School Lunch Program (SLP) Towards Nutrition Knowledge, Attitude, Practices and Nutrition Status of Adolescents

NCT ID: NCT03638557

Last Updated: 2018-08-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

413 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-26

Study Completion Date

2019-03-31

Brief Summary

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The main objective of this study is to assess the impact of the school lunch program and nutrition education towards the change in knowledge, attitude, and behavior on balanced nutrition and clean and healthy lifestyle behavior (CHLB) of adolescents living in an Islamic Boarding School. The secondary objective is to assess the program impact on energy and nutrient intake, nutrition status, hemoglobin concentration, physical fitness and concentrating ability of students.

A pre-post quasi experimental design is applied to assess the impact. The intervention includes: 1) provision of nutritious lunch, meeting the nutrient requirements of adolescents for one meal, for 7 days a week, with the total duration of 220 days, 2) provision of nutrition education once a week (3 times delivered by teachers, 1 time delivered by research team) and nutrition education media, 3) capacity building of teachers and food handlers. The duration of the intervention is 1 academic year or 8 active months after the reduction of holidays and examination months.

Detailed Description

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This research will be conducted using pre-post quasi experimental design. Subjects consist of only intervention group, who are measured before and after the intervention or program period. The SLP program (intervention) in Darussalam Islamic Boarding School consists of:

1. Balanced Nutrition Education and CHLB for the boarding school students and teachers
2. Provision of lunch
3. Food processing training, food sanitation hygiene and food safety for food handlers.

The location of this activity is determined purposively at the Islamic boarding school, in the neighborhood of the IPB (Institut Pertanian Bogor) campus with the following basic criteria for the school:

1. Has apparent nutritional problems among the students
2. It has a kitchen and dining area for its students in need of improvement
3. Has a strong commitment to cooperate in running the program. This activity will be held at the Darussalam Islamic Boarding School located in Laladon Bogor area. There are 450 students consisting of both male and female students. This Islamic boarding school has a kitchen that is used to process and cook food for the students. The eating area is divided into two areas, in the form of a shared dining room for the male students and a terrace for the female students. The Islamic boarding school also has a garden area that is used for gardening activities for the students but it has not been managed in a sustainable manner.

The overall project period is 18 months (2017/09-2019/03), which includes design, baseline, midline and endline data collection (3 times), implementation and reporting activities. The implementation of the school lunch program will be for 1 academic year (8 active months after the reduction of holidays and examination months), starting immediately after Institutional Review Board (IRB) approval of both Bogor University and Ajinomoto co. inc.until the end of March 2019. Lunch will be served 7 days per week with the total of 220 days The provision of lunch is designed to meet 30% of the daily nutritional requirements of students and contains 635-776 Kcal of energy with 18-22 grams of protein. The lunch menu is served in the form of a full menu consisting of staple food, animal products, plant products, vegetables and fruit by utilizing local food. The menu cycle used is a set menu cycle of 10+1 day cycle Hemoglobin level and dietary intake data was collected for sub sample of students, meeting the sample size calculation, which was 150 subjects. Data will be collected at baseline (before the intervention), midline, and endline.

Conditions

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Anemia Stunting Underweight

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

pre-post quasi experimental design
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Intervention

The intervention package consists of the following;

1. Balanced Nutrition and Clean and Healthy Lifestyle Behavior Education for the boarding school students (once a week with the duration of 30-60 minutes. 3 weeks are delivered by trained teachers, and 1 week by research team.
2. Nutritious lunch, for 7 days a week. With the total of 220 days. The lunch menu is designed to meet 30% of the students RDA, which consists of 635-777 Kcal and 18-22 grams of protein

Group Type EXPERIMENTAL

Nutritious Lunch

Intervention Type OTHER

The intervention package consists of the following;

1. Balanced Nutrition and Clean and Healthy Lifestyle Behavior Education for the boarding school students (once a week with the duration of 30-60 minutes. 3 weeks are delivered by trained teachers, and 1 week by research team.
2. Nutritious lunch, for 7 days a week. With the total of 220 days. The lunch menu is designed to meet 30% of the students RDA, which consists of 635-777 Kcal and 18-22 grams of protein

Interventions

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Nutritious Lunch

The intervention package consists of the following;

1. Balanced Nutrition and Clean and Healthy Lifestyle Behavior Education for the boarding school students (once a week with the duration of 30-60 minutes. 3 weeks are delivered by trained teachers, and 1 week by research team.
2. Nutritious lunch, for 7 days a week. With the total of 220 days. The lunch menu is designed to meet 30% of the students RDA, which consists of 635-777 Kcal and 18-22 grams of protein

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* have resided in the boarding school at least one year
* are anemic or underweight or stunted

Exclusion Criteria

* severely anemic with Hb concentration \< 7 g/dl
* BMI for age z-score \<-3
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ajinomoto Co., Inc.

INDUSTRY

Sponsor Role collaborator

Institut Pertanian Bogor

OTHER

Sponsor Role lead

Responsible Party

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Reisi Nurdiani, SP, MSi

Secretary of Department of Community Nutrition

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dr. Rimbawan

Role: PRINCIPAL_INVESTIGATOR

Department of Community Nutrition, Faculty of Human Ecology, Bogor Agricultural University

Locations

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Darussalam Islamic Boarding School

Bogor, West Java, Indonesia

Site Status

Countries

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Indonesia

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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SLP05/2018

Identifier Type: -

Identifier Source: org_study_id

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