Study procedures
Following ethical approval, head teachers of 142 primary schools in three adjacent districts were
approached by post to participate in the study. A total of 21 schools expressed an interest in taking
part in the research. Information packs were then sent via the school to parents/guardians of all
children in Year 4. Parents/guardians were asked to complete and return the opt-out consent form
by a specified date should they not wish their child to take part in the draw and write task and focus
group discussion. Parental opt-outs ranged from 5% to 35% of each class.