Digital Cardiovascular Health Promotion Among School-going Adolescents in Nepal

NCT06668675 | Completed

• 1 other identifier: 660/2021
• Study Type: interventional
• Target: 345
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this HRIDAYA project is to see if a digital mobile game can improve knowledge about heart disease among school-going adolescents. The researchers will divide adolescents of public and private schools into two groups. Each group will contain adolescents from both the school types. Knowledge, attitude and practice (KAP) of adolescents will be tested before intervention. One group will receive a mobile game and the other will not receive the game. After two weeks of game play, the KAP of the adolescents will be tested again. The changes in KAP before and after playing the game in the two groups will be compared. The participants will need to:

• Give pretest of KAP regarding CVD
• Download the game in their mobile devices.
• Install the game
• Play the game for 2 weeks
• Give post test of KAP regarding CVD

Conditions

Heart Disease

Keywords

Digital cardiovascular health promotion; Nepal; School-going adolescents; Mobile games; Serious games

Outcome Measures

Primary Outcomes (1)

• Knowledge score

  The knowledge of the adolescents will be measured using the knowledge part of the 'Knowledge, attitude and practice of cardiovascular disease among school-going adolescents' questionnaire before and after the serious game is administered. The total knowledge score obtained by the adolescents will be converted into percentage. So the minimum score is 0% and maximum score is 100%. Higher the percent score, better will be the knowledge. The primary outcome is the change in knowledge score of adolescents before and after playing the serious game 'Happy Heart'.

  2 months

Secondary Outcomes (1)

• Attitude score

  2 months

Other Outcomes (1)

• Practice score

  2 months

Study Arms (2)

Digital intervention arm

EXPERIMENTAL

This intervention arm will receive the serious game known as 'Happy Heart'. The game will be installed in their mobile devices through a link. The adolescents in this arm will play the game on their mobiles for 2 weeks.

Other: A serious game known as the 'Happy Heart' will be used as the intervention.

No digital intervention arm

OTHER

The control group adolescents will receive the same serious game 'Happy Heart' but after the study period is over

Other: A serious game known as the 'Happy Heart' will be used as the intervention.

Interventions

A serious game known as the 'Happy Heart' will be used as the intervention. OTHER

The serious game known as 'Happy Heart' is a mobile game used for educational purpose in addition to entertainment. It focuses on healthy habits for the heart and is aimed at improving knowledge on diet and physical activity among school-going adolescents. The game is developed in collaboration with the game development team from the School of Informatics, University of Skövde and the health team from Kathmandu Medical College, Nepal.

Digital intervention arm; No digital intervention arm

Eligibility Criteria

• Age: 13 Years - 15 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Adolescents studying in grades 8-10 in public and private schools in JD-HDSS.

You may not qualify if:

• Adolescents absent during data collection period

Sponsors & Collaborators

• Kathmandu Medical College and Teaching Hospital: lead
• University of Skövde: collaborator

Study Sites (1)

Kathmandu Medical College

Kathmandu, Bagmati, 44600, Nepal

Location

Related Publications (8)

• Aryal UR, Vaidya A, Shakya-Vaidya S, Petzold M, Krettek A. Establishing a health demographic surveillance site in Bhaktapur district, Nepal: initial experiences and findings. BMC Res Notes. 2012 Sep 5;5:489. doi: 10.1186/1756-0500-5-489.

  PMID: 22950751 BACKGROUND

• Nepal M, Pokharel B, Nepal P. Awareness and attitude regarding cardiovascular diseases among the adolescents studying in grade 12 in Makawanpur Multiple Campus in Nepal. Int J Heal Sci Res. 2021;11(5):261-8.

  BACKGROUND

• Yadav K, Wagle R. Knowledge and attitude regarding major risk factors of cardiovascular diseases among 15-19 year old students of Kathmandu District. Heal Prospect. 2012;11:7-10.

  BACKGROUND

• Aryal KK, Bista B, Khadka BB, Pandey AR, Mehta R, Jha BK, et al. Global School Based Student Health Survey Nepal-2015. Global School Based Student Health Survey Nepal. Nepal Health Research Council; 2015.

  BACKGROUND

• Khanal MK, Mansur Ahmed MSA, Moniruzzaman M, Banik PC, Dhungana RR, Bhandari P, Devkota S, Shayami A. Prevalence and clustering of cardiovascular disease risk factors in rural Nepalese population aged 40-80 years. BMC Public Health. 2018 May 31;18(1):677. doi: 10.1186/s12889-018-5600-9.

  PMID: 29855293 BACKGROUND

• Pearson TA, Palaniappan LP, Artinian NT, Carnethon MR, Criqui MH, Daniels SR, Fonarow GC, Fortmann SP, Franklin BA, Galloway JM, Goff DC Jr, Heath GW, Frank AT, Kris-Etherton PM, Labarthe DR, Murabito JM, Sacco RL, Sasson C, Turner MB; American Heart Association Council on Epidemiology and Prevention. American Heart Association Guide for Improving Cardiovascular Health at the Community Level, 2013 update: a scientific statement for public health practitioners, healthcare providers, and health policy makers. Circulation. 2013 Apr 23;127(16):1730-53. doi: 10.1161/CIR.0b013e31828f8a94. Epub 2013 Mar 21. No abstract available.

  PMID: 23519758 BACKGROUND

• Eckel RH, Jakicic JM, Ard JD, de Jesus JM, Houston Miller N, Hubbard VS, Lee IM, Lichtenstein AH, Loria CM, Millen BE, Nonas CA, Sacks FM, Smith SC Jr, Svetkey LP, Wadden TA, Yanovski SZ, Kendall KA, Morgan LC, Trisolini MG, Velasco G, Wnek J, Anderson JL, Halperin JL, Albert NM, Bozkurt B, Brindis RG, Curtis LH, DeMets D, Hochman JS, Kovacs RJ, Ohman EM, Pressler SJ, Sellke FW, Shen WK, Smith SC Jr, Tomaselli GF; American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Jun 24;129(25 Suppl 2):S76-99. doi: 10.1161/01.cir.0000437740.48606.d1. Epub 2013 Nov 12. No abstract available.

  PMID: 24222015 BACKGROUND

• Lichtenstein AH, Appel LJ, Vadiveloo M, Hu FB, Kris-Etherton PM, Rebholz CM, Sacks FM, Thorndike AN, Van Horn L, Wylie-Rosett J. 2021 Dietary Guidance to Improve Cardiovascular Health: A Scientific Statement From the American Heart Association. Circulation. 2021 Dec 7;144(23):e472-e487. doi: 10.1161/CIR.0000000000001031. Epub 2021 Nov 2.

  PMID: 34724806 BACKGROUND

MeSH Terms

Conditions

Heart Diseases

Condition Hierarchy (Ancestors)

Cardiovascular Diseases

Study Officials

• Alexandra Krettek, PhD

  University of Skövde

  STUDY CHAIR

Study Design

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

Study Record Dates

• First Submitted: October 27, 2024
• First Posted: October 31, 2024
• Study Start: July 2, 2023
• Primary Completion: September 10, 2023
• Study Completion: September 10, 2023
• Last Updated: October 31, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will share
• Time Frame: IPD will be available after the publication of the study.
• Access Criteria: Data access requests will be reviewed by external Independent Review Panel. Requestors will be required to sign a Data Access Agreement.

Locations

NE (1)