Nutrition Goes to School: a School-based Nutrition Intervention to Promote Healthy Eating Behaviour Among Adolescents
NCT Number: NCT06515288
Acronym: ESTEEM-NGTS
Status: RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Obesity, Adolescent
Interventions: BEHAVIORAL: Nutrition Goes To School (NGTS) Program Intervention Package|BEHAVIORAL: Nutrition Education Capacity Building for Teachers and Management
Sponsor: SEAMEO Regional Centre for Food and Nutrition
Collaborators: Fakultas Kedokteran Universitas Indonesia
Sex: ALL
Age: CHILD
Enrollment: 1000
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: NONE|Primary Purpose: PREVENTION
Start Date: 2024-01-09
Completion Date: 2024-08-31
Locations: Seameo Recfon, Jakarta, The Special Capital Region Of Jakarta, 13120, Indonesia

Summary:
The goal of this cluster randomized controlled pilot trial is to assess the feasibility and effect of a school-based nutrition intervention program called "Nutrition Goes to School" (NGTS) in improving a healthy diet and physical activities as part of the prevention and management of obesity among adolescents in urban Indonesia. The main questions it aims to answer concern the feasibility of the NGTS multi-component school-based nutrition intervention model in selected secondary schools in an urban setting to inform the design of the future effectiveness study. Additionally, it aims to evaluate the effect of the school-based nutrition intervention in the healthy eating knowledge and behavior (fruit and vegetable consumption, energy-dense nutrient poor food, and sugary beverages consumption, as measured by food frequency questionnaire) and physical activities as well as its effect on nutrition status (body mass index, mid-upper arm circumference \[MUAC\] and waist circumference). The intervention components consist of nutrition education to school communities (teachers, management, students and parents), healthy school canteen, school garden, hygiene and sanitation promotion of the school environment and obesogenic environment control, and promotion of physical activities among students. Five secondary schools in Jakarta will be randomly assigned to receive the intervention for 6 months, and five other schools will serve as the control group.

Primary Outcome Measures: Knowledge on healthy diet among children - clinical outcome, Multiple choices' questionnaire

Analyzed as Comparison of score (mean difference \[MD\] and 95% CI):

* before and after the intervention
* between the intervention and control schools, at baseline and 6 months|Eating attitude-clinical outcome, The Eating Attitudes Test (EAT-26)

Analyzed for a comparison of proportion eating disorder (difference and 95% CI):

* before and after the intervention
* between the intervention and control schools, at baseline and 6 months|Healthy diet behaviour-clinical outcome, Fruits and vegetables, energy-dense nutrient poor food and sugary beverages consumption using semi-quantitative food frequency questionnaire (FFQ)

Analyzed for a comparison of proportion (difference and 95% CI):

* before and after the intervention
* between the intervention and control schools, at baseline and 6 months|Physical activity-clinical outcome, Rapid Assessment of Physical Activities (RAPA)

Comparison of proportion (difference and 95% CI):

* before and after the intervention
* between the intervention and control schools, at baseline and 6 months|Nutritional status-clinical outcome, Body Mass Index (BMI) for Age, at baseline and 6 months|mid-upper arm circumference (MUAC), Nutritional status-clinical outcome, at baseline and 6 months|waist circumference, Nutritional status-clinical outcome, at baseline and 6 months
Secondary Outcome Measures: School readiness on the implementation of the program - - Descriptive, Quantitative (proportion), Qualitative, Data source : School readiness questionnaire (Likert scale; validated), Baseline|Attendance of teachers to training sessions-proportion, Data source: Training attendance list, at the end of the three days training|Activity report completed-proportion, Data source: NGTS monitoring dashboard, during the 6-month of intervention|Adherence to NGTS protocol - Descriptive, Quantitative (proportion), Qualitative, Data source: NGTS monitoring dashboard, interview, and observation by the field coordinator, during the 6-month intervention|Students' and teachers' preference and acceptance on IEC material/modules - Qualitative, Data source: FGD's guidelines, during the 6-month intervention