Developing School Health Champions to Increase Health Literacy Both in School Adolescents and Community People Through Providing Health Education by the School Nurses in Bangladesh: Community-based Pre- and Post-experimental Design

NCT06084429 | Completed

• 1 other identifier: 2023/OR-NSU/IRB/0707
• Study Type: interventional
• Target: 138
• Locations: 1 country
• Sites: 1

Brief Summary

Health literacy is a person's decision-making ability to improve their quality of life and prevent diseases by accessing, understanding and applying health information. Health literacy in the adolescent's period can aid them to gain and understand health information which can bring positive health outcomes. The aim of this pilot study is to examine the efficacy of health education and school health activities provided by school nurses on improving health literacy among secondary school adolescents. The study will also examine whether health education by health champions (the adolescents) is effective in improving the health literacy of the community people, and examine whether these interventions develop awareness, improve health knowledge, empower, and change behaviors of secondary school adolescents. This intervention study aims to improve health literacy in the adolescents in Bangladesh and the school-located community. The Begum Ayesha Pilot Girl's High School in Dohar, Dhaka district will be selected as a field. First, we will place school nurses at the school, provide health checkups for both the adolescents (about n=316) and community people (about n=200), and school nurses will provide weekly health education for 3 months to the adolescents. After certifying them as "Health Champions", the health champions visit the community and provide health education activities to the community people. For both participant groups, health literacy will be measured as efficacy checking of this pilot study. Assent and informed consent will be obtained from the participants. Autonomy, beneficence, non-maleficence, fidelity, veracity, confidentiality, and justice of the participants will be ensured. Also, anonymity will be maintained across all stages of the study.

Conditions

Health Literacy

Outcome Measures

Primary Outcomes (1)

• Change in health literacy score among the secondary school students

  Primary outcome will be measured by the health literacy scale for school-aged Children (HLSAC), Bangla version.

  Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)

Secondary Outcomes (9)

• Change in ratio of the level of health literacy

  Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)

• Change in self-efficacy score

  Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)

• Change in reproductive age women specific health literacy

  Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)

• Change in awareness and knowledge score

  Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)

• Change in health behavior score

  Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)

Study Arms (1)

pre and post test

EXPERIMENTAL

School adolescents studying in 8th grade.

Other: pre and post test (health educational intervention)

Interventions

pre and post test (health educational intervention) OTHER

The health education will be provided the following sessions. Introduction to Global and Bangladesh Health, Health Information access (Validity), Critical Values (Vital signs, BMI, RBS etc.), Emergency Management (burn, chocking, knife cut, fainting etc.), Food (classification, healthy food, unhealthy, food label, salt intake) (NCDs from unhealthy diet), Smoking and Alcohol (NCD related, substance abuse, secondhand smoking), Physical activity (Benefits, sedentary lifestyle, NCD related), Women's health (menstruation, menstrual cycle, hygiene, STD, contraception), Hygiene (water, food, brushing, bath, toileting, healthy habits), Environmental Sanitation and Communicable disease (clean, effects on health), and Women's health and societal contribution

pre and post test

Eligibility Criteria

• Age: 11 Years - 18 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• For school adolescents:
• Students who are willing to participate.
• Students who study in class 8 (Grade 8) at the time of enrollment.
• Students who are female.
• Students whose parents or legal guardians agree to give consent and are willing to participate in the study
• Students who agree to receive health checkup, and are willing to respond to the questionnaire.
• Students who will stay in the same school till study completion.
• For community people:
• Persons who are aged at least 18 years old.
• Persons who are willing to participate.
• Persons who agree to receive health checkup, and willing to respond to the questionnaire.
• Persons who will attend the health education activities.

You may not qualify if:

• For school adolescents:
• Students who are absent from school during the health checkup periods due to severe illness or without any reason or information
• For community people:
• Persons who will not attend the education sessions physically.
• Persons who will not live in the community until the post-test.

Sponsors & Collaborators

• Hiroshima University: lead

Study Sites (1)

Begum Ayesha Pilot Girls' High School And College

Dhaka, Dohar, 1330, Bangladesh

Location

MeSH Terms

Interventions

Lead

Intervention Hierarchy (Ancestors)

Metals, Heavy; Elements; Inorganic Chemicals; Metals

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctoral Student

Study Record Dates

• First Submitted: October 9, 2023
• First Posted: October 16, 2023
• Study Start: February 24, 2024
• Primary Completion: August 30, 2025
• Study Completion: August 30, 2025
• Last Updated: February 19, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

BA (1)