Policy. 2002;16(1–2):109–23. [PubMed: 12809382] | No economic evaluation |
Herman PM, Chinman M, Cannon J, Ebener P, Malone PS, Acosta J, et al. Cost Analysis of a Randomized Trial of Getting to Outcomes Implementation Support of CHOICE in Boys and Girls Clubs in Southern California. Prevention science : the official journal of the Society for Prevention Research. 2020;21(2):245–55. [PMC free article: PMC6993980] [PubMed: 31865544] | Wrong setting |
Houri AK, Thayer AJ, Cook CR. Targeting parent trust to enhance engagement in a school-home communication system: A double-blind experiment of a parental wise feedback intervention. School psychology (Washington, D.C.). 2019;34(4):421–32. [PubMed: 31294599] | No economic evaluation |
Hoven CW, Doan T, Musa GJ, Jaliashvili T, Duarte CS, Ovuga E, et al. Worldwide child and adolescent mental health begins with awareness: a preliminary assessment in nine countries. International review of psychiatry (Abingdon, England). 2008;20(3):261–70. [PubMed: 18569178] | No economic evaluation |
Humphrey, N., et al. (2018). The PATHS curriculum for promoting social and emotional well-being among children aged 7-9 years: a cluster RCT. Public Health Research 6(10). [PubMed: 30160870] | NA |
Hunter LJ, DiPerna JC, Hart SC, Crowley M. At what cost? Examining the cost effectiveness of a universal social-emotional learning program. School psychology quarterly : the official journal of the Division of School Psychology, American Psychological Association. 2018;33(1):147–54. [PubMed: 29629791] | NA |
Iemmi V, Knapp M, Brown FJ. Positive behavioural support in schools for children and adolescents with intellectual disabilities whose behaviour challenges: An exploration of the economic case. Journal of Intellectual Disabilities. 2016;20(3):281–95. [PubMed: 26912505] | Wrong outcomes |
Jones DE, Karoly LA, Crowley DM, Greenberg MT. Considering Valuation of Noncognitive Skills in Benefit-Cost Analysis of Programs for Children. Journal of Benefit-Cost Analysis. 2015;6(3):471–507. | Systematic review |
Kautz T, Heckman JJ, Diris R, ter Weel B, Borghans L. Fostering and Measuring Skills: Improving Cognitive and Non-Cognitive Skills to Promote Lifetime Success. 2014 | Systematic review |
Kolbe LJ. School Health as a Strategy to Improve Both Public Health and Education. Annual Review of Public Health. 2019;40:443–63. [PubMed: 30566386] | Systematic review |
Kuklinski MR, Briney JS, Hawkins JD, Catalano RF. Cost-benefit analysis of communities that care outcomes at eighth grade. Prevention science : the official journal of the Society for Prevention Research. 2012;13(2):150–61. [PMC free article: PMC3305832] [PubMed: 22108900] | Wrong setting |
Kuo E, Vander Stoep A, McCauley E, Kernic MA. Cost-effectiveness of a school-based emotional health screening program. Journal of School Health. 2009;79(6):277–85. [PMC free article: PMC2682225] [PubMed: 19432868] | Wrong outcomes |
Kutcher S, Wei Y. Mental health and the school environment: Secondary schools, promotion and pathways to care. Current Opinion in Psychiatry. 2012;25(4):311–16. [PubMed: 22569312] | Systematic review |
Le LK-D, Esturas AC, Mihalopoulos C, Chiotelis O, Bucholc J, Chatterton ML, et al. Cost-effectiveness evidence of mental health prevention and promotion interventions: A systematic review of economic evaluationsAU. PLoS Medicine. 2021;18(5):e1003606. [PMC free article: PMC8148329] [PubMed: 33974641] | Systematic review |
Lee S, Kim C-J, Kim DH. A meta-analysis of the effect of school-based anti-bullying programs. Journal of child health care : for professionals working with children in the hospital and community. 2015;19(2):136–53. [PubMed: 24092871] | No economic evaluation |
Lee YY, Barendregt JJ, Stockings EA, Ferrari AJ, Whiteford HA, Patton GA, et al. The population cost-effectiveness of delivering universal and indicated school-based interventions to prevent the onset of major depression among youth in Australia. Epidemiology and Psychiatric Sciences. 2017;26(5):545–64. [PMC free article: PMC6998892] [PubMed: 27509769] | NA |
Legood R, Opondo C, Warren E, Jamal F, Bonell C, Viner R, et al. Cost-Utility Analysis of a Complex Intervention to Reduce School-Based Bullying and Aggression: An Analysis of the Inclusive RCT. Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research. 2021;24(1):129–35. [PubMed: 33431147] | NA |
Long K, Brown JL, Jones SM, Aber JL, Yates BT. Cost Analysis of a School-Based Social and Emotional Learning and Literacy Intervention. Journal of Benefit-Cost Analysis. 2015;6(3):545–71. | No economic evaluation |
Macdonald
G, Livingstone
N, Hanratty
J, McCartan
C, Cotmore
R, Cary
M, et al. The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis. programme NHTA; 17
Dec
2013
2016. Available from: http://www | Systematic review |
Mackenzie K, Williams C. Universal, school-based interventions to promote mental and emotional well-being: what is being done in the UK and does it work? A systematic review. BMJ open. 2018;8(9):e022560. [PMC free article: PMC6129100] [PubMed: 30196267] | Systematic review |
May J, Osmond K, Billick S. Juvenile delinquency treatment and prevention: A literature review. Psychiatric Quarterly. 2014;85(3):295–301. [PubMed: 24610601] | Systematic review |
McCabe C. A systematic review of the cost effectiveness of universal mental health promotion interventions in primary schools. June 2007 2007. | Systematic review |
McCabe C. Estimating the cost effectiveness of a universal mental health promotion intervention in primary schools: A preliminary analysis. Report to the NICE Public Health Interventions Programme. Leeds: Institute of Health Sciences, University of Leeds. 2007 | NA |
McDaid D, Park AL. Investing in mental health and well-being: findings from the DataPrev project. Health promotion international. 2011;26 Suppl 1:i108–39. [PMC free article: PMC4471444] [PubMed: 22079932] | Systematic review |
Merry SN. Prevention and early intervention for depression in young people - A practical possibility? Current Opinion in Psychiatry. 2007;20(4):325–29. [PubMed: 17551345] | Systematic review |
Mihalopoulos C, Vos T, Pirkis J, Carter R. The population cost-effectiveness of interventions designed to prevent childhood depression. Pediatrics. 2012;129(3):e723–e30. [PubMed: 22312000] | Wrong setting |
Modi S, Joshi U, Narayanakurup D. To what extent is mindfulness training effective in enhancing self-esteem, self-regulation and psychological well-being of school going early adolescents? Journal of Indian Association for Child and Adolescent Mental Health. 2018;14(4):89–108. | No economic evaluation |
Moodie ML, Fisher J. Are youth mentoring programs good value-for-money? An evaluation of the Big Brothers Big Sisters Melbourne Program. BMC public health. 2009;9:41. [PMC free article: PMC2640473] [PubMed: 19178749] | Wrong setting |
