School Health Research Network Surveys 2019/20: Key Features, Data Analysis, and Longitudinal Research

1. School Health Research Network Surveys 2019/20 • Recap of 2017/18 Surveys • Overview of the 2019/20 Surveys • Groupwork • Timeline and next steps • School Environment Questionnaire • Break

2. School Health Research Network Surveys 2017/18 193 161 112,000 158

3. Using the data: Local

4. Using the data: Regional

5. Using the data: National • General health and wellbeing • School life • Family life and friendships • Relationships • Smoking, drinking and drug-taking • Gambling • http://www.shrn.org.uk/national-data/

6. Using the data: National www.estyn.gov.wales/thematic-reports

7. Using the data: Research Student Data • Socio-economic inequalities in adolescent summer holiday experiences and mental wellbeing on return to schoolhttps://theconversation.com/poorer-childrens-summer-holiday-experiences-linked-with-worse-mental-well-being-114533 • Dating and relationship violence victimisation and perpetration among a representative sample of young people in Wales • Socioeconomic status and mental wellbeing on transition from primary to secondary school

8. Using the data: School Environment Questionnaire

9. School Health Research Network Surveys 2019/20 Student Health and Wellbeing Survey September – December2019 School Environment Questionnaire January – February 2020

10. Student Health and Wellbeing SurveyKey FeaturesWho? • Whole school • Years 7 to 11 • Years 12 to 13 – strongly encouraged!

11. Student Health and Wellbeing SurveyKey FeaturesHow? • Laptop, desktop or tablet • One lesson period • School-led organisation with support from local Healthy School team • English or Welsh

12. Student Health and Wellbeing Survey

13. Student Health and Wellbeing SurveyKey FeaturesWhat? Year 11 2015 2017 2019 60 Questions 86 – 95 64 – 70 Question parts 99 189 144

14. Student Health and Wellbeing SurveyKey FeaturesWhat? • Four core health topic areas • Food and Fitness • Substance Use and Misuse • Mental and emotional health and wellbeing • Sexual behaviour • School life • Social media use • Gambling • Questions on home circumstances

15. Student Health and Wellbeing SurveyKey FeaturesWhat? Sexual behaviour questions • Asked to years 11, 12 and 13 only • Seven questions • Sexually active • Contraceptive use at last intercourse (5 methods) • Age at first intercourse • Optional for years 9 and 10

16. Student Health and Wellbeing Survey

17. Student Health and Wellbeing SurveyKey FeaturesWhat? New questions for 2019 on mental health • Strength and Difficulties Questionnaire (SDQ) • Mood and Feelings Questionnaire (MFQ)

18. Student Health and Wellbeing SurveyKey FeaturesLongitudinal and data linkage research Data Linkage and Longitudinal Research Pilot Project • Is it acceptable to collect student name, date of birth and postcode at the end of the survey? • Schools • Parents • Students • What proportion of young people provide the information and with what level of accuracy?

19. Longitudinal Research • ‘Research over time’ • Joining together students’ answers across rounds of the survey Year 11 Year 7 Year 9 2021 2017 2019

20. Longitudinal Researche.g. school connectedness (SC) 2017 Year 9 75% 2019 Year 11 65% ↓ 10% SC ↑ Alcohol misuse ↔ SC ↑ SC ↓ SC ? Alcohol misuse

21. Data Linkage Research • Linking SHWB survey data to other data sets: • NHS, Welsh Government, social care • Education • Very robust and secure methods of anonymization before data are linked

22. Student Health and Wellbeing SurveyKey FeaturesLongitudinal and data linkage research Integrating the pilot project findings in 2019 • Longitudinal research • Very few concerns from young people • Expectation that answers across surveys rounds would be joined together for research • All students will be asked to provide their name, date of birth and postcode

23. Student Health and Wellbeing SurveyKey FeaturesLongitudinal and data linkage research Integrating the pilot project findings in 2019 • Data linkage research • Some concerns from young people • More examples in the information video would help them understand and decide • Slightly higher level of parent withdrawal • Schools opt-in to data linkage at registration • Students consent to data linkage at end of survey, if they have provided their name, date of birth and postcode

24. Student Health and Wellbeing SurveyKey FeaturesConsent Parental information and consent • We have to ensure parents are informed that the survey is taking place, its purpose and their right to withdraw their child if they want to (opt-out consent). • We have to use two methods to ensure the information reaches parents. • Pupil post / email / text • We can print letters for you or send an electronic letter.

