Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Fondation Botnar | UNKNOWN |
| University of Bern | OTHER |
| University of Wollongong | OTHER |
Not provided
Not provided
Not provided
Not provided
Not provided
This study is a cluster randomized trial carried out in schools of secondary cities of four low- and middle income countries. Baseline surveys in 30 randomly selected schools will assess the health behaviours of 13-17 year old students as well as school policies and practices. The intervention arm (15 schools) will use the baseline information to develop a package of actions in collaboration with students, teachers, and local authorities that will subsequently be implemented an monitored over two years. Follow-up surveys to evaluate the effectiveness of the implemented actions will be conducted after two years in all 30 previously selected schools.
The objective of this study is to generate health information through school surveys and use this information directly and locally, involving adolescents, to change policies and plan programmes to improve health.
The study is carried out in secondary cities of four low- and middle income countries, including Sekondi-Takoradi, Ghana; Jaipur, India; Spanish Town, Jamaica; and Fez, Morocco.
In each of the four cities, 30 schools are randomly selected. Baseline surveys will be conducted to assess (1) 13-17 year old student's health behaviours using the Global School-based Student Health Survey (GSHS); and (2) health policies and practices in the selected schools using the Global School Health Policies and Practices Study (G-SHPPS). Additionally, the physical activity module of the GSHS questionnaire will be validated against objective measurement devices in one randomly selected class of 15 randomly selected schools.
Schools will be randomly allocated to the intervention (15 schools) or control arm (15 schools) of the study. The intervention group will participate in interactive workshops using the Global Accelerated Action for the Health of Adolescents (Global AA-HA!) approach and the framework of Making every school a health-promoting school to:
Repeat GSHS and G-SHPPS surveys will be conducted two years later in all schools to assess effectiveness of the interventions.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention arm | Experimental | The intervention consists of interactive workshops that will be facilitated by WHO and trained local personnel and involve students, teachers and local authorities. In the workshops, the Global Accelerated Action for the Health of Adolescents (Global AA-HA!) approach will be used to:
|
|
| Control arm | No Intervention | The schools in the control arm will not participate in any intervention and continue 'as usual' after the baseline surveys. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Behavioral interventions targeting multiple risk behaviors as well as protective factors | Behavioral | Depending on the baseline data and prioritization of actions, behavioral interventions related to the following topics will be implemented: alcohol use, dietary behaviors, drug use, hygiene, mental health, physical activity, protective factors, sexual behaviors, tobacco use, violence and unintentional injury. |
| Measure | Description | Time Frame |
|---|---|---|
| Alcohol use | Self-reported alcohol use measured with the Global School-based Student Health Survey (GSHS) | Two years |
| Dietary behaviors | Self-reported dietary behaviors measured with the Global School-based Student Health Survey (GSHS) | Two years |
| Drug use | Self-reported drug use measured with the Global School-based Student Health Survey (GSHS) | Two years |
| Hygiene | Self-reported hygiene measured with the Global School-based Student Health Survey (GSHS) | Two years |
| Mental health | Self-reported mental health measured with the Global School-based Student Health Survey (GSHS) | Two years |
| Physical activity | Self-reported physical activity measured with the Global School-based Student Health Survey (GSHS) | Two years |
| Protective factors | Self-reported protective factors measured with the Global School-based Student Health Survey (GSHS) | Two years |
| Sexual behaviors | Self-reported sexual behaviors measured with the Global School-based Student Health Survey (GSHS) |
Not provided
| Measure | Description | Time Frame |
|---|---|---|
| School-level policies and practices | School-level outcomes related to the following: school policies and resources, school governance and leadership, school and community partnerships, school curriculum, school social-emotional environment, school physical environment, school health services measured with the Global School Health Policies and Practices Study (G-SHPPS) | Two years |
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Regina Guthold, PhD | Contact | +41 79 621 5691 | gutholdr@who.int | |
| Leanne M Riley, MSc | Contact | +41 22 791 4319 | rileyl@who.int |
| Name | Affiliation | Role |
|---|---|---|
| Regina Guthold, PhD | World Health Organization | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| WHO | Enrolling by invitation | Sekondi-Takoradi | Ghana | |||
| WHO |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37407059 | Derived | Guthold R, Kann L, Bhatti L, Abduvahobov P, Ansong J, Atkinson U, Baltag V, Caffe S, Caixeta R, Diallo CB, Fouad H, Haddad S, Hachri H, Jaggi JA, Joshi P, Karna P, Louazani SA, Mbola Mbassi S, Mehta R, Mudgal Y, Nigg CR, Okely AD, Ondarsuhu D, Ouaourir T, Trhari FZ, Riley LM. Effectiveness of a participatory approach to develop school health interventions in four low resource cities: study protocol of the 'empowering adolescents to lead change using health data' cluster randomised controlled trial. BMJ Open. 2023 Jul 5;13(7):e071353. doi: 10.1136/bmjopen-2022-071353. |
Not provided
Not provided
After a two year window following completion of data collection, the GSHS and G-SHPPS data will be released as public access datasets, including in the WHO NCD microdata repository.
The documents above will become available after the study protocol has been published in a scientific journal.
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D065840 | Protective Factors |
| D016503 | Drug Delivery Systems |
| ID | Term |
|---|---|
| D012306 | Risk |
| D011336 | Probability |
| D013223 | Statistics as Topic |
| D004812 | Epidemiologic Methods |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| School-level interventions targeting the school environment and system | Other | Depending on the baseline data and prioritization of actions, and based on the Global Standards for Health Promoting Schools, school-level interventions related to the following will be implemented: school policies and resources, school governance and leadership, school and community partnerships, school curriculum, school social-emotional environment, school physical environment, school health services |
|
| Two years |
| Tobacco use | Self-reported tobacco use measured with the Global School-based Student Health Survey (GSHS) | Two years |
| Violence and unintentional injury | Self-reported violence and unintentional injury measured with the Global School-based Student Health Survey (GSHS) | Two years |
| Enrolling by invitation |
| Jaipur |
| India |
| WHO | Recruiting | Spanish Town | Jamaica |
|
| WHO | Recruiting | Fes | Morocco |
|
| WHO | Enrolling by invitation | Geneva | 1211 | Switzerland |
| D008919 |
| Investigative Techniques |
| D015984 | Causality |
| D015981 | Epidemiologic Factors |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D017531 | Health Care Evaluation Mechanisms |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |