About this trial
The FaCe-D Study, with funding from the Canadian Institute for Health Research (CIHR) through Global Alliance for Chronic Diseases (GACD) aims to adapt and implement an evidence-based family centred approach (FCA) to prevent cardiovascular diseases (CVD) among adolescents and their families. This 5-year implementation science study will be conducted in 16 villages in Jinja district and another 16 in Kampala beginning April 2024 to evaluate the effectiveness of FCA in reducing the risk of CVD in Uganda and to assess feasibility, adoption, while measuring the costs of implementation. The study will be implemented by a group of researchers from MRC/UVRI \& LSHTM, University of British Columbia (Canada), TASO (Uganda) and University of California San Francisco (UCSF) - USA with guidance from the Ministry of Health - Uganda.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Aged 10 -19 years
Household head/parent has provided consent/permission
Planning to continue staying in the study village for the next 12 months
Disqualifiers
In a boarding school or planning to join a boarding school
Pregnant or lactating
Known to have a chronic condition such as mental illness
The adolescent does not assent or consent
Trial design
Parallel
Treatments tested in this trial
The immediate (treatment) arm, will receive the FaCe-D intervention comprising of 'HOME VISITS, DIET, PHYSICAL ACTIVITY AND HEALTH MESSAGING
BehavioralThe participants will receive the FaCe-D intervention comprising of dietary and exercise interventions delivered by Village Health Teams (VHTs)
Control Arm - standard of care
Other interventionArm Description: They will continue to receive standard care with VHts performing their usual roles of health promotion for both communicable and non-communicable diseases as outlined by the Ministry of Health guidelines. This standard care involves visits by the VHT at least once a quarter to check hygiene and environment, children's immunisation status and other health promotion activities. The VHT may or may not involve the entire family/household.
Treatment groups
Trial outcomes
Primary outcomes
Ideal cardiovascular health
Ideal cardiovascular health (ICH) will be determined by the total score on the American Heart Association's 'Life's Simple 7' tool. The score ranges from 0 to 7 points, where a higher score represents better cardiovascular health.
Secondary outcomes
sleep quality
Sleep quality will be measured using the Single-Item Sleep Quality Scale (SQS) by Snyder et al. (2018). Participants will report their sleep quality over a 7-day recall period using a 10-point visual analogue scale, where 0=terrible and 10=excellent. Higher scores on the scale indicate better sleep quality.
Sponsors and contacts
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MRC/UVRI and LSHTM Uganda Research Unit
Lead sponsor
University of California
Collaborator
The AIDS Support Organization
Collaborator
University of British Columbia
Collaborator