Effectiveness of a Pre-adolescent Inter-generational Intervention to Address HIV and Obesity

Study Overview
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Brief Summary
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The study evaluates an intervention, The CIrCLE of Life Initiative, which was developed to address HIV and obesity prevention. We evaluated whether the combined HIV and obesity intervention increased knowledge, enhanced skills, and/or promoted healthy behaviour among pre-adolescent students (9-12 years old) and their parents.

Detailed Description
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The CIrCLE of Life Initiative had both a school and home component, each comprising a learning curriculum, environmental support, and activity-based constituents that aimed to increase student knowledge and skills, and to engage parents. Trained educators delivered lessons about HIV and obesity to all Grade 6 students at 5 government-run schools. The classroom curriculum for students required delivery of a five-hour face-to-face intervention delivered weekly through 10 30-minute lessons. Students were asked to communicate their learnings to their parents at home. Parents were requested to read through the lesson in a workbook and to sign acknowledgement that they had read the content. The workbook contained shared student-parent homework activities that took approximately 30 minutes per week.

Official Title
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Addressing the Double Burden of Diseases Through a Pre-adolescent Transdisciplinary Intervention for Inter-generational Outcomes

Conditions
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Hiv, Obesity

Intervention / Treatment
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* Behavioral: The CIrCLE of Life Initiative


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 9 Years
Maximum Age: 14 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Intervention<br>537 pre-adolescent grade 6 learners and their parent (n=537) were invited to participate. Trained educators delivered lessons about HIV and obesity to all Grade 6 students at 5 government-run schools. The classroom curriculum for students required delivery of a five-hour face-to-face intervention delivered weekly through 10 30-minute lessons. Students were asked to communicate their learnings to their parents at home. Parents were requested to read through the lesson in a workbook and to sign acknowledgement that they had read the content. The workbook contained shared student-parent homework activities that took approximately 30 minutes per week. Data was only collected from Learners (n=425) and parents (n= 427)who had consented to the study. A pretest was conducted. The intervention was then implemented. A posttest was conducted afterwards. Both parents and learners answered self-reported questionnaires. | Behavioral: The CIrCLE of Life Initiative<br>* HIV and obesity prevention programme delivered directly to Grade 6 preadolescents and indirectly to their parents.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| HIV/AIDS-related knowledge, attitude, behaviour, practices and skills | The primary outcome was the effects and differences between the student, pretest and posttest, and the parent, pretest and posttest. | 3 months | 
| obesity-related awareness, attitude and skills | The primary outcome was the effects and differences between the student, pretest and posttest, and the parent, pretest and posttest. | 3 months | 
| nutrition-related awareness, attitude, behaviour and skills | The primary outcome was the effects and differences between the student, pretest and posttest, and the parent, pretest and posttest. | 3 months | 
| physical activity-related awareness, attitude, behaviour and skills | The primary outcome was the effects and differences between the student, pretest and posttest, and the parent, pretest and posttest. | 3 months | 
| child-parent communication | The primary outcome was the effects and differences between the student, pretest and posttest, and the parent, pretest and posttest. | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pre-adolescent parent inter-generational knowledge transfer | The second outcome determined whether the intervention, delivered to students, could influence knowledge transfer and translation in parents. | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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inter-generational outcomes, Pre-adolescents