Home » Trials » SLCTR/2020/018


Assessment of effectiveness of Japanese school-based food and nutrition intervention (Shokuiku) program among selected primary schoolchildren in Gampaha District, Sri Lanka: a cluster randomized controlled trial

-

SLCTR Registration Number

SLCTR/2020/018


Date of Registration

04 Sep 2020

The date of last modification

Sep 10, 2020



Application Summary


Scientific Title of Trial

Assessment of effectiveness of Japanese school-based food and nutrition intervention (Shokuiku) program among selected primary schoolchildren in Gampaha District, Sri Lanka: a cluster randomized controlled trial


Public Title of Trial

Effects of school-based food and nutrition program to improve nutritional status among malnourished primary schoolchildren in Gampaha District: a cluster randomized controlled trial


Disease or Health Condition(s) Studied

Malnutrition


Scientific Acronym

None


Public Acronym

None


Brief title

Effect of Japanese school-based food and nutrition intervention (Shokuiku) program among malnourished primary school children.


Universal Trial Number

U1111-1255-0482


Any other number(s) assigned to the trial and issuing authority

P/14/02/2020


Trial Details


What is the research question being addressed?

Is 3 month school-based food and nutrition program effective in improving the nutritional status among malnourished primary school children?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Prevention


Study Phase

Not Applicable


Intervention(s) planned

Study Setting: Selected primary schools in Gampaha district, Sri Lanka.

Method of Randomization and sample selection: Of the mixed schools in the Gampaha district, ten schools will be selected randomly. If two schools were selected within a 10 km radius, the second schools will be excluded and replaced with another school. After the selection, the schools will be assigned to the intervention or control group using a toss of a coin or a random number table.

Intervention: 90 day-school-based program Day 1. A lecture on healthy lifestyle habits will be conducted in the intervention group. This lecture will enable students to learn their growth status, food variety, and healthy snack, and recommended physical activity. During this interactive lecture, children will not only have the opportunity to acquire the knowledge on healthy lifestyle, but also to learn to check their own nutritional status by calculating BMI using height and weight measurements. Students will be encouraged to improve their diet and physical activities based on advice given for 90 days period.

Day 1 to 90: Students will be expected to select their diet and engage in physical activities based on the educational material of the program during the intervention period (90 days). To check compliance, students will be asked to complete 24 h dietary and physical activity recall randomly. The researcher will select a day randomly and students will be asked to recall previous days diet and physical activity at the school. This procedure will be repeated for 20 days per school during the 90-day intervention period. At each data collection day, research assistants will review their progress and encourage compliance. Based on the progress of each student, the research team will give feedback and continue advice to keep a healthy lifestyle. Further, to encourage compliance, the researcher will employ a progress chart with color-coded stars to commend achievements and at the end of the intervention period student with the most commendable progress at the school will be rewarded.

No intervention will be carried out for the control group. A lecture on healthy lifestyle habits will be conducted in the Control group after the study period.


Inclusion criteria

  1. Grade 4 students attending primary school in Gampaha district
  2. Informed written assent of the school children and consent of the parents/guardian its obtained
  3. Students who are thin (BMI-for-age z-score <-2SD) or overweight (BMI-for-age z-score >+1SD)
  4. Students who are having >8 g/dL of Hb

Exclusion criteria

Students who are taking medicine for any illness or on special diet plan



Primary outcome(s)

1.

Health and Nutritional status (Anthropocentric measurements: height (cm), weight (kg), waist circumference (cm), mid-upper arm circumference (MUAC, mm), blood pressure (mmHg), hemoglobin level (Hb, g/dL))

[

Timepoint: Measurements will be done at the baseline prior to intervention in both intervention and control group of children and the endline assessment will be three (3) months after initiation of the intervention.

]

Secondary outcome(s)

1.

Change in mean scores of the following tools:
1. Lifestyle habits including dietary intake and physical activity
2. Child behavior (SDQ)
3. Knowledge, attitude and practice (KAP)

[

Timepoint: Measurements will be done at the baseline prior to intervention in both intervention and control group of children and the endline assessment will be three (3) months after initiation of the intervention.

]

Target number/sample size

320 (160 in each arm)


Countries of recruitment

Sri Lanka


Anticipated start date

2020-10-01


Anticipated end date

2021-09-30


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

Japanese Society for the Promotion of Science (JSPS)


Regulatory approvals

Not Applicable



State of Ethics Review Approval


Status

Approved


Date of Approval

2020-03-10


Approval number

P/14/02/2020


Details of Ethics Review Committee

Name: Ethics Review Committee, Faculty of Medicine, University of Kelaniya
Institutional Address:P.O. Box 6, Thalagolla Road, Ragama, Sri Lanka
Telephone:+94-11-2961000
Email: info.med@kln.ac.lk

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Dr. Nipul K Gunawardena
Professor
Department of Parasitology, Faculty of Medicine, University of Kelaniya, Sri Lanka
+94112961130



https://medicine.kln.ac.lk/depts/parasitology/

Contact Person for Public Queries

Dr. Nipul K Gunawardena
Professor
Department of Parasitology, Faculty of Medicine, University of Kelaniya, Sri Lanka
+94112961130



https://medicine.kln.ac.lk/depts/parasitology/


Primary study sponsor/organization

Japan Society for the Promotion of Science

Kojimachi Business Center Building, 5-3-1 Kojimachi, Chiyoda-ku, Tokyo 102-0083 Japan
Tel: +81-3-3263-1722
Fax: +81-3-3221-2470

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?

No


IPD sharing plan description


Study protocol available

No


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results