Muratori P, Bertacchi I, Giuli C, Nocentini A, Lochman JE. Implementing Coping Power Adapted as a Universal Prevention Program in Italian Primary Schools: a Randomized Control Trial. Prevention science : the official journal of the Society for Prevention Research. 2017;18(7):754–61. [PubMed: 27665582] | No economic evaluation |
Murray NG, Low BJ, Hollis C, Cross AW, Davis SM. Coordinated school health programs and academic achievement: a systematic review of the literature. The Journal of school health. 2007;77(9):589–600. [PubMed: 17970862] | Systematic review |
O’Connor K, Wozney L, Fitzpatrick E, Bagnell A, McGrath P, Radomski A, et al. An internet-based cognitive behavioral program for adolescents with anxiety: Pilot randomized controlled trial. JMIR Mental Health. 2020;7(7):e13356. [PMC free article: PMC7414416] [PubMed: 32706720] | Wrong study design |
Organisation for Economic C-o, Development. PISA 2009 at a Glance. 2011:97. | No economic evaluation |
Persson M, Wennberg L, Beckman L, Salmivalli C, Svensson M. The Cost-Effectiveness of the Kiva Antibullying Program: Results from a Decision-Analytic Model. Prevention science : the official journal of the Society for Prevention Research. 2018;19(6):728–37. [PubMed: 29728796] | NA |
Philipsson A, Duberg A, Moller M, Hagberg L. Cost-utility analysis of a dance intervention for adolescent girls with internalizing problems. Cost Effectiveness and Resource Allocation. 2013;11(1):4. [PMC free article: PMC3598394] [PubMed: 23425608] | Wrong setting |
Poitras VJ, Gray CE, Borghese MM, Carson V, Chaput J-P, Janssen I, et al. Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme. 2016;41(6 Suppl 3):S197–239. [PubMed: 27306431] | Systematic review |
Schmidt M, Werbrouck A, Verhaeghe N, Putman K, Simoens S, Annemans L. Universal Mental Health Interventions for Children and Adolescents: A Systematic Review of Health Economic Evaluations. Applied health economics and health policy. 2020;18(2):155–75. [PubMed: 31605299] | Systematic review |
Shackleton N, Jamal F, Viner RM, Dickson K, Patton G, Bonell C. School-Based Interventions Going beyond Health Education to Promote Adolescent Health: Systematic Review of Reviews. Journal of Adolescent Health. 2016;58(4):382–96. [PubMed: 27013271] | Systematic review |
Shoemaker EZ, Tully LM, Niendam TA, Peterson BS. The Next Big Thing in Child and Adolescent Psychiatry: Interventions to Prevent and Intervene Early in Psychiatric Illnesses. The Psychiatric clinics of North America. 2015;38(3):475–94. [PubMed: 26300034] | Systematic review |
Simon E, Dirksen C, Bogels S, Bodden D. Cost-effectiveness of child-focused and parent-focused interventions in a child anxiety prevention program. Journal of Anxiety Disorders. 2012;26(2):287–96. [PubMed: 22245700] | Wrong setting |
Simon E, Dirksen CD, Bogels SM. An explorative cost-effectiveness analysis of school-based screening for child anxiety using a decision analytic model. European Child and Adolescent Psychiatry. 2013;22(10):619–30. [PubMed: 23539355] | Wrong setting |
Skre I, Friborg O, Breivik C, Johnsen LI, Arnesen Y, Wang CEA. A school intervention for mental health literacy in adolescents: effects of a non-randomized cluster controlled trial. BMC public health. 2013;13:873. [PMC free article: PMC3850725] [PubMed: 24053381] | No economic evaluation |
Spence SH, Sawyer MG, Sheffield J, Patton G, Bond L, Graetz B, et al. Does the absence of a supportive family environment influence the outcome of a universal intervention for the prevention of depression? International Journal of Environmental Research and Public Health. 2014;11(5):5113–32. [PMC free article: PMC4053893] [PubMed: 24828082] | No economic evaluation |
Stallard P, Phillips R, Montgomery AA, Spears M, Anderson R, Taylor J, et al. A cluster randomised controlled trial to determine the clinical effectiveness and cost-effectiveness of classroom-based cognitive-behavioural therapy (CBT) in reducing symptoms of depression in high-risk adolescents. Health Technology Assessment. 2013;17(47) [PMC free article: PMC4781207] [PubMed: 24172024] | NA |
Stallard
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E, Taylor
G, Anderson
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OC, Daniels
H, et al. A cluster randomised controlled trial comparing the effectiveness and cost-effectiveness of a school-based cognitive behavioural therapy programme (FRIENDS) in the reduction of anxiety and improvement in mood in children aged 9/10 years. programme NPHR; 18
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2015
2015. Available from: http://www | NA |
Turner AJ, Sutton M, Harrison M, Hennessey A, Humphrey N. Cost-Effectiveness of a School-Based Social and Emotional Learning Intervention: Evidence from a Cluster-Randomised Controlled Trial of the Promoting Alternative Thinking Strategies Curriculum. Applied Health Economics and Health Policy. 2019 [PMC free article: PMC7085485] [PubMed: 31347016] | NA |
Waddell C, Hua JM, Garland OM, Peters RD, McEwan K. Preventing mental disorders in children: a systematic review to inform policy-making. Canadian journal of public health = Revue canadienne de sante publique. 2007;98(3):166–73. [PMC free article: PMC6975628] [PubMed: 17626378] | Systematic review |
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2016. Available from: http://www | Wrong study design |
Appendix K. Research recommendations – full details
K.1. Research recommendation (PDF, 141K)
K.2. Research recommendation (PDF, 144K)
Appendix L. Conceptual framework model
Download PDF (188K)
Tables
Table 1PICO Table
Population |
|
---|---|
Intervention |
Interventions to support social, emotional and mental wellbeing of children and young people during periods of transition. For example: induction days for primary school children in their secondary school, sessions providing information on puberty etc. |
Comparator | Usual practice (can include no intervention or waiting list) |
Outcomes |
Social and emotional wellbeing outcomes Any validated measure of mental, social, emotional or psychological wellbeing categorised as:
Academic progression and attainment Other outcomes
|
Table 2Summary of studies identified for school transitions
Study [Country] | Study design | Setting | Equivalent UK Key stage | Population (N) | Intervention | Comparator | Outcome(s) |
---|---|---|---|---|---|---|---|
Bagnall 2021 [UK] | NRCT | Primary schools | KS2 | Children in Year 6 transitioning to secondary school (aged 10-11 years) (N= 309) | Talking about School Transition (TaST) | Control (not described) | Emotional distress
|
Brouzos 2020 [Greece] | NCRT | Elementary schools | KS2 | Children in Year 6 transitioning to secondary school (age not reported) (N=82) | Coping-oriented group program | No intervention | Social and emotional skills
|
Coehlo 2017 [Portugal] | cRCT | Middle schools | KS2 | Pupils transitioning to middle school (approx. age 9) (N= 1148) | Positive transitions program | Control (not described) | Social and emotional skills
