Feasibility of a Youth-led NCD Risk Reduction Initiative in Selected Schools of Slums in Karachi, Pakistan: a Mixed-methods, pre-and Post-intervention Study

NCT ID: NCT06465771

Last Updated: 2024-06-20

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-08-31
• Study Completion Date: 2025-08-31

Brief Summary

The study will occur in ten selected schools within Azam Basti and Mehmoodabad, organized into five sequential phases. Phase I involves identifying NCD modifiable risk factors among younger peers (Classes 5 and 6 students) using structured diaries. Phase II includes qualitative interviews with youth (Classes 9 and 10 students), parents, and stakeholders to discuss intervention material and delivery. Phase III comprises a one-day workshop to co-create an intervention. Phase IV involves three-day training for youth to understand and deliver the intervention to their peers. Finally, Phase V assesses the intervention's feasibility using a pre-and post-test design approach.

Conditions

Diabetes Mellitus; Cardiovascular Diseases; Cancer; Lung Diseases

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Youth-led NCD risk reduction initiative

Students of grades 5 and 6 will receive NCD risk reduction intervention from youth (students of grades 9 and 10). The shared risk factors will include unhealthy diet, physical activity, and tobacco use. The NCDs will cover diabetes, cardiovascular disease, hypertension, and cancers.

Group Type: EXPERIMENTAL

Youth-led NCD risk reduction intervention

Intervention Type: BEHAVIORAL

With the help of Youth (students of grades 9 and 10), their parents and other stakeholders, including teachers, headteachers, and canteen staff through qualitative interviews, we will develop an intervention focuses on NCD risk reduction among younger peers (students of grades 5 and 6). A nutritionist will train the youth on how to deliver the intervention among their younger peers.

Interventions

Youth-led NCD risk reduction intervention

With the help of Youth (students of grades 9 and 10), their parents and other stakeholders, including teachers, headteachers, and canteen staff through qualitative interviews, we will develop an intervention focuses on NCD risk reduction among younger peers (students of grades 5 and 6). A nutritionist will train the youth on how to deliver the intervention among their younger peers.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

1. Both government and private schools

2. Schools that have classes 1 to 10 in one boundary

3. Schools who agree to take part in the qualitative interviews

4. Schools that permit to engage youth, their parents, and younger peers in the study for ten months

5. For youth: Students of classes 9 and 10 (aged 14 to 16 years)

6. For younger peers: Students of classes 5 and 6 (9 to 12 years)

7. Students who provide written informed assent followed by parental consent

8. Parents of youth and other stakeholders, including head teachers, schoolteachers, and canteen staff who provide written informed consent

Exclusion Criteria

1. Schools currently enrolled in any NCD-related intervention program or any similar program during the last six months

2. For youth: Having any severe or chronic medical condition or disability that restricts active participation of students in the intervention co-creation and delivery

• Minimum Eligible Age: 9 Years
• Maximum Eligible Age: 16 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Royal Society of Tropical Medicine and Hygiene

OTHER

Sponsor Role: collaborator

Aga Khan University

OTHER

Sponsor Role: lead

Responsible Party

Sabahat Naz

Senior Instructor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

Sabahat Naz

Role: CONTACT

sabahat.naz1@aku.edu

03362293099

References

Naz S, Ilyas M, Iqbal R. Feasibility of co-creating and delivering a youth-led noncommunicable diseases risk reduction intervention in schools of slums in Karachi, Pakistan: protocol for a mixed-methods, pre- and post-intervention study. Pilot Feasibility Stud. 2025 Jun 2;11(1):76. doi: 10.1186/s40814-025-01662-0.

Reference Type: DERIVED

PMID: 40457417 (View on PubMed)

Other Identifiers

9763

Identifier Type: -

Identifier Source: org_study_id