25. Student Health and Wellbeing SurveyKey FeaturesConsent Student information and consent • Screens of information at the start of the survey. • Please ensure they read them! • Consent question at start of survey. • Advised to speak to a teacher or counsellor if they are worried by any of the questions.

26. Student Health and Wellbeing SurveyKey FeaturesConsent Student information and consent • Video • Available to all schools • For use in advance of the survey • Different version if taking part in data linkage • Video essential if taking part in data linkage • PowerPoint slides • Make bespoke to suit your school

27. Video

28. Student Health and Wellbeing SurveyMental Health Measures Mental Health Pathfinder Awards: harness the power of data science for mental health research • Funded by the Medical Research Council • Two parts linked to SHRN • Aims • Develop a school-based adolescent cohort for identifying the antecedents of mental ill health • Half of schools form the cohort

29. Student Health and Wellbeing SurveyMental Health Measures Strength and Difficulties Questionnaire • Very widely used child mental health questionnaire • Made up of five parts • Emotional symptoms • Conduct problems • Hyperactivity / inattention • Peer relationship problems • Prosocial behaviour

30. Student Health and Wellbeing SurveyMental Health Measures Strength and Difficulties Questionnaire • Respond to a list of statements with ‘Not true’, ‘Somewhat true’ or ‘Certainly true’ • I get very angry and often lose my temper • I think before I do things • + comparability with other research / surveys • + monitoring adolescent mental health in Wales • – a long measure

31. Comparison with ALL SEED schools (pupil complete P5 SDQs) Your School All Schools

32. Student Health and Wellbeing SurveyMental Health Measures Mood and Feelings Questionnaire • Widely used child mental health questionnaire • A series of statements regarding how the subject has been feeling or acting recently • 13 statements (‘Not true’, ‘Sometimes’, ‘True’) • I did everything wrong • I was very restless • I was a bad person • Mental health cohort schools

33. Social Media 2017: social network site / instant messaging service membership

34. Social Media 2017: How often do you have ONLINE contact with the following people? • Close friend(s) • Friends from a larger friend group • People other than friends (e.g. parents, brothers/sisters, classmates, teachers) • Friends that you got to know through the internet, but didn’t know before ‘Never’ to ‘Almost all the time throughout the day’

35. Social Media • Negative relationship between frequency of online contact and mental wellbeing: • Internet friends • Positive relationship between frequency of online contact and mental wellbeing: • Close friends • Friends from wider group • Family, teachers, classmates

36. Feedback on Mental Health Measures and Social Media Feedback • Any thoughts or concerns on the SDQ and MFQ • Views on changes to social media feedback • Written feedback form

37. Student Health and Wellbeing SurveyGroupwork: Delivering the survey in school • Which individuals and/or staff groups (teaching and non-teaching) do I need to involve? • Who should deliver the survey in the classroom and how will they be briefed? • What’s the best way to inform / enthuse students and staff about the survey? • How will we ensure students have privacy when they complete the survey? • How will we offer support to students for whom the questions raise issues? • How will we tackle 6th form inclusion? • Where might there be problems and how might they be resolved / forestalled?

38. Student Health and Wellbeing SurveyGroupwork: Delivering the survey in school • What key points should we include in a video for school survey leads?Write on flip chart sheets • Any concerns specific to your school that you would like to discuss with JoanWrite on SHRN feedback form

39. Student Health and Wellbeing SurveyTIMELINE

40. Student Health and Wellbeing SurveyJULY SCHOOL PACK • Overview of survey, including data linkage • IT information sheet • Draft survey questions • PowerPoint slides for staff • Information needed to register • Link to register for survey

41. Student Health and Wellbeing SurveyNEXT STEPS • Identify a survey lead for your school • Decide on: • Sexual behaviour section for years 9 & 10 • Letters to parents • Data linkage • Start date • Collect information on IT system • Complete and submit by end of term

42. School Environment Questionnaire • Questions on school policies and practices on health and wellbeing • Summary report for WNHSS and PHW • Research – data used alone and in combination with student and / or routine education data • Adolescent self-harm prevention and intervention in secondary schools • School practices important for students’ sexual health: analysis of the school health research network survey in Wales • Health improvement and educational attainment in secondary schools: complementary or competing priorities?

43. School Environment Questionnaire

44. School Environment Questionnaire

45. School Environment Questionnaire

46. School Environment Questionnaire

47. School Environment QuestionnaireKey Features • Electronic completion • Can be completed by one or several members of staff over one month period