All in all, twenty two intermediate vocational studies school locations was basically anticipate to sign up the analysis (Fig

Study design

For it data, standard and you will realize-upwards investigation regarding the Medical health advice for Sick-said Children (MASS) intervention investigations studies were utilized, that is demonstrated in detail in other places .

The Stability Panel of the Erasmus University Medical Rotterdam examined the research proposition and you will proclaimed your Dutch Medical Search Of Peoples Sufferers Work (Dutch acronym: WMO) didn’t incorporate. It granted an announcement regarding no objection to carrying out this research and you can permitted to submit the outcome to own guide for the a technological record down the road (offer amount MEC-2015-614). Every professionals offered composed informed agree.

Function and study society

1). A dozen cities couldn’t participate, simply because of the newest anticipated date capital. In the long run, ten schools took part in the study regarding Dutch areas of Utrecht, West-Brabant, Amsterdam, and you can Rotterdam. The newest baseline studies are compiled between . The new pursue-up data was built-up between .

Players were college students aged 16–twenty-six age planning to intermediate vocational training level step 1–cuatro (we.elizabeth. height step 1 is considered assistant training and level 4 is considered middle management studies). It attended another professional apps: media manager/developer, secretary proper care, exchange, interior decorating, nursing, and you may professional studies. To adhere to new tastes of one’s schools, one or two more methods were implemented to pick people. (1) From the 7 universities, a college employee chose and you will invited youngsters for contribution whenever they got advertised a thorough number of ill weeks away from school (we.age. reporting ill about fourfold, otherwise, more than half a dozen successive college days from inside the a dozen college days). (2).

Within one or two remaining universities, the students from inside the randomly picked categories have been allowed to participate. The latest inside specialist picked students just who satisfied the fresh new criteria to own thorough diseases absence a while later. All the college students on basic processes and you may youngsters regarding next techniques just who found the latest conditions getting comprehensive infection absence was indeed placed throughout the ‘chosen problems absence’ shot. The rest participants regarding 2nd techniques were placed in brand new ‘general college population’ decide to try (get a hold of Fig. 1).

All students and you may mothers out-of students ranging from 16 and you will 18 years old was basically informed towards investigation due to a development letter and you can an excellent leaflet. These files told me the goal of the study and you may integrated get in touch with information of the researchers. An appointed planner in the performing colleges delivered the new records in order to the students and parents. Moms and dads could target to presenting the youngster be involved in the analysis by the notifying its objection towards college or university or even the boffins. The young was in fact questioned to add written informed concur just before filling up from questionnaire. The newest designated planner amassed the completed questionnaires and you may delivered these to the fresh new scientists. Approximately six months afterwards, the participants regarding the chose infection lack take to (i.elizabeth. where choices try in accordance with the quantity of disease absence) obtained the fresh go after-upwards questionnaire at home with money envelope or through a great hook within their elizabeth-send. New bigger university shot was not allowed to help you fill out the follow-upwards questionnaire. Altogether, 758 youngsters offered authored advised consent from the standard. Before analyses, i omitted students who had been over the age of twenty six years (letter = 3).


The fresh questionnaire contains the next subject areas: self-sufficiency, contextual factors (we.age. socio-demographic services and you may perspective, and you will exposure habits), and you will indicators off wellness condition (we.age. infection lack and you can depressive periods).


An adapted types of the new Dutch notice-sufficiency matrix (SSM-D) try as part of the survey [step one, 21]. So it version was made to own and you will verified one of students attending intermediate professional degree, corresponding to the text event of the students, and you may contact the art of children to provide for on their own regarding eleven particular lifetime-domains (profit, day circumstances, homes, domestic-relations, psychological state, future health, habits, things day to day life, social networking, area involvement, and judicial) . For every lives-website name is examined by just how many problems new college student got into the for the past half a year in a particular lifestyle-domain, age.g. ‘Funds. Think about: having the money and also make concludes meet’ (Most file step 1: Desk A1). Five reaction kinds ranged of ‘zero problems’ in order to ‘of several problems’. Impulse classes was indeed dichotomized toward ‘self-sufficient’ (couple troubles with no problems) as opposed to ‘not to ever barely thinking-sufficient’ (of several difficulties never to few/very few issues) for each and every lifestyle-domain name. Having analyses objectives, you to definitely total notice-sufficiency get try computed, between worry about-sufficient towards the all of the life-domains, ten existence-domains, nine lifetime-domain names, and you will 7 or a lot fewer lives-domain names.