|
Corsello 2015a; 2015b [USA] | RCT | High schools | KS4 | Pupils in 9th grade (first year of high school, usually aged 14-15 years) (N= 521) | Building Assets Reducing Risks (BARR) | Usual support | Academic attainment and progression
|
Cross 2018 [Australia] | cRCT | Secondary school | KS3 | Pupils who have recently transitioned to secondary school (mean age 13 years) (N= 2966) | The Friendly Schools Project | Usual support | Emotional distress
|
Dawes 2019 [USA] | cRCT | Middle schools | KS3 | Pupils in their first year of middle school (6th grade, usually aged 11-12 years) (N= 2486) | BASE program | Control (not described) | Emotional distress
|
Johnson 2008 [USA] | NRCT | High school | KS3 | Pupils transitioning from middle school to high school (mean age 14 years) (N=157) |
| No intervention | Behavioural outcomes
|
Makover 2019 [USA] | RCT | Middle school | KS3 | Pupils with elevated depression scores transitioning from middle school to high school (usually age 14) (N= 480) | The High School Transition Program | Usual support | Emotional distress
|
Mandy 2016 [UK] | NRCT | Secondary school | KS3 | Pupils with ASD transitioning from mainstream primary school to mainstream secondary school (mean age 11.5 years) (N= 37) | STEP-ASD | Usual support | Behavioural outcomes
|
Qualter 2007 [UK] | NRCT | Secondary school | KS3 | Pupils in year 7 who have transitioned to secondary school (age range 11-12 years) (N= 82) | Emotional Literacy intervention | Usual support | Social and emotional skills
|
Rutt 2015 [UK] | RCT | Secondary schools | KS2 | Pupils with predicted KS2 reading levels below level 4b about to transition to secondary school (usually aged 10-11 years) (N= 557) | Catch Up Literacy | Usual support | Social and emotional skills
|
Vassilopoulos 2018a [Greece] | NRCT | Elementary schools | KS1 | Pupils in first grade (mean age 6 years) (N= 114) | Social and emotional learning | Usual support | Social and emotional skills
|
Vassilopoulos 2018b [Greece] | cRCT | Primary schools | KS2 | Pupils in year 6 transitioning to secondary school (usually age 11-12 years) (N= 54) | Problem-orientated transition group | No intervention | Emotional distress
|
Table 3Summary of interventions for school transitions
Brief name | Studies | Rationale, theory or goal | Materials used | Procedures used | Provider | Delivery method | Duration/intensity | Treatment fidelity |
---|---|---|---|---|---|---|---|---|
BARR | Corsello 2015a; 2015b | BARR is built on three developmental theories:
| Not reported | The BARR model consists of eight strategies that are interconnected and function as a whole | Cohort teacher teams | Group | One year | Reported graphically |
BASE Program | Dawes 2019 | Not reported |
| BASE consists of three complementary components:
| Teachers | Group | School year | Not reported |
Catch up literacy | Rutt 2015 | A structured one-to-one literacy intervention for learners aged 6 to 14 who are struggling to learn to read | Online list of more than 8,000 books that have been categorised into 12 gradually increasing levels of difficulty. | The intervention is made up of 4 mains stages
| Teaching assistants | Individual | 2 × 15 minute sessions per week for 30 weeks |
Mid-point: 15 of the 22 (68%) Tas were delivering two sessions per week End-point: 24 of the 27 (89%) Tas were delivering two sessions per week |
Coping-oriented group program | Brouzos 2020 | To develop an understanding of the impending academic transition and coping skills. | Not reported | Overview of sessions:
|
| Groups | 1 × 45 min session per week for 5 consecutive weeks | Not reported |
Emotional Literacy intervention | Qualter 2007 | Not reported |
|
|
| Groups | Not reported | Not reported |
High School Transitions Program | Makover 2019 | Aims to reduce depression, anxiety, and school problems in at-risk youth coping with the transition to high school. It combines components of programmes proven effective in reducing depression and anxiety | Not reported |
| Master’s level counsellors in mental health | Group and individual |
12 × 1 hour group sessions 4 one to one sessions 2 home visits | Not reported |
Positive Transitions program | Coehlo 2017 | To promote school adjustment in the transition to middle school | Not reported |
4th grade
Classroom sessions | Educational psychologist | Group |
20 × 50 min sessions (15 in 4th grade and 5 in 5th grade) | Not reported |
Problem-orientated transition group | Vassilopoulos 2018b | Capitalised on the recent experimental evidence suggesting that altering negative cognitions can increase positive thinking and decrease worries and fears about an impending secondary school transition | Not reported |
| Graduate student | Group | 1 × 90 min session per week for 5 weeks | Not reported |
Selective Adult mentoring Program | Johnson 2008 |
| Not reported |
| Teachers/Staff | individual | 25-30 mins per week for 8 weeks | Not reported |
Social and emotional learning | Vassilopoulos 2018a | Universal social and emotional (SEL) group program designed to facilitate first-grade students’ school adjustment |
|
| Graduate students | Group | 7 × 45 min sessions over 7 consecutive weeks | Not reported |
STEP-ASD | Mandy 2016 |
|
|
| School staff (teachers, SENCOs) | Individual | Not reported | 80% of schools reported that the transition management plan had been implemented |
Talking about School Transition (TaST) | Bagnall 2021 |
|
|
| Year 6 teachers | Individual, group and class-based activities | 1 × 1 hour session per week for a duration of 5 weeks | Year 6 teachers delivering TaST were asked to complete a process evaluation feedback form. |
The Friendly Schools Project | Cross 2018 | Socio-ecological approach that considered the factors that influence students’ bullying experiences at multiple levels. | Student component:
|
| Researchers and teachers | Group; whole school |
| Not reported |
Universal Peer Group Connection | Johnson 2008 |
| Manualised universal program |
| Peers | Group | 1 × weekly sessions (1 class period) over the school year | Observers rated the overall effectiveness of the peer leaders group sessions and found 82% as being satisfactory or higher |
Table 4Summary of studies identified for transition support during family break-up
Study [Country] | Study design | Setting | Equivalent UK Key stage | Population | Intervention | Comparator | Outcome(s) |
---|---|---|---|---|---|---|---|
Pedro-Carroll 1999 [USA] | NRCT | Kindergarten and first grade (elementary school) | KS2 | Children in kindergarten and first grade (aged 5-7 years) who have experienced parental separation or divorce (N= 49) | Children of divorce intervention program (CODIP) | Control (not described) | Social and emotional skills
|
