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Impact of the Child Anxiety Learning Modules (CALM), a School Nurse-Delivered Intervention for Anxiety, on Elementary Students' School Outcomes

Title: Impact of the Child Anxiety Learning Modules (CALM), a School Nurse-Delivered Intervention for Anxiety, on Elementary Students' School Outcomes
Language: English
Authors: Grace Imondi (ORCID 0009-0002-1194-4210); E. B. Caron (ORCID 0000-0002-3717-2979); Lillian Blanchard; Emilie Butler (ORCID 0000-0003-2373-8596); Golda S. Ginsburg (ORCID 0000-0001-5172-2079)
Source: Grantee Submission. 2025.
Peer Reviewed: Y
Page Count: 9
Publication Date: 2025
Sponsoring Agency: Institute of Education Sciences (ED)
Contract Number: R305A140694
Document Type: Reports - Research
Education Level: Elementary Education
Descriptors: School Nurses; Elementary School Students; Elementary Schools; Anxiety; Stress Management; Coping; Relaxation Training; Learning Modules; Intervention; Short Term Memory; Academic Achievement; Outcomes of Treatment; Parent Attitudes; Student Attitudes; Teacher Attitudes; Student Behavior; Behavior Change; Attitude Change
Geographic Terms: Connecticut; Maryland
DOI: 10.1177/10598405251328369
Abstract: School-based anxiety interventions reduce anxiety and related impairment, but little is known about whether they improve academic outcomes, especially when delivered by non-mental health specialists. This study examined the impact of two brief, school nurse-delivered anxiety interventions on working memory, school functioning, and school avoidance. Participants were 54 students aged five to 12 with elevated anxiety and their school nurses (N = 30), who were randomly assigned to deliver the Child Anxiety Learning Modules (CALM, n=14) or CALM- Relaxation only (CALM-R, n=16). Student outcomes were assessed by parent-, teacher-, and student self-reports at baseline, post-intervention, and follow-up. Both interventions significantly improved school outcomes, including decreasing school anxiety, the impact of anxiety on performing school tasks, and negative classroom behavior while improving working memory, suggesting that school nurse-delivered anxiety interventions can improve school outcomes. Limitations and implications for future school nurse-delivered and school-based interventions are discussed. [This is the online first version of an article published in "Journal of School Nursing."]
Abstractor: As Provided
IES Funded: Yes
Entry Date: 2025
Accession Number: ED671650
Database: ERIC