Comprehensive Analysis of the Program:Salud Escolar
- Conditions
- Obesity
- Interventions
- Behavioral: World Health Organization Health Promoting Schools
- Registration Number
- NCT04507100
- Lead Sponsor
- Instituto Nacional de Salud Publica, Mexico
- Brief Summary
The purpose of this study is to comprehensively evaluate Salud Escolar (School Health), a program led by the Mexican Ministries of Health and Education. This comprehensive evaluation considers a design, implementation, results, and impact evaluation of Salud Escolar.
- Detailed Description
This study aims is to comprehensively analyze the design, implementation, results, and impact of Salud Escolar, a program led by the Mexican Ministries of Health and Education, during the first phase of implementation, from August 2020 to July 2021. Salud Escolar considers the World Health Organization (WHO) health promoting framework to foster a healthy environment and enhance children's physical activity, healthy eating and hydration. Salud Escolar consists on several activities aligned in the following components: healthy eating, healthy hydration, physical activity and additional cross sectional strategies.
The first phase of implementation will be conducted in a total of 58 schools located in Mexico City purposively selected by the Ministry of Education.
The design evaluation will use available policy documents and program implementation guidelines, scientific literature, to investigate wether the design of Salud Escolar is adequate to achieve the proposed objectives.
The implementation evaluation will be conducted in a sub-sample of 6 intervention schools using qualitative methodologies among key informants.
The results evaluation will be conducted in the 58 intervention schools and pre-post changes in self-reported knowledge, attitudes and practices related to healthy eating, hydration and being physically active will be measured.
The impact evaluation aims to evaluate the effect of Salud Escolar on the consumption of fruits, vegetables and plain water and daily moderate to vigorous physical activity. A sample of 1200 children (6-12 years old) in 15 intervention schools- randomly selected from the sample of 58 intervention schools-, and 15 comparison schools - randomly selected from the waiting list of available schools in the city will be recruited.
Based on the results derived from this analysis, a set of recommendations will be provided to improve the feasibility of scaling up the program at the national level during the second and third phases of Salud Escolar.
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- Aged 6 to 12 years
- Grades 1-6
- Attending school on the day of recruitment at the included schools in Mexico City, Mexico during the school-year 2020/2021
- Schoolchildren with a physical or mental disability not able to participate in daily physical activity or other intervention components or measures.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Lifestyle and environment intervention World Health Organization Health Promoting Schools Schools will receive the components of Salud Escolar
- Primary Outcome Measures
Name Time Method Physical activity Change from baseline to 10 months Accelerometer-based moderate to vigorous intensity physical activity
Vegetable intake Change from baseline to 10 months School children's vegetable intake measured using a 24h dietary recall
Water consumption Change from baseline to 10 months School children's water consumption measured using a 24h dietary recall
Fruit intake Change from baseline to 10 months School children's fruit intake measured using a 24h dietary recall
- Secondary Outcome Measures
Name Time Method Self-reported attitudes Change from baseline to 10 months A questionnaire based on the theory of planned behavior was used to collect relevant attitudes related to healthy eating, drinking plain water and being physically. There are a total of 11 statements and each statement is rated on a 4 point Likert scale. An attitude score is calculated by estimating the mean score of the responses. Assessed at baseline and 10 months later to estimate change.
Self-reported physical activity Change from baseline to 10 months The physical activity question of the Health Behaviour in School-aged Children questionnaire is used to rate the proportion of children engaging in at least 60 minutes of moderate to vigorous physical activity per day. Assessed at baseline and 10 months later to estimate change.
Self-reported knowledge Change from baseline to 10 months A questionnaire based on the theory of planned behavior was used to collect relevant knowledge related to healthy eating, drinking plain water and being physically. There are a total of 8 statements and each statement is rated on a 4 point Likert scale. A knowledge score is calculated by estimating the mean score of the responses. Assessed at baseline and 10 months later to estimate change.
Perceived behavioral control Change from baseline to 10 months A questionnaire based on the theory of planned behavior is used to collect perceived behavioral control (i.e., self-efficacy) related to healthy eating, drinking plain water and being physically. There are a total of 9 statements and each statement is rated on a 4 point Likert scale. A perceived behavioral control score is calculated by estimating the mean score of the responses. Assessed at baseline and 10 months later to estimate change.
Self-reported fruit and vegetable intake Change from baseline to 10 months A questionnaire based on the theory of planned behavior is used to collect practices related to fruit and vegetable intake. There are a total of 3 statements and each statement is rated on a 4 point Likert scale. A fruit and vegetable intake score is calculated by estimating the mean score of the responses. Assessed at baseline and 10 months later to estimate change.
Self-reported junk food intake Change from baseline to 10 months A questionnaire based on the theory of planned behavior is used to collect practices related to junk food consumption (i.e., sweets, candies, pastries, and sugar sweetened beverages). There are a total of 3 statements and each statement is rated on a 4 point Likert scale. A junk food intake score is calculated by estimating the mean score of the responses. Assessed at baseline and 10 months later to estimate change.
Self-reported water consumption Change from baseline to 10 months A questionnaire based on the theory of planned behavior is used to collect practices related to water consumption. There are a total of 2 statements and each statement is rated on a 4 point Likert scale. A water intake score is calculated by estimating the mean score of the responses. Assessed at baseline and 10 months later to estimate change.
Trial Locations
- Locations (1)
Instituto Nacional de Salud Pública
🇲🇽Mexico City, Mexico