Pelleboer-Gunnink 2015 [The Netherlands] | cRCT | Primary school | KS2 | Children in primary schools who have experience parental divorce (mean age 10.1 years) (N= 156) | Kids in Divorce Situations (KIDS) | Control (not described) | Emotional distress
|
Table 5Summary of interventions for transition support during family break-up
Brief name | Studies | Rationale, theory or goal | Materials used | Procedures used | Provider | Delivery method | Duration/intensity | Treatment fidelity |
---|---|---|---|---|---|---|---|---|
CODIP | Pedro-Carroll 1999 | To create a supportive group environment to help children cope with change as a result of their parents divorce. |
|
|
| Group | 12 × 45 minutes sessions | Not reported |
KIDS | Pelleboer-Gunnink 2015 |
|
|
| KIDS coaches (mental health professional) | Groups |
8 × 1 hour meetings 2 meetings for parents | Not reported |
Table 6Summary of studies identified for transition support for children and young people from immigrant or refugee families
Study [Country] | Study design | Setting | Equivalent UK Key stage | Population | Intervention | Comparator | Outcome(s) |
---|---|---|---|---|---|---|---|
Ooi 2016 (Australia) | cRCT | Primary and secondary schools | KS2-Post 16 | Children and young people exposed to war violence now living in Australia (age range 10-17years) (N= 82) | Teaching Recovery Techniques (TRT) | Waiting list | Emotional distress
|
Rousseau 2007 (Canada) | cRCT | Secondary school | KS3-Post 16 | Newly arrived refugee and immigrant youth (mean age 14 years) (N= 123) | Drama therapy | Control (not described) | Social and emotional skills
|
Rousseau 2014 (Canada) | cRCT | Secondary school | KS3 | Refugee and immigrant youth assigned to special classes, because of learning or behavioural problems (mean age 14 years) (N= 477) | Theatre expression workshops | Usual support | Behavioural outcomes
|
Group tutoring program |
Table 7Summary of interventions for transition support for children and young people from immigrant or refugee families
Brief name | Studies | Rationale, theory or goal | Materials used | Procedures used | Provider | Delivery method | Duration/intensity | Treatment fidelity |
---|---|---|---|---|---|---|---|---|
Drama therapy | Rousseau 2007 | To give young immigrants and refugees a chance to re-appropriate and share group stories | Not reported | During each session, a topic is introduced by (e.g. migration, families, belonging) and students are invited to express their experiences of the topic using drama and other playback techniques. | Pluriel team (6 people from a variety of cultural backgrounds with training in psychology and/or creative arts therapies) | Group | 9 × 90 minute session (one per week) | Not reported |
Group tutoring program | Rousseau 2014 | Focused on differentiated academic instruction and aimed to improve overall academic adjustment | Curricula based on the Quebec Education Program in reading, maths, social studies and science | Individualised student objectives for reading fluency and maths were implemented | Core teacher | Group | 12 × 90 minute sessions (one per week) | Not reported |
Theatre expression workshops | Rousseau 2014 | To help immigrant children and adolescents to bridge the gap between home and school; past and present; and to work through their experiences of loss and trauma | Manualised |
| Two members of the intervention team | Group | 12 × 90 minute workshops (one per week) | Not reported |
TRT | Ooi 2016 | Designed to educate children who are survivors of war conflict about their symptoms and teach them adaptive coping strategies | Not reported | Sessions were designed to address the three elements of PTSD | Primary author and graduate psychology students | Group | 8 × 60 minute sessions | Mean content coverage was 92.76% |
Table 8PICO Table
Population |
|
---|---|
Intervention |
Interventions to support social, emotional and mental wellbeing of children and young people during periods of transition. For example: induction days for primary school children in their secondary school, sessions providing information on puberty etc. |
Comparator | Not applicable |
Outcomes | Views and experiences in terms of acceptability of:
|
Table 9Summary of qualitative studies identified for school transitions
Study [Country] | Setting | Informants | Intervention type | Method | Themes in study |
---|---|---|---|---|---|
Bryan 2007a [UK] | North Lanarkshire 3 secondary schools and associated primaries |
| Literacy |
|
|
Bryan 2007b [UK] | East Ayrshire 2 secondary schools and associated primaries |
| Numeracy |
|
|
Bryan 2007c [UK] | Glasgow 1 secondary school |
| Targeted literacy and numeracy (ENABLE) |
|
|
Humphrey 2006 [UK] | Secondary school in NW England |
| Transition Club |
|
|
Table 10Summary of themes and findings
Theme | Findings |
---|---|
Pre-intervention school transition expectations |
|
Primary to secondary school link (staff benefits) |
|
Primary to secondary school link (pupil benefits) |
|
Impact on transition |
|
Post-intervention expectations of school transition |
|
Post-intervention school transition experience |
|
Table 11Summary of qualitative evidence for school transitions
Review theme summary | Studies contributing (Study theme) | CERQual confidence rating | Supporting statements |
---|---|---|---|
Pre-intervention school transition expectations Pupils experienced a mix of emotions when they thought about their upcoming change of school reporting feelings of fear or anxiety about the complex and daunting secondary school environment. | Humphrey 2006 (Fear of the unknown; Sense of belonging) | Moderate confidence |
“I was very, very scared. I thought ‘oh no, high school’ (Pupil) [Humphrey 2006] “[I was worried about] the big kids picking on me and calling me” (Pupil) [Humphrey 2006] “Some are concerned about being the youngest again ” (Observer) [Humphrey 2006] |
Primary to secondary school link (staff benefits) Working relationships Initially there were mixed reactions from teachers involved in the pilots. There were concerns about ‘stepping on toes’ between primary and secondary schools. However, they recognised that building a good working relationship was essential so that both teachers could feel comfortable offering each other advice. Each of the secondary schools employed a sensitive approach to the primary schools which was rewarded with good working relationships. This relationship allowed for secondary school teachers to visit the primary schools. Teaching practices A key benefit of the literacy pilot was the opportunity for cross-sector liaison and sharing of teaching methods between primary and secondary teachers. Primary teachers stressed the benefits of having a secondary teacher in the classroom particularly the “extra input from a specialist”. The primary teachers often had classes with several ability groups and appreciated having another teacher to focus on one group. Some secondary teachers also worked with the lowest ability groups. |
