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Cited by 27School Health and Nursing EducationObesity, Physical Activity, DietHealth and Lifestyle Studies

Towards reducing behavioral risk factors of non-communicable diseases among adolescents: protocol for a school-based health education program in Bangladesh

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Salwa, Marium, Atiqul Haque, Md, Khalequzzaman, Md, Al Mamun, Mohammad Abdullah, Bhuiyan, Mahfuzur Rahman, Choudhury, Sohel Reza·2019·BMC Public Health
DOI 10.1186/s12889-019-7229-8PMC PMC6659286
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Abstract

BACKGROUND: Developing strategies aimed at reducing behavioral risk factors and hence the prevalence of non-communicable diseases (NCDs) is a major challenge to the policy makers today. Like the same age group worldwide, the prevalence of obesity, unhealthy dietary habit, physical inactivity, smoking and alcohol intake is high among the adolescents of Bangladesh. Studies showed promising results of an early intervention at adolescent age in reducing the likelihood of NCDs at adult age. So, this study is designed to implement a behavior change intervention and evaluate the effectiveness of the intervention in reducing the behavioral risk factors of NCDs among the adolescents of Bangladesh. METHODS: A before-after designed intervention study will be conducted in two randomly selected secondary schools- one will be selected randomly as intervention school and the another as control school. A baseline survey will be conducted among the students of both schools by a pre-tested questionnaire to attain their current status of knowledge, attitude and practices related to NCDs. Afterward, students will be enrolled in the intervention group who will meet the eligibility criteria from the intervention school. The intervention will be given through a health promotion session to a group of students, not more than 25 at a time, by trained facilitators. A post-intervention end line survey will be conducted among all the participants from both schools using the same questionnaire 3 months after the baseline survey. DISCUSSION: An intervention has been developed based on some principals of two psychosocial theory- Motivational Interview and Social Cognitive Theory. Emphasis will be given on motivating the adolescents towards a healthy lifestyle, supporting self-efficacy to be changed, guiding self-regulatory ways along with facilitating desired changing process by empowering them with choices about the preventive measures of NCDs. This intervention is expected to increase awareness by equipping the adolescents with specific knowledge and skills and thus, facilitate an eventual change in their practiced risk behaviors. Besides, this intervention will address multiple behaviors at a time, and will be delivered to a group of adolescents, to attain the cost-effectiveness and thereby making it more realistic in the resource-poor context of Bangladesh. TRIAL REGISTRATION: ClinicalTrials.gov NCT03975335, registered on 01.06.2019. Retrospectively registered.

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  • Unhealthy eating contributes to obesity and associated health issues among adolescents such as growth retardation, impaired organ development, micronutrient deficiencies, and later in life can lead to non-communicable diseases (NCDs) including cardiovascular diseases, diabetes mellitus, and hypertension.

    “Unhealthy eating contributes to obesity and associated health issues among adolescents such as growth retardation, impaired organ development, micronutrient deficiencies, and later in life can lead to non-communicable diseases (NCDs) including cardiovascular diseases, diabetes mellitus, and hypertension [3–7].”

    From School-based healthy eating interventions for adolescents aged 10–19 years: an umbrella review (2024) · cites this paper as [4]

