Reducing Behavioral Risk Factors of NCDs: Protocol for a School-based Health Education Program in Bangladesh

NCT03975335 | Completed DMC

• 1 other identifier: BSMMU/2018/5958
• Study Type: interventional
• Target: 823
• Locations: 1 country
• Sites: 1

Brief Summary

This is a before-after designed intervention study conducted in two randomly selected secondary schools- one was selected randomly as intervention school and the another as control school. A baseline survey was conducted among the students of both schools by a pre-tested questionnaire to attain their current status of knowledge, attitude and practices related to NCDs. Afterward, students were enrolled in the intervention group who met the eligibility criteria from the intervention school. The intervention was given through a health promotion session to a group of students, not more than 25 at a time, by trained facilitators. A post-intervention end line survey was conducted among all the participants from both schools using the same questionnaire three months after the baseline survey. An intervention has been developed based on some principals of two psychosocial theory- Motivational Interview and Social Cognitive Theory. Emphasis was given on motivating the adolescents towards a healthy lifestyle, supporting self-efficacy to be changed, guiding self-regulatory ways along with facilitating desired changing process by empowering them with choices about the preventive measures of NCDs. This intervention is expected to increase awareness by equipping the adolescents with specific knowledge and skills and thus, facilitate an eventual change in their practiced risk behaviors.

Conditions

Non-communicable Disease Risk Factors

Keywords

NCDs; Risk behaviors; Adolescents; Health education intervention

Outcome Measures

Primary Outcomes (3)

• Change in knowledge

  Knowledge about non-communicable diseases related risk behaviors such as dietary habit, physical activity, smoking and alcohol will be measured by 25 knowledge measuring questions scoring 54 in total. Answer to the questions will be regarded as correct or incorrect based on information from standard medical textbooks and guidelines. Difference of knowledge score from pre-intervention to post-intervention survey will be measured.

  Three months

• Change in attitude

  Attitude towards the risk behaviors- dietary habit, physical activity, smoking and alcohol will be measured by nine attitude measuring questions in a Likert Scale ranging from one to three. Change in attitude score from pre-intervention to post-intervention survey will be measured.

  Three months

• Change in practice

  Practice will be measured as follows- 1. Dietary habit: Presence of at least two of the following four habits will be accounted as having dietary risk behavior. i. Inadequate fruit consumption: Less than five servings of fruits per day ii. Inadequate vegetable consumption: Less than five servings of vegetables per day iii. Excessive salt consumption: Taking extra or raw salt during every meal iv. Sugar Sweetened Beverage (SSB) consumption: Consuming SSB more than three days per week 2. Physical activity: Not meeting 60 minutes physical activity of moderate intensity per day will be regarded as physically inactive. 3. Smoking and alcohol: Smoking regularly in the last 30 days or exposing to passive smoking more than three days per week will be accounted as in risk of smoking. Any amount of alcohol intake or any substance abuse in the last 30 days will be regarded as at risk. Change in practice from pre-intervention to post-intervention survey will be measured.

  Three months

Secondary Outcomes (2)

• Body Mass Index (BMI)

  Three months

• Blood Pressure

  Three months

Study Arms (2)

Intervention group

EXPERIMENTAL

Health education on NCDs and behavioral risk factors was delivered through motivation and observational learning session.

Behavioral: Health education

Control group

PLACEBO COMPARATOR

Control group received session on carrier guidance.

Other: Carrier Guidance

Interventions

Health education BEHAVIORAL

In this health education intervention, emphasis is given on evoking adolescents' internal desire to change, supporting self-efficacy to be changed, guiding self-regulatory ways along with facilitating desired changing process by empowering them with choices and skills.

Intervention group

Carrier Guidance OTHER

Carrier opportunities and counselling

Control group

Eligibility Criteria

• Age: 14 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Practicing at least two risk behaviors from three- unhealthy diet, physical inactivity and smoking

You may not qualify if:

• Physically disabled or having limited movement

Sponsors & Collaborators

• Chi Research & Infotec Ltd.: lead
• Directorate General of Health Services: collaborator

Study Sites (1)

Chi Research & Infotec Ltd.

Dhaka, 1000, Bangladesh

Location

Related Publications (2)

• Salwa M, Subaita F, Choudhury SR, Khalequzzaman M, Al Mamun MA, Bhuiyan MR, Haque MA. Fruit and vegetables consumption among school-going adolescents: Findings from the baseline survey of an intervention program in a semi-urban area of Dhaka, Bangladesh. PLoS One. 2021 Jun 8;16(6):e0252297. doi: 10.1371/journal.pone.0252297. eCollection 2021.

  PMID: 34101740 DERIVED

• Salwa M, Atiqul Haque M, Khalequzzaman M, Al Mamun MA, Bhuiyan MR, Choudhury SR. Towards reducing behavioral risk factors of non-communicable diseases among adolescents: protocol for a school-based health education program in Bangladesh. BMC Public Health. 2019 Jul 25;19(1):1002. doi: 10.1186/s12889-019-7229-8.

  PMID: 31345186 DERIVED

MeSH Terms

Conditions

Risk-Taking

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Md Khalequzzaman, PhD

  Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

  PRINCIPAL INVESTIGATOR

• Sohel Reza Choudhury, DrPH

  National Heart Foundation Hospital and Research Institute

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 14, 2019
• First Posted: June 5, 2019
• Study Start: May 2, 2018
• Primary Completion: August 20, 2018
• Study Completion: August 20, 2018
• Last Updated: June 5, 2019

Record last verified: 2019-06

Data Sharing

• IPD Sharing: Will not share

Locations

BA (1)