Bryan 2007a (Working with and impact on primary schools; Research and resources; Impact of the pilot in the secondary schools) Bryan 2007b (Work of the secondary Maths specialists in the primary schools) | High confidence |
“Would that be okay, would that be etiquette, I don’t want to stand on anybody’s toes in the primary. Because sometimes they might be a little bit strange about letting another teacher come in. But the fact that they’re letting me take groups away on my own, means that they know me now and are confident in me” (Secondary school teacher) [Bryan 2007a] “I think once you realise that we all want the same thing, everybody’s in the same boat and everybody wants the best for the children, that’s when barriers start breaking down and you start working together”. (Secondary teacher) [Bryan 2007b] “What I think is really good about [the pilot] is she’s a specialist – I think by P7 some of the skills are specialist skills… I mean I can do it now because I’ve learned from her, but I didn’t know much about the Writer’s Craft, that’s a new thing… If it hadn’t been for [LDO] coming in, I’d still be struggling along with that, if I hadn’t seen it in action… I’ve asked her a lot of things about English I wasn’t sure about, and I found that a great help”. (Primary teacher) [Bryan 2007a] |
Primary to secondary school link (pupil benefits) Benefits to pupils The combination of personal interest in the children and high status was seen as crucial in appealing to and motivating them. Primary teachers reported that having the Literacy Development Officers (LDOs) in the class had an impact in terms of pupil motivation. Secondary teachers saw the benefit in being able to have knowledge the children’s learning abilities. The children themselves were able to identify new skills that they had learned. Additional staff resource The LDOs were “a big support” to secondary school English departments. They had time available to conduct research and develop resources and materials for the rest of the department. Teachers felt that having an experienced member of staff to share their workloads reduced the stress they experienced and enabled them to introduce initiatives such as cooperative learning. There were also positive impacts of National Assessments such as LDOs monitoring who should be tested meant that testing was more targeted and enabled the correct pupils to be tested. Additional materials The programme provided useful resources to the teachers. In addition, LDOs developed materials for different National Assessment levels, to address perceived weaknesses in the way the departments taught specific areas. They also helped pupils to prepare for the tests and class teachers to administer them. Teachers saw this as being crucial. |
Bryan 2007a (Working with and impact on primary schools; Research and resources; Impact of the pilot in the secondary schools) Bryan 2007b (Work of the secondary Maths specialists in the primary schools) | High confidence |
“they want to do a really good job, they go and show [LDO] what they’ve done… and they’re more interested in it, because they want to impress her”. The children also “adore the fact they know someone from the high school”. (Primary teacher) [Bryan 2007a] “The best thing about the project so far has got to be building the relationship with the primary teachers, it’s got to be, because we’re going to have an idea of each individual child’s learning ability when they come up, because I can talk to the teachers”. (Secondary teacher) [Bryan 2007b] “She has time to look at strategies. The time she can spend on research is invaluable… [she] can do the research and pass on information to the classroom teachers”. (Headteacher) [Bryan 2007a] “[The literacy sorters] are jam packed with all kind of goodies with spelling cards, planning sheets, punctuation exercises, grammar exercises, listening feedback, she has all sorts of stuff that you really need” (Teacher) [Bryan 2007a] |
Impact on transition Familiarisation Teachers in both primary and secondary schools were keen to note the distinction between the literacy pilot and other transitions activities, as the LDOs had longer-term contact with the pupils and got to know them well. They emphasised the importance of the children getting to know the teachers prior to transition. Supporting individual needs An important aspect of the pilot was the improvement in the transfer of information from primary to secondary schools about pupils moving into S1. Pupils liked that they were put into classes with others of similar abilities which reduced stigma. having primary trained ENABLE teachers was an important part of this focus on social and pastoral care, as it provides the pupils with the continued experience of a more holistic and supportive primary-style approach. |
Bryan 2007a (Effects of the literacy pilot on primary to secondary transition) Bryan 2007b (Work of the secondary Maths specialists in the primary schools; Impact on transition Bryan 2007c (The social and pastoral aspect of ENABLE) | Moderate confidence |
“ I think it helped that when the children came up that first week [in S1] I made a point of going round every class and speaking to them, so they had somebody that they knew well. Not just maybe somebody who… popped in for a period or so… or that they had for a period in their [induction] visit, but somebody who knew them well and could put names to faces”. (Teacher) [Bryan 2007a] “They’ll know you… it will be less scary when they come here, they’ll take to it quicker, feel more comfortable in your presence”. (Secondary teacher) “[LDO] knows the ones that are very able, so they can be pushed, and the ones at the other end, that are not pretending to misunderstand, they just don’t understand - which gives them the confidence to say they don’t understand – they’re aware that she knows they need help. In the past, they just sat like dummies, they said they understood but failed to achieve at all”. (Teachers) [Bryan 2007b] “I am here to help you, not to judge you”. (Teacher) [Bryan 2007c] |
Post-intervention expectations of school transition Anxiety Pupils who took part in the targeted intervention expressed mixed feelings about transitioning out of the intervention classes. Some were very nervous; they were worried that the work would be harder, they would be getting more homework, and they would have to do exams. Pupils were also upset about the prospect of not having their ENABLE teacher any more as well as being split up from their current classmates. Alleviating worries Primary teachers agreed that contact with the LDOs reduced pupils’ worries about the transition to secondary school. Some pupil in the targeted intervention expressed that they expected more homework when they moved out of the intervention classes but were not worried about it. They also felt that the support they had would help the at the next level. |
Bryan 2007a (Effects of the literacy pilot on primary to secondary transition) Bryan 2007c (Expectations of the transition into mainstream S3) | High confidence |
“[New teachers] …might not explain things like [ENABLE teacher] (Pupil) [Bryan 2007c] “They have an idea that secondary teachers are very different to primary teachers, they’re a bit intimidated – but I think they’ve realised that [LDO] was very approachable, very pleasant with the children, really interested in what they were doing… it’s made them more confident, and less apprehensive about meeting new staff”. (Teacher) [Bryan 2007a] “The teachers will teach us everything we need to know, so we don’t really have anything to worry about. [Teachers] are experts in the different subjects – that’s why you’ve got all different teachers”. (Pupil) [Bryan 2007c] “[School work] will get harder, but you’ll get used to it. It’ll be the same level as what we’re actually capable of doing”. (Pupil) [Bryan 2007c] |
Post-intervention school transition experience School belonging A strong need to feel ‘part of their new school was highlighted as a key benefit of pupils’ participation in Transition Club. They referred to the development of new friendships during their participation. They also reported positive experiences of finding their way around the school. Feeling more prepared Pupils felt that the numeracy intervention prepared them well for Maths in secondary school.. They reported that visits from the secondary staff when they were in primary school had helped them as they knew what to expect when they came to the secondary school. Enjoyment One of the key achievements of Transition Club was to create a leaming environment in which pupils were able to fully participate and enjoy the process of appropriating knowledge. Feeling supported Pupils receiving a targeted intervention reported a positive experience of secondary school. Pupils liked the fact that their teachers tailored the work to their learning abilities. Willingness to help others By taking part in the intervention there was some evidence of benefit for students more widely wherein pupils who had participated were able to help those who had not adjust to life in their new school. |
Bryan 2007b (Impact on transition) Bryan 2007c (Experience of ENABLE pupils in S1 and S2; Experience of S3) Humphrey 2006 (Making learning fun; Improvements for all; (Sense of belonging; Navigating the maze) | High confidence |
“It felt like we were part of the school” (Pupil) [Humphrey 2006] “When we come in September, we will know the school some teachers, and where the toilet is, compared to others” (Pupil) [Humphrey 2006] “I think the Maths up here would’ve been harder [without the P7 visits], because they let us know what kind of type of Maths we’d be having to do” (Pupil) [Bryan 2007b] “I’m prepared for it really… The ENABLE programme gets you ready for going into third year” (Pupil) [Bryan 2007c] “Here it is a more fun way of leaming ” (Pupil) [Humphrey 2006] “[There were] lots of exciting activities, especially maths and P.E. [physical education]…I love them subjects ” (Pupil) [Humphrey 2006] “She won’t give you something you cannae do” but “works you up to your standard” (Pupil) [Bryan 2007c] “They [pupils not on scheme].were a bit scared cause they didn’t know where to go…so we went with them ”. (Pupil) [Humphrey 2006] |
Table 12Summary of qualitative studies identified for support for children and young people from immigrant and refugee families
Study [Country] | Setting | Informants | Intervention type | Method | Themes in study |
---|---|---|---|---|---|
Fazel 2016 [UK] | Secondary school (Post-16) | Pupils | School-based mental health service |
|
|
Table 13Summary of themes and findings
Theme | Findings |
---|---|
Acceptability of the school setting |
|
Impact of the intervention |
|
Table 14Summary of qualitative evidence for support for children and young people from immigrant and refugee families
Review theme summary | Studies contributing (Study theme) | CERQual confidence rating | Supporting statements |
---|---|---|---|
Acceptability of the school setting Safety and familiarity Most young people preferred to be seen by the service at school when compared to either their home or the hospital/clinic setting. This was because of feeling of safety and familiarity in the school setting. They felt safe at school and it was often easy to find the therapist. In addition, it was convenient as they could easily get back to lessons. It is also reduced the stigma associated with seeking mental health care. Disadvantages of the school setting The disadvantages of being seen in the school setting were primarily regarding privacy and not wanting peers to see them. School was often perceived as busy and hectic and so appointments outside of school would probably be calmer. | Fazel 2016 (Impressions of receiving a mental health service in the school location) | Moderate confidence |
“I don’t know why I just get this sense of feeling free when I’m around this school … More at ease.” (Pupil) [Fazel 2016] “Outside, don’t know who you can trust.” (Pupil) [Fazel 2016] “Good to have it in school, if come to hospital it is scary, what are you doing there in the hospital, I don’t know if I would go if it was in a hospital.” (Pupil) [Fazel 2016] “Cos in school, there are so many peoples about as well and I wasn’t feel too comfortable”. (Pupil) [Fazel 2016] “Because I don’t like to come in school.” (Pupil) [Fazel 2016] |
Role of teachers Pupils described the important role that teachers played in mediating or supporting their contact with the mental health service. | Fazel 2016 (Role of teachers) | Moderate confidence |
“When I joined the high school yeah … I tell my the teacher … I have this problem which can make me not concentrate … and she advised me to see X.” “He [teacher] made me understand, these teachers won’t harm you. They won’t abuse me. Yeah, he wanted to help me. He want to understand me, and when [sic] I’m coming from, he want to know a little bit of me, d’you know I mean. And how is your life … You know, he saw me the last two years, you know how I was suffering all the years. And he knew it really deep down what was going on in my life. So, um, the teacher, he made it really easy for me, you know and he find a nice room for us” (Pupil) [Fazel 2016] |
