Evidence map›Paper›PMID 42875795›Full record

ArticleArchives of public health = Archives belges de sante publique2026

Study protocol for a quasi-experimental evaluation of the whole school approach FREI DAY.

Dominik Röding, Ricarda Brender, Sibel Ünlü-Reske, Anna Brager, Alicia Strauß, Jacqueline Kittel, Maike Stolz, Christian Krauth, Christiane Meyer, Ulla Walter

Abstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Dominik Röding *Hannover Medical School, Institute for Epidemiology, Social Medicine, and Health Systems Research, Hanover, Germany.ORCID http://orcid.org/0000-0002-7621-5679
Ricarda Brender *Hannover Medical School, Institute for Epidemiology, Social Medicine, and Health Systems Research, Hanover, Germany. brender.ricarda@mh-hannover.de.ORCID http://orcid.org/0009-0002-4496-4592
Sibel Ünlü-ReskeHannover Medical School, Institute for Epidemiology, Social Medicine, and Health Systems Research, Hanover, Germany.ORCID http://orcid.org/0009-0006-7694-9847
Anna BragerHannover Medical School, Institute for Epidemiology, Social Medicine, and Health Systems Research, Hanover, Germany.ORCID http://orcid.org/0009-0006-1520-2037
Alicia StraußInstitute for Didactics of Natural Sciences, Leibniz University Hannover, Hanover, Germany.ORCID http://orcid.org/0009-0001-2619-2923
Jacqueline KittelInstitute for Didactics of Natural Sciences, Leibniz University Hannover, Hanover, Germany.ORCID http://orcid.org/0009-0001-3468-6640
Maike StolzHannover Medical School, Institute for Epidemiology, Social Medicine, and Health Systems Research, Hanover, Germany.ORCID http://orcid.org/0009-0000-9766-0491
Christian KrauthHannover Medical School, Institute for Epidemiology, Social Medicine, and Health Systems Research, Hanover, Germany.ORCID http://orcid.org/0000-0003-0836-9737
Christiane MeyerInstitute for Didactics of Natural Sciences, Leibniz University Hannover, Hanover, Germany.ORCID http://orcid.org/0000-0002-5105-483X
Ulla WalterHannover Medical School, Institute for Epidemiology, Social Medicine, and Health Systems Research, Hanover, Germany.ORCID http://orcid.org/0000-0002-0709-2206

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Sustainable Development Goals combine health, social justice, sustainability, and environmental protection. Schools offer a suitable setting for linking these goals and incorporating them into the development of children and youth. FREI DAY is a whole-school approach in German-speaking countries and at German schools abroad. It is designed as a curriculum-anchored learning format in which students work on self-chosen projects related to the Sustainable Development Goals. The approach aims to improve lifestyles and living conditions in both health and environmental sustainability, and to build schools' capacity to transform into healthy and sustainable organisations. FREI DAY is theory-based and aligned with the United Nations Sustainable Development Goals. This study examines the effectiveness of FREI DAY and the conditions necessary for its success, providing recommendations for its implementation and further development.

methodsThe study is designed as a natural experiment with a sequential design. Over a period of three years, at least 60 secondary schools, including vocational schools, and 30 primary schools will be surveyed during three survey periods. The schools themselves decide whether and when to implement the eight-phase FREI DAY intervention. Schools will be classified as being in the intervention period once they moved from phase 3 (prepare FREI DAY pilot implementation) to phase 4 (implement FREI DAY pilot). Schools that have not yet reached phase 4 or discontinue will be classified as being in the control period. This means that schools can switch from the control condition to the intervention condition and vice versa during the study period. In each survey year, at least 20 students per school will be surveyed, i.e., around 1,200 students per wave. In addition, five school key informants per school will be surveyed annually, making 300 per wave (open cohort design). At intervention schools, at least three members of the school board per wave will also be surveyed. Changes in the results will be evaluated using hierarchical linear models. DISCUSSION: This is the first study to evaluate the effectiveness of FREI DAY. We expect FREI DAY to improve students' well-being, life skills, environmental awareness and environmental responsibility. In addition, it is expected to strengthen the transformative capacity of schools, create a new culture of learning and sustainability, and strengthen collective resilience.

trial registrationThis study was registered in the German Clinical Trials Register: DRKS00036310 on August 07, 2025.

Indexed as

Education for sustainable developmentEffectivenessHealth promoting schoolsImplementationKey informantsNatural experimentStudents

Identifiers

PMID42875795
PMCPMC13670517

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.