Empowering Adolescents to Lead Change Using Health Data

Обзор

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.

Подробное описание

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:

1. Identify adolescent health needs through exploring the collected data; 2. Assess policies and practices already in place; 3. Identify gaps and needs for action to improve health. Students, teachers and local authorities will propose and prioritize policy and programme solutions from menus of effective interventions for school-, community- or city-level implementation, supported by the Ministries of Health and Education and WHO.

Repeat GSHS and G-SHPPS surveys will be conducted two years later in all schools to assess effectiveness of the interventions.

Вмешательства

• Поведенческое Behavioral interventions targeting multiple risk behaviors as well as protective factors
  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.
• Другое School-level interventions targeting the school environment and system
  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

Первичные конечные точки

• Alcohol use [Срок оценки: Two years]
• Dietary behaviors [Срок оценки: Two years]
• Drug use [Срок оценки: Two years]
• Hygiene [Срок оценки: Two years]
• Mental health [Срок оценки: Two years]
• Physical activity [Срок оценки: Two years]
• Protective factors [Срок оценки: Two years]
• Sexual behaviors [Срок оценки: Two years]
• Tobacco use [Срок оценки: Two years]
• Violence and unintentional injury [Срок оценки: Two years]

Критерии участия

Критерии включения

• School going
• Aged 13-17 years

Критерии исключения

• Not going to school
• Outside the age range 13-17 years

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Другое

Центры проведения

Ghana · 1 центр

• WHO — Sekondi-Takoradi

Индия · 1 центр

• WHO — Jaipur

Jamaica · 1 центр

• WHO — Spanish Town

Morocco · 1 центр

• WHO — Fes

Швейцария · 1 центр

• WHO — Geneva

Публикации

• 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 protoco PMID 37407059

Идентификаторы

NCT: NCT04963426 · ERC.0003397

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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