Impact of the intervention Talking about problems Pupils described how having someone to talk to enabled them to get their problems ‘out’ and they no longer felt lonely and less worried about things. They were able to talk about themselves in the sessions but seemed to have mixed feelings about talking about their past experiences. Those that could felt that they could ‘unload’ their past experiences which then enabled them to ‘feel free inside’ or ‘calm down’ Impact on school-work Pupils were helped in their studies/at school and with their peers. This was through an improved ability to concentrate and feeling calmer in themselves and so therefore more able to focus on the schoolwork Peer relationships The intervention provided the opportunity to start talking to friends, especially for those who attended therapeutic groups. In general, many said that feeling calmer and better in themselves had helped them to get on better with friends | Fazel 2016 (Understanding of and impressions of the therapeutic intervention received) | Moderate confidence |
“I don’t know, I think it was just like a tumour … and she was operating and she took away the tumour.” (Pupil) [Fazel 2016] “Yeah, talking about it. And just, you know, having someone that I could talk to, because I didn’t have friends and umm I didn’t speak to people in my family or people in school, so she was really the only one that I could say what I was feeling …” (Pupil) [Fazel 2016] “I was ok, I tried, I was working harder, um it was just like because all the feelings when I had in the same time they were like all mixing around my head and I couldn’t concentrate but then some of them just vanished” (Pupil) [Fazel 2016] “Er … after seeing X like I told you I felt more at ease and free so I felt like I could, how should I say, I could socialise with people much more easier since I felt much more at ease and I said what I had to say, maybe not to the whole world, but at least somebody knows what I’m going through and what I went through” (Pupil) [Fazel 2016] |
Table 15Summary of qualitative studies of ‘Managed Moves’
Study [Country] | Setting | Informants | Intervention type | Method | Themes in study |
---|---|---|---|---|---|
Bagley 2015 (UK) | School reported as being ‘relatively prosperous) |
| Managed Move | Interviews |
A clean slate / fresh start Communication between partners Engagement with young person |
Bagley 2016 (UK) | School reported as being ‘relatively prosperous) |
| Managed Move | Semi-structured interviews |
Information provision Communication A clean slate / fresh start Timing |
Craggs 2018 (UK) | Mainstream secondary schools within a children’s service in the North West of England |
| Managed Move | Interviews | Sense of belonging |
Flitcroft 2016 (UK) | Not specified |
| Managed Move | Focus group and interviews |
Sense of belonging Communication |
Vincent 2007 (UK) | Midlands |
| Managed Move | Focus group interviews | Communication |
Table 16Summary of key qualitative findings for ‘Managed Moves’
Review theme summary | Studies contributing | CERQual confidence rating | Supporting statements |
---|---|---|---|
Making a new start Parents were keen to assert that making a fresh start at a host school assisted their child in feeling secure and engaged with their new placement. Young people needed to start at their new host school without any prejudice relating to previous behaviour. |
Bagley 2105 (School and LA staff perceptions of factors for success and challenges) Bagley 2016 (School and LA staff perceptions of factors for success and challenges) Vincent 2007 (Sense of belonging) | High confidence |
“… he hasn’t had any pre-judgements … he has not met with any ‘Oh yeah we know what you were like at X school’. [Parent] ‘For some of them a new school is essential but for others, it’s not just a case of them going in and having a fresh start, it’s having a fresh start with something that’s going to make a difference as well.’ (Deputy head teacher, School F) |
Sense of belonging The theme of ‘feeling understood / accepted as a person’ described what also seemed to be an important component of school belonging for all managed move participants. A sense of belonging arising from being accepted by peers and having the opportunity to do extra-curricular activities allowed CYP to have a sense of belonging. Children felt more able to do so when aware of the school’s ethos, expectations and when supported in finding their way around. Children also appreciated staff being positive and valuing their contribution to school |
Bagley 2016 (Children views of managed moves) Craggs 2018 (Supportive vs unsupportive school protocols/practices) | High confidence |
Miss [Deputy Head of receiver school] has, erm, invited someone to help me with my behaviour and, erm, to help me, like, ask, like to give me a bit of support and guidance to why, erm, I’m doing this. (Child J) ‘Cos the [previous] school wouldn’t put me in for counselling for it and everything so my mum had to go and do that herself and get me counseling … but this [receiver] school is like ‘if you ever start [self-harming] again we could get you counselling as soon as possible to help you stop before it got worse’. (Child M) |
Being able to make friends at the receiver school was the most prominent theme associated with a sense of school belonging, mentioned by all participants, and was positioned as an essential precursor. All participants recognised the benefits of the child having access to a buddy during the early stages of the move: This was seen as a good example of how peer support may be given to the young person |
Bagley 2015 (Supportive vs unsupportive school protocols/practices) Bagley 2016 (Children views of managed moves) Craggs 2018 (Making friends and feeling safe) | High confidence |
Now I don’t self-harm… I’ve got better friends … most of them [the other students in the receiver school] aint the bullying type … it makes me feel safer. (Child M) One of my best friends now (‘cos I was already friends with him), he introduced me to, like, all my new friends that I have here, and like, I found it comfortable. (Child J) ‘Well they gave her like a buddy system to start off with which I thought was quite good. So she had a little friend who she’d like go around with.’ [Parent] |
Table 17PICO Table
Population |
|
---|---|
Intervention |
Interventions to support social, emotional and mental wellbeing of children and young people during periods of transition. For example: induction days for primary school children in their secondary school, sessions providing information on puberty etc. |
Comparator | Not applicable |
Outcomes | Views and experiences in terms of barriers and facilitators of:
|
Table 18Summary of qualitative studies for school transitions
Study [Country] | Setting | Informants | Intervention type | Method | Themes in study |
---|---|---|---|---|---|
Bryan 2007a [UK] | North Lanarkshire 3 secondary schools and associated primaries |
| Literacy |
|
|
Bryan 2007b [UK] | East Ayrshire 2 secondary schools and associated primaries |
| Numeracy |
|
|
Bryan 2007c [UK] | Glasgow 1 secondary school |
| Targeted literacy and numeracy (ENABLE) |
|
|
Bunn 2019 [UK] | Primary school in England |
| Targeted discussion |
|
|
Table 19Summary of barriers and facilitators
Barriers | Facilitators |
---|---|
Staff issues | Good staff appointment |