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  1. [1]Diez-Canseco F Boeren Y Quispe R lin CM Miranda JJ Engagement of adolescents in a health communications program to prevent noncommunicable diseases: Multiplicadores Jóvenes, Lima, Peru, 2011 Prev Chronic Dis 2015 12 140416 10.5888/pcd12.140416 PMC4353176 25742065 · DOI
  2. [2]Sawyer SM Afi RA Bearinger LH Blakemore S Dick B Ezeh AC Adolescent health 1 adolescence: a foundation for future health Lancet. 2012 379 1630 1640 10.1016/S0140-6736(12)60072-5 22538178 · DOI · Paper page
  3. [4]Döring N Mayer S Rasmussen F Sonntag D Economic evaluation of obesity prevention in early childhood: methods, limitations and recommendations Int J Environ Res Public Health 2016 13 9 1 11 10.3390/ijerph13090911 PMC5036744 27649218 · DOI
  4. [5]Bhuiyan MU Zaman S Ahmed T Risk factors associated with overweight and obesity among urban school children and adolescents in Bangladesh: A case-control study BMC Pediatr 2013 13 72 10.1186/1471-2431-13-72 23651597 PMC3653689 · DOI
  5. [7]Uddin R Khan A Burton NW Prevalence and sociodemographic patterns of physical activity among Bangladeshi young adults J Health Popul Nutr 2017 36 1 31 10.1186/s41043-017-0108-y 28709469 PMC5512845 · DOI
  6. [8]Khan Md MH Karim Md R Alam Md S Ali Md M Masud Jakir HB Prevalence and Determinants of Smoking Among Adolescent Boys in Dhaka City Anwer Khan Modern Medical College Journal 2018 9 1 34 38 10.3329/akmmcj.v9i1.35822 · DOI
  7. [9]de Vries H. Kok G.J. From determinants of smoking behaviour to the implications for a prevention programme Health Education Research 1986 1 2 85 94 10.1093/her/1.2.85 · DOI
  8. [10]KIM MIN-SUN HUNTER JOHN E. Relationships Among Attitudes, Behavioral Intentions, and Behavior Communication Research 1993 20 3 331 364 10.1177/009365093020003001 · DOI
  9. [11]Evans G Durant J The relationship between knowledge and attitudes in the public understanding of science in Britain Public Underst Sci 1995 4 1 57 74 10.1088/0963-6625/4/1/004 · DOI
  10. [12]Bandura A Social cognitive theory: an agentic perspective Asian J Soc Psychol 1999 2 1 21 41 10.1111/1467-839X.00024 11148297 · DOI · Paper page
  11. [13]Bandura Albert Self-efficacy: Toward a unifying theory of behavioral change Advances in Behaviour Research and Therapy 1978 1 4 139 161 10.1016/0146-6402(78)90002-4 · DOI · Paper page
  12. [14]De Vries H Kijkstra MKP Self-efficacy: the triad factor resides attitude and subjective norm as a predictor of behavioral intentions Health Educ Res 1998 3 3 273 282 10.1093/her/3.3.273 · DOI
  13. [15]Bandura A Adams NE Analysis of self-efficacy theory of behavioral change Cognit Ther Res 1977 1 4 287 288 10.1007/BF01663995 · DOI
  14. [16]Naar-king S, Suarez M. Motivational interviewing with adolescents and young adults. 1st ed. New York: Guilford Press; 2010.
  15. [18]Glanz K, Rimer BK, Viswanath K. Health behavior and health education theory, research, and practice. 4th ed. San Francisco: Jossey-Bass: A Wiley Imprint; 2008.
  16. [19]Bhattacharyya O Reeves S Garfinkel S Zwarenstein M Designing theoretically-informed implementation interventions: fine in theory, but evidence of effectiveness in practice is needed Implement Sci 2006 1 1 3 5 10.1186/1748-5908-1-5 16722583 PMC1436014 · DOI · Paper page
  17. [20]Rohrbach LA Grana R Sussman S Valente TW Type II translation: transporting prevention interventions from research to real-world settings Eval Heal Prof 2006 29 3 302 333 10.1177/0163278706290408 16868340 · DOI
  18. [21]Nigg CR Theory-comparison and multiple-behavior research: common themes advancing health behavior research Health Educ Res 2002 17 5 670 679 10.1093/her/17.5.670 12408211 · DOI
  19. [22]Goldstein MG Whitlock EP DePue J Multiple behavioral risk factor interventions in primary care Am J Prev Med 2004 27 2 61 79 10.1016/j.amepre.2004.04.023 15275675 · DOI · Paper page
  20. [23]Gourlan M Sarrazin P Trouilloud D Motivational interviewing to promote physical activity in obese adolescents: A randomized-controlled trial using self-determination theory as an explanatory framework Psychol Health 2013 28 11 1265 1286 10.1080/08870446.2013.800518 23756082 · DOI · Paper page
  21. [26]Demaio AR Dugee O Amgalan G Maximenco E Munkhtaivan A Graeser S Protocol for a national, mixed-methods knowledge, attitudes and practices survey on non-communicable diseases BMC Public Health 2011 11 1 961 10.1186/1471-2458-11-961 22208645 PMC3280340 · DOI
  22. [29]MINT Motivational Interviewing Training New Trainers Manual. Vol. 2, Motivational Interviewing Network of Trainers (MINT) 2014
  23. [30]Miller WR Moyers TB Eight stages in learning motivational interviewing J Teach Addict 2006 5 1 3 17 10.1300/J188v05n01_02 · DOI
  24. [32]Grenard JL, A M, Ames SL, Ph D, Wiers RW, Ph D, et al. Brief Intervention for Substance Use among At-Risk Adolescents: A Pilot Study. 2007;40:188–191. PMC3134418 17259065
  25. [33]Spirito A Monti PM Barnett NP Colby SM Sindelar H Rohsenow DJ William Lewander MM A randomized clinical trial of a brief motivational intervention for alcohol-positive adolescents treated in an emergency department J Pediatr 2004 145 3 396 402 10.1016/j.jpeds.2004.04.057 15343198 · DOI
  26. [34]Lawendowski Lauren Aubrey A Motivational Intervention for Adolescent Smokers Preventive Medicine 1998 27 5 A39 A46 10.1006/pmed.1998.0424 9808816 · DOI
  27. [35]Berg-Smith S. M. A brief motivational intervention to improve dietary adherence in adolescents Health Education Research 1999 14 3 399 410 10.1093/her/14.3.399 10539230 · DOI
  28. [36]D’Amico EJ Osilla KC Hunter SB Developing a group motivational interviewing intervention for first-time adolescent offenders at-risk for an alcohol or drug use disorder Alcohol Treat Q 2010 28 4 417 436 10.1080/07347324.2010.511076 21113392 PMC2991057 · DOI
  29. [37]French Michael T. Zavala Silvana K. McCollister Kathryn E. Waldron Holly B. Turner Charles W. Ozechowski Timothy J. Cost-effectiveness analysis of four interventions for adolescents with a substance use disorder Journal of Substance Abuse Treatment 2008 34 3 272 281 10.1016/j.jsat.2007.04.008 17600651 PMC2323204 · DOI

