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MEST : A School- Based Health Literacy Intervention Trial
Sponsor: Norwegian Institute of Public Health
Summary
The purpose of this study is to evaluate the effectiveness of the MEST work strategy in upper secondary schools. MEST is a school based, health promoting intervention delivered by school health services and designed to strengthen students' health literacy and mental well being. The study assesses whether implementation of the MEST work strategy results in improved health literacy and mental well being compared with usual school health services. This study is a pragmatic matched-pair cluster-randomized, parallel-group superiority trial in which upper secondary schools are assigned either to an intervention group implementing the MEST work strategy or to a control group continuing with school health services as usual. Student-reported outcomes are collected using digitally administered questionnaires during school hours at baseline (T0), and at 4-month (T1) and 9-month (T2) follow-up assessments following intervention initiation. Baseline data collection was conducted between August and October 2026.
Official title: Improving Health Literacy and Mental Well-Being Among Students in Norwegian Upper Secondary Schools Through the MEST School Health Work Strategy: A Study Protocol for a Cluster-Randomised Controlled Trial
Key Details
Gender
All
Age Range
16 Years - 24 Years
Study Type
INTERVENTIONAL
Enrollment
1200
Start Date
2026-08-17
Completion Date
2027-09-30
Last Updated
2026-10-30
Healthy Volunteers
Yes
Conditions
Interventions
MEST Work Strategy
The MEST work strategy is needs-based and adaptive. An anonymous, digitally administered MEST survey conducted prior to intervention initiation informs the selection and tailoring of intervention topics throughout the school year. This survey is used solely to guide intervention delivery and is not included in the outcome evaluation. Intervention activities may include classroom-based sessions, school-wide seminars, small thematic group activities, and individual consultations provided by the school health services, depending on identified student needs. All activities are conducted on school premises using existing school facilities and digital infrastructure.
Locations (1)
Norwegian Institute of Public Health (NIPH)
Levanger, Trøndelag, Norway