Timetabling | Flexibility |
Space | Group dynamics |
Communication | Tools and resources |
Table 20Summary of qualitative evidence for school transitions
Review theme summary | Studies contributing (Study theme) | CERQUAL confidence rating | Supporting statements |
---|---|---|---|
Delivering the intervention: Barriers
|
Bryan 2007a (A positive partnership with some obstacles) Bryan 2007b (Timetabling; Communication) Bryan 2007c (Staffing issues) | High confidence |
Having the additional literacy coach “is all well and good, but the nuts and bolts of the curriculum still need covering”. (Headteacher) [Bryan 2007a] “We do our very best to use the teachers who are more skilled, or more experienced with that type of child. To be honest, there are teachers who are not best suited to that particular job… who get reasonable results with the top end of the children, but they’ve got less patience or less inclination to differentiate their work for the less able” (Deputy Head) [Bryan 2007c] “One of the secondary Deputy Heads was totally amazed at how difficult it was for her to timetable staff from the secondary to the primary. She knew all the timetabling issues in the secondary, but she just thought she’d be able to phone up and say “can so and so come this day”, but the response was “well actually we’re going swimming that day” etc. It’s been a real eye opener – a huge benefit, just an awareness of what’s going on in primaries… [The secondary staff] thought they were the only ones with the timetabling issues”. (EA representative) [Bryan 2007b] “One of the only issues is communication. We’ve been very aware of communication and tried to communicate to absolutely everyone, but it still breaks down because there’s so many people involved in the project, it’s a nightmare trying to make sure everybody knows everything that’s going on”. (Teacher) [Bryan 2007b] |
Delivering the intervention: Facilitators
| High confidence |
“Personalities make such a difference, especially when you’re working in a relatively sensitive area, like cross-sectors… Trying not to stand on toes and just building relationships”. (EA representative) [Bryan 2007b] “the first year we did six sessions, last year we did four … six was nice and comfortable but maybe somewhere in the middle” (SENCo) [Bunn 2019] I think it’s about selecting a group that will work well together (…) and understanding the intervention may not be suitable for every child” (SENCo) [Bunn 2019] “Using the iPads, using things from the websites was really useful” (SENCo) [Bunn 2019] |
Table 21Summary of qualitative studies of ‘Managed Moves’
Study [Country] | Setting | Informants | Intervention type | Method | Themes in study |
---|---|---|---|---|---|
Bagley 2015 (UK) | School reported as being ‘relatively prosperous) |
| Managed Move |
|
A clean slate / fresh start Communication between partners Engagement with young person |
Bagley 2016 (UK) | School reported as being ‘relatively prosperous) |
| Managed Move |
|
Information provision Communication A clean slate / fresh start Timing |
Craggs 2018 (UK) | Mainstream secondary schools within a children’s service in the North West of England |
| Managed Move |
| Sense of belonging |
Flitcroft 2016 (UK) | Not specified |
| Managed Move |
|
Sense of belonging Communication |
Vincent 2007 (UK) | Midlands |
| Managed Move |
| Communication |
Table 22Summary of barriers and facilitators
Barriers | Facilitators |
---|---|
Anxiety over interaction with peers | Timing |
Communication | Clear and precise communication |
Timing | Parental engagement |
Table 23Summary of key qualitative evidence for ‘Managed Moves’
Review theme summary | Studies contributing (Study theme) | CERQual confidence rating | Supporting statements |
---|---|---|---|
Managed moves: Facilitators
|
Bagley 2015 (School and LA staff perceptions of factors for success and challenges) Bagley 2016 (Children views of managed moves) Flitcroft 2016 (Children views of managed moves) Vincent 2007 (Children views of managed moves) | High confidence |
‘I went to a lesson. I were doing one lesson a day and then they said to me would I like to try another lesson and I said ‘Yeah’.’ (Year 9 pupil, School D)’ “What I liked as well which they actually did at X was they invited him in for a couple of days … just to get used to the flow of things and how the school was run. … so he could see how he would cope in that school.” [Parent] ‘What worked well for one of our girls who was a school refuser when she had been given a place at the school prior to the meeting, was the school wrote to her and you know a welcome letter prior to even having the meeting, we are really looking forward to meeting you, this is a copy of our options coz she was going into year 10. . ’. [FG6] ‘Well it should never come as a surprise you know. And nine times out of 10 there would have been a dialogue already in place with the parents about the situation the child is in’. (Teacher) ‘Parent should ‘feel that they are equal partners in the process and that their opinion is valued’ (Teacher) |
Managed moves: Barriers
|
Bagley 2015 (Children views of managed moves) Bagley 2016 (Children views of managed moves) Craggs 2018 (Supportive vs unsupportive school protocols/practices; Making friends and feeling safe) | High confidence |
I thought that, like, loads of the students would be the same – like some of them of the bullying type. (Child M) And, err, I was off for a few days so they [receiver school] … they err … said that it would be another three weeks or something [on trial], ‘cos my attendance went down a bit because of that. (Child J) You probably shouldn’t do a long … period of trial, ‘cos it gives you that kind of […] anxiety, of, like, worrying all the time in your behavior and stuff, and […] if you’re worrying about your behaviour […] you probably won’t make as many friends. (John) ‘… I just kind of felt like the feeling that they just felt that X was never going to change and they just felt like they just couldn’t … you know … just see X as a big problem child." [Parent] ‘… the process to get me to X school took about two months, three months before they made a decision and then they accepted me but then they said no …’ [Child] |
Final
Evidence reviews underpinning recommendations 1.5.1 to 1.5.7 and research recommendations in the NICE guideline
These evidence reviews were developed by developed by the Public Health Guidelines team
Disclaimer: The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The recommendations in this guideline are not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.
NICE guidelines cover health and care in England. Decisions on how they apply in other UK countries are made by ministers in the Welsh Government, Scottish Government, and Northern Ireland Executive. All NICE guidance is subject to regular review and may be updated or withdrawn.