Improving well-being in Swedish elementary schools with the PAX Good Behavior Game

PAX Good Behavior Game - A Cluster-randomized Controlled Evaluation and Qualitative Analysis of Effects on Work Environment, Learning, Mental Health and Health Economic Aspects of Implementing a Classroom-based Intervention

Not applicable Interventional Linnaeus University · NCT05407623

This study is testing if the PAX Good Behavior Game can help improve the mental well-being of elementary school kids and reduce stress for their teachers in Swedish classrooms.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment2184 (estimated)
Ages6 Years to 10 Years
SexAll
SponsorLinnaeus University Academic / other
Locations1 site (Stockholm)
Trial IDNCT05407623 on ClinicalTrials.gov

What this trial studies

This project aims to address rising mental health issues among elementary school children and work-related stress in teachers by implementing the PAX Good Behavior Game in Swedish classrooms. The study will involve a cluster-randomized controlled trial with 28 schools and 84 teachers, where some will receive training in PAX while others will implement a control intervention. The effectiveness of PAX on student well-being and teacher stress will be evaluated over time, with both groups eventually using both interventions. The design allows for a comprehensive assessment of the long-term impacts on both students and teachers.

Who should consider this trial

Good fit: Ideal candidates for this study are elementary schools in Sweden that are willing to implement the PAX Good Behavior Game and have teachers ready to participate.

Not a fit: Schools currently using other intensive methods to improve classroom environments may not benefit from this study.

Why it matters

Potential benefit: If successful, this intervention could significantly enhance the mental well-being of students and reduce stress among teachers.

How similar studies have performed: Previous pilot studies have shown positive outcomes with similar interventions, indicating potential for success.

Eligibility criteria

Show full inclusion / exclusion criteria
ON SCHOOL LEVEL:

Inclusion Criteria:

* The school uses the general study plan (i.e. the school is not only working with students with special needs)
* There is at least one teacher that is willing to participate, signs the study consent, and will be able to start the implementation in his/her class at the earliest in the second semester in the first grade or at the latest the first semester in the third grade.
* The principal has signed an agreement to participate in the project, to allow some time for measurements to be administrated, aid in delivering information to the parents, and that the school are responsible for implementing the methods within their regular operation (given that supervision is provided by the research team)

Exclusion Criteria:

* Another method that specifically aims to improve study and classroom environment is being implemented
* Another method that is expected to be time and energy consuming for teachers is being implemented during the same period

ON TEACHER LEVEL:

Inclusion criteria:

* The teacher mentors a class of 1st or 2nd graders following the general study plan (ready to implement the program no later than the first semester of the 3rd grade) and deems the class suitable for inclusion in the study
* The teacher has signed the informed consent

Exclusion criteria:

* The teacher has expressed plans to terminate their employment during the upcoming two years
* A major change in the composition of the class is planned during the upcoming year.

Where this trial is running

Stockholm

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Well-being in Elementary School ChildrenMental Health in Elementary School ChildrenWork-related Stress in TeachersAcademic Performance in Elementary School ChildrenPreventionPedagogyPsychologyLeadership
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.