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| Name | Class |
|---|---|
| Directorate General of Health Services | AMBIG |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | Health education on NCDs and behavioral risk factors was delivered through motivation and observational learning session. |
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| Control group | Placebo Comparator | Control group received session on carrier guidance. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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-
Change in practice from pre-intervention to post-intervention survey will be measured. | Three months |
| Measure | Description | Time Frame |
|---|---|---|
| Body Mass Index (BMI) | The ratio of body weight in kilogram and the height in meter square will be considered as BMI. Classification of BMI will be done as following- Underweight (Less than 18.5); Normal weight (18.5-24.9); Overweight (25.0-29.9) and Obese (More than 30.0) | Three months |
| Blood Pressure |
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Inclusion Criteria:
• Practicing at least two risk behaviors from three- unhealthy diet, physical inactivity and smoking
Exclusion Criteria:
• Physically disabled or having limited movement
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| Name | Affiliation | Role |
|---|---|---|
| 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 |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chi Research & Infotec Ltd. | Dhaka | 1000 | Bangladesh |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34101740 | Derived | 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. | |
| 31345186 |
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Study protocol, statistical analysis plan and informed consent form will be shared through
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| ID | Term |
|---|---|
| D012309 | Risk-Taking |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| Carrier Guidance | Other | Carrier opportunities and counselling |
|
Blood pressure will be measured by an automatic digital sphygmomanometer (HEM-8712, Omron, Kyoto, Japan). Presence of systolic blood pressure ≥ 130 mm of Hg and/or diastolic blood pressure ≥ 80 mm of Hg will be considered as having high blood pressure. |
| Three months |
| 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. |