The goal of this sequential mixed method study is to assess the feasibility and effectiveness of a school-based eHealth-NCD prevention program intervention to improve adolescents' knowledge, attitude, and practices regarding NCDs and associated risk factors. It aims :
1. To identify barriers and facilitators associated with implementing a school-based eHealth intervention to improve the knowledge, attitudes, and practices of secondary and higher secondary school students in Pakistan regarding NCDs and their associated risk factors. 2. To explore the stakeholders' perceptions regarding the design and content of the School based eHealth NCD prevention Program to improve the knowledge, attitudes, and practices of secondary and higher secondary school students in Pakistan regarding NCDs and their associated risk factors. 3. To assess the feasibility and effectiveness of the School-based eHealth NCD prevention program in secondary and higher secondary school in Karachi. 4. To evaluate the effectiveness of the school-based eHealth NCD prevention program in significantly improving the knowledge, attitudes, and practices of secondary and higher secondary school students in Karachi, Pakistan, regarding NCDs and their associated risk factors, as compared to a control group not receiving the intervention. 5. To explore the perceptions of students regarding the usefulness acceptability and task technology fit of the School-based eHealth NCD prevention Program in improving the knowledge, attitude, and practices of Pakistani Higher Secondary School students regarding NCDs and their associated risk factors.
Researcher aim to evaluate the effectiveness of the school-based eHealth NCD prevention program in significantly improving the knowledge, attitudes, and practices of secondary and higher secondary school students in Karachi, Pakistan, regarding NCDs and their associated risk factors, as compared to a control group not receiving the intervention.
Participants of intervention group will attend health-promoting sessions delivered by trained facilitators, with each session lasting 30 to 40 minutes. There will be a total of six health-promoting sessions be focused on the leading risk factors associated with NCDs as reported by different studies such as physical inactivity, unhealthy diet and overweight, obesity, harmful alcohol consumption and tobacco use will be conducted in the classroom for the intervention group.
Students currently enrolled in secondary and higher secondary schools in Karachi and are in grades 9 to 12.
Teachers who have been employed in secondary and higher secondary schools in Karachi for a minimum duration of 6 months.
Parents or legal guardians of students who are currently enrolled in secondary and higher secondary schools in Karachi.
Principals and vice principals of secondary and higher secondary schools in Karachi, District Education Officers, and decision-makers at Provincial Department of Education.
None
Sequential
School-based eHealth NCD Prevention Program
Other interventionStudents will participate in health-promoting sessions delivered by trained facilitators, with each session lasting 30 to 40 minutes. There will be a total of six health-promoting sessions conducted in the classroom for the intervention group, spanning two months with three sessions per month. The health-promoting videos from the school-based eHealth NCD prevention program will be shown in the classroom using multimedia. The drama-based videos will be developed in Urdu Language with English subtitles and will be based on based on contextually relevant content for the Pakistani secondary and higher secondary school students of age 13 to 18 years old. The content of these six sessions will be focused on the leading risk factors associated with NCDs as reported by different studies such as physical inactivity, unhealthy diet and overweight, obesity, harmful alcohol consumption and tobacco use.
To assess feasibility (Recruitment rate) of the School-based eHealth NCD prevention program
Measurement Tool: Percentage of participants enrolled out of the total number invited. Units of Measure: Percentage (%). Description: It will be measured as the percentage of participants enrolled out of the total number of invited participants at baseline phase. The trial will be considered feasible if recruitment rates exceed 70%
To assess feasibility (Retention Rate) of the School-based eHealth NCD prevention program
Measurement Tool: Percentage of retained participants at 3 months among those initially recruited. Units of Measure: Percentage (%). Description: The retention rate will measure the percentage of participants who remain available for follow-up assessments at 3 months among those recruited initially. The trial will be considered feasible if retention rates exceed 70%
To assess feasibility (treatment fidelity) of the School-based eHealth NCD prevention program
Measurement Tool: Proportion of successfully conducted health-promoting sessions compared to planned sessions. Units of Measure: Proportion. Description: Treatment fidelity will be assessed as the proportion of health-promoting sessions that are successfully delivered as planned within the intervention period. A treatment fidelity rate above 70% will be used as a threshold for determining the program's feasibility in maintaining session integrity.
To assess effectiveness of the School-based eHealth NCD prevention program in improving the knowledge among secondary and higher secondary school students regarding the NCDs and their associated risk factors.
Measurement Tool: Knowledge will be assessed using a set of 26 questions adapted from study "An intervention program to reduce non-communicable diseases related behavioral risk factors among adolescents in institutional settings of Bangladesh". Units of Measure: Percentage score Description: Each question will be scored as either correct or incorrect, on the basis of standard medical textbooks and guidelines. The total knowledge score will be calculated, with a higher score indicating a better Knowledge. Based on previous Knowledge, Attitudes, and Practices (KAP) studies where a score of 60% or above has been used to categorize participants as having a satisfactory level of knowledge. This means that participants who achieve a score equal to or above 60% on the knowledge assessment will be considered to have a satisfactory level of knowledge regarding NCDs and their associated risk factors.
Click on the lead sponsor to view all of their trials.
Aga Khan University
Lead sponsor
Fogarty International Center of the National Institute of Health
Collaborator
