Developing School Health Champions to Increase Health Literacy Both in School Adolescents and Community People Through Providing Health Education by the School Nurses in Bangladesh: Community-based Pre- and Post-experimental Design.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 138
- 试验地点
- 1
- 主要终点
- Change in health literacy score among the secondary school students
研究概览
简要总结
Health literacy is a person's decision-making ability to improve their quality of life and prevent diseases by accessing, understanding and applying health information. Health literacy in the adolescent's period can aid them to gain and understand health information which can bring positive health outcomes.
The aim of this pilot study is to examine the efficacy of health education and school health activities provided by school nurses on improving health literacy among secondary school adolescents. The study will also examine whether health education by health champions (the adolescents) is effective in improving the health literacy of the community people, and examine whether these interventions develop awareness, improve health knowledge, empower, and change behaviors of secondary school adolescents.
This intervention study aims to improve health literacy in the adolescents in Bangladesh and the school-located community. The Begum Ayesha Pilot Girl's High School in Dohar, Dhaka district will be selected as a field. First, we will place school nurses at the school, provide health checkups for both the adolescents (about n=316) and community people (about n=200), and school nurses will provide weekly health education for 3 months to the adolescents. After certifying them as "Health Champions", the health champions visit the community and provide health education activities to the community people. For both participant groups, health literacy will be measured as efficacy checking of this pilot study.
Assent and informed consent will be obtained from the participants. Autonomy, beneficence, non-maleficence, fidelity, veracity, confidentiality, and justice of the participants will be ensured. Also, anonymity will be maintained across all stages of the study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 11 Years 至 18 Years（Child, Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •For school adolescents:
- •Students who are willing to participate.
- •Students who study in class 8 (Grade 8) at the time of enrollment.
- •Students who are female.
- •Students whose parents or legal guardians agree to give consent and are willing to participate in the study
- •Students who agree to receive health checkup, and are willing to respond to the questionnaire.
- •Students who will stay in the same school till study completion.
- •For community people:
- •Persons who are aged at least 18 years old.
- •Persons who are willing to participate.
- •Persons who agree to receive health checkup, and willing to respond to the questionnaire.
- •Persons who will attend the health education activities.
排除标准
- •For school adolescents:
- •Students who are absent from school during the health checkup periods due to severe illness or without any reason or information
- •For community people:
- •Persons who will not attend the education sessions physically.
- •Persons who will not live in the community until the post-test.
研究组 & 干预措施
pre and post test
School adolescents studying in 8th grade.
干预措施: pre and post test (health educational intervention) (Other)
结局指标
主要结局
Change in health literacy score among the secondary school students
时间窗: Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)
Primary outcome will be measured by the health literacy scale for school-aged Children (HLSAC), Bangla version.
次要结局
- Change in self-efficacy score(Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline))
- Change in ratio of the level of health literacy(Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline))
- Change in reproductive age women specific health literacy(Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline))
- Change in awareness and knowledge score(Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline))
- Qualitative self-evaluation attending the project and being a health champion(Endline (after 6 months of baseline))
- Change in health behavior score(Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline))
- For community people- Change in health literacy score(Midline (after 3 months of baseline), Endline (after 6 months of baseline))
- For community people- Change in awareness and knowledge score(Midline (after 3 months of baseline), Endline (after 6 months of baseline))
- For community people- Change in health behavior score(Midline (after 3 months of baseline), Endline (after 6 months of baseline))
研究者
Popi Rani Bhowmik
Doctoral Student
Hiroshima University