School Health Education Program in Pakistan(SHEPP)

NCT03303287 | Unknown

• 1 other identifier: HEC_4553
• Study Type: interventional
• Target: 800
• Locations: 1 country
• Sites: 1

Brief Summary

Pakistan is a developing country and there have been a considerable rise in obesity and hypertension in children in recent years. In this setting a focus on primary prevention of cardiovascular diseases is more cost effective than spending resources on secondary or tertiary prevention,. Primary prevention includes interventions to promote physical activity (\> 30 minutes/day in school), healthy dietary habits (decreased consumption of sweetened beverages and snacks, and increased consumption of fruit and vegetables) and health education focusing on cardiovascular risk factors in school children. This would translate into healthier cardiovascular outcomes (eg. less hypertension, dyslipidemia and diabetes) in adult life. The investigators propose a school health education program for Pakistan (SHEPP) for children aged 9-11 years in 3 schools in Karachi for a period of one year. This program will comprise of 140 minutes physical activity/week (including aerobics):30 minutes aerobic PA(30\*2=60) + 10 minutes (10\*5=50)physical activity in assembly daily+ 1 minute between periods(1\*6\*5=30) and healthy diet and healthy heart teaching. Additionally teaching will also be given to teachers and parents, who will further reinforce these habits in children. We hypothesise that SHEPP will improve physical activity levels, dietary habits and knowledge about healthy heart in children, will decrease blood pressure, body mass index, waist circumference, at the end of the year. If this healthy behavior is carried on to adult life it will serve as an excellent primary prevention measure. The investigators , later on plan to study long term outcomes after implementation of this intervention.

Conditions

Health Education

Keywords

health education

Outcome Measures

Primary Outcomes (1)

• increase in Minutes spent in school, out of school in physical activity

  • Physical activity levels(in school, out of school, moderate to vigorous physical activity and sedentary time) assessed by number of minutes spent in physical activity

  10 months

Secondary Outcomes (4)

• decrease in blood pressure in mm

  10 months

• decrease in BMI in kg/m2

  10 months

• increase in Number of fruits and vegetable/ decrease in sweetened beverages in a day

  10 months

• Decrease in waist circumference in cm

  10 months

Study Arms (2)

intervention

EXPERIMENTAL

School health education program in Pakistan(SHEPP): The health education program will be directed towards children, parents and teachers

Behavioral: School health education

control

NO INTERVENTION

usual

Interventions

School health education BEHAVIORAL

School health education program in Pakistan(SHEPP): The health education program will be directed towards children, parents and teachers

intervention

Eligibility Criteria

• Age: 8 Years - 11 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• All children aged 8-11 years enrolled in the schools.

You may not qualify if:

• Any child or adolescent suffering from any physical disability

Sponsors & Collaborators

• Aga Khan University: lead

Study Sites (1)

Aga Khan Schools

Karachi, Sindh, Pakistan

RECRUITING

Related Publications (2)

• Almas A, Iqbal R, Ghani A, Samad Z, Sabir S, Kazmi K. School Health Education Program in Pakistan (SHEPP): findings from a feasibility trial in pre-adolescent school children from a lower middle-income country. Pilot Feasibility Stud. 2023 Jul 17;9(1):123. doi: 10.1186/s40814-023-01344-9.

  PMID: 37461089 DERIVED

• Almas A, Iqbal R, Sabir S, Ghani A, Kazmi K. School health education program in Pakistan (SHEPP)-a threefold health education feasibility trial in schoolchildren from a lower-middle-income country. Pilot Feasibility Stud. 2020 Jun 8;6:80. doi: 10.1186/s40814-020-00625-x. eCollection 2020.

  PMID: 32523724 DERIVED

MeSH Terms

Conditions

Health Education

Condition Hierarchy (Ancestors)

Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Aysha Almas, FCPS

  Aga Khan University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Aysha Almas, FCPS

CONTACT

9221-34930051; aysha.almas@aku.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor

Model Details: : Three schools under the Aga Khan Education Service in Karachi will be included in a two-arm parallel cluster intervention trial. All schools belong to lower to middle income class, at different locations, all having the same school curriculum. Baseline data will be collected from all three schools during a three month period by trained research staff

Study Record Dates

• First Submitted: September 27, 2017
• First Posted: October 6, 2017
• Study Start: September 15, 2017
• Primary Completion: April 30, 2019
• Study Completion: April 30, 2019
• Last Updated: October 10, 2017

Record last verified: 2017-10

Locations

PA (1)