The Belonging Programme is school-based intervention combining two evidence-based interventions previously trialled in America: the Student Belonging and the Teacher Empathetic Discipline interventions. We consulted teachers, parents and students to culturally optimise the intervention for Secondary schools in England, and are now running a pilot randomised controlled trial (RCT) to assess progression criteria for a future phase III RCT. The pilot trial runs throughout the 2025-2026 academic year.
Poor mental health and violence among adolescents are inter-related problems, often arising from a low sense of school belonging. Evidence suggests that promoting school belonging can improve students’ mental health and prevent violence.
The Belonging Pilot is a pilot randomised controlled trial (RCT) involving six schools in south-east England, UK. It investigates the feasibility of carrying out a phase III trial of the Belonging Programme, a school-based intervention involving two short classroom activities for year-9 students and two online activities for school teachers, in English secondary schools. The pilot includes an integral process evaluation to assess fidelity, reach and acceptability of the intervention and how this varies by school, teacher and student characteristics.
Study background
Students’ sense of school belonging, including perceptions of teacher support and school connectedness, may impact on adolescent mental health and violence among young people (1-3). Adolescent mental health has worsened with inequalities widening since the COVID-19 pandemic (4, 5). School exclusions are associated with psychological distress, violence, educational failure and poor physical/mental health in adulthood (6-9).
There is evidence from previous trials and systematic reviews that building student sense of belonging through school interventions can promote student mental wellbeing and reduce school exclusion and adolescent violence (3, 10-12). The most promising brief interventions to promote school belonging are two recent interventions led by US researchers, which were shown to have strong reach to disadvantaged students (13, 14).
We have combined these two interventions and culturally optimised the materials for English Secondary schools and inclusivity through comprehensive community engagement and involvement (CEI). The pilot trial runs throughout the academic year 2025-2026.
- Bonell C, Jamal F, Harden A, Wells H, Parry W, Fletcher A, et al. Systematic review of the effects of schools and school environment interventions on health: evidence mapping and synthesis. Public Health Research. 2013;1(1):1-320.
- Kidger J, Araya R, Donovan J, Gunnell D. The effect of the school environment on the emotional health of adolescents: a systematic review. Pediatrics. 2012;129(5):925-49.
- Okonofua JA, Walton GM, Eberhardt JL. A vicious cycle: A social-psychological account of extreme racial disparities in school discipline. Perspectives on Psychological Science. 2016;11:381-98.
- NHS Digital. Mental Health of Children and Young People in England, 2021: Wave 2 Follow up to the 2017 Survey. London: NHS Digital 2021.
- Gagné T, Nandi A, Schoon I. Time trend analysis of social inequalities in psychological distress among young adults before and during the pandemic: evidence from the UK Household Longitudinal Study COVID-19 waves. Journal of Epidemiology and Community Health. 2021;76(5):421-27.
- Ford T, Parker C, Salim J, Goodman R, Logan S, Henley W. The relationship between exclusion from school and mental health: a secondary analysis of the British Child and Adolescent Mental Health Surveys 2004 and 2007. Psychological Medicine. 2018;48(4):629-41.
- Raffaele-Mendez LM. Predictors of suspension and negative school outcomes: a longitudinal investigation. New Directions in Youth Development. 2003;99:17-33.
- Rosenbaum J. Educational and criminal justice outcomes 12 years after school suspension. Youth & Society. 2020;52(4):515–47.
- Obsuth I, Madia J, Daniels H, Thompson I, Murray AL. The impact of school exclusion in childhood on health outcomes in adulthood: estimating causal effects using inverse probability of treatment weighting. PsyArXiv Pre-print Registry https://psyarxivcom/v9zm5/. 2022.
- Bonell C, Allen E, Warren E, McGowan J, Bevilacqua L, Jamal F, et al. Initiating change in the school environment to reduce bullying and aggression: a cluster randomised controlled trial of the Learning Together (LT) intervention in English secondary schools. The Lancet. 2018;392(10163):2452-64.
- Raniti M, Rakesh D, Patton GC, Sawyer S. The role of school connectedness in the prevention of youth depression and anxiety: a systematic review with youth consultation. BMC Public Health. 2022;22:2152.
- Ponsford R, Melendez-Torres GJ, Miners A, Falconer J, Bonell C. Whole-school interventions promoting student commitment to school to prevent substance use and violence and improve educational attainment: a systematic review. Public Health Research. 2023.
- Goyer JP, Cohen GL, Cook JE, Master A, Apfel N, Lee W, et al. Targeted identity-safety interventions cause lasting reductions in discipline citations among negatively stereotyped boys. Journal of Personality and Social Psychology. 2019;117(2):229–59.
- 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. 2019;116(33):16286-91.
Chris
Bonell
Professor of Public Health and Sociology
Ruth
Ponsford
Assistant Professor
Rose
Eagle-Hull
Research Assistant
Elizabeth
Allen
Professor of Medical Statistics
Rosa
Legood
Associate Professor
Joanna
Sturgess
Research Fellow
The Belonging Pilot aims to answer the following research questions:
- Is it possible to combine the US Student Belonging intervention and the Teacher Empathetic Discipline interventions, culturally optimised for English secondary schools and branded as the Belonging intervention?
- Is progression to a phase III RCT justified in terms of pre-specified criteria concerning intervention and trial feasibility and acceptability?
- Are outcome and covariate measures well completed and reliable?
- With what rates are schools recruited and retained?
- What do qualitative data suggest about how context influences implementation and interacts with intervention mechanisms?
- Are any potential harms suggested and how might these be mitigated?
- What is usual practice in control schools?
- Are methods for economic evaluation feasible?