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Authors
Salwa, M., Atiqul Haque, M., Khalequzzaman, M., Al Mamun, M. A., Bhuiyan, M. R., & Choudhury, S. R.
Affiliations
  • Bangladesh Air Force Shaheen College (BD)
  • Bangladesh Medical University (BD)
  • National Heart Foundation Hospital & Research Institute (BD)
Corresponding author
Salwa, Marium
ORCID
Venue
BMC Public Health
Publisher
Springer Science and Business Media LLC
Published
2019-07-25
Volume
19
Issue
1
Pages
1002-1002
ISSN
1471-2458 (ISSN-L)
DOI
10.1186/s12889-019-7229-8
PMC
PMC6659286
OpenAlex
W2962881795
Cited by
27
References
2
Citations by year
2026: 2 · 2025: 4 · 2024: 2 · 2023: 5 · 2022: 8 · 2021: 3 · 2020: 2 · 2019: 1
FWCI
5.91
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Directorate General of Health Services, Ministry of Health & Family Welfare, Mohakhali, Dhaka-1212 (DGHS/LD/NCDC/Procurement Plan/GOB(Service)/2017-2018/539/SP-06)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
Keywords
non-communicable diseases, adolescents, behavioral risk factors, school-based health education, behaviour change interventions, obesity, physical inactivity, adolescent smoking, alcohol consumption, motivational interviewing, social cognitive theory, self-efficacy, healthy lifestyle, Bangladesh
MeSH terms
Noncommunicable Diseases, Adolescent, Bangladesh, Female, Health Education, Humans, Male, Research Design, Risk Factors, School Health Services, Program Evaluation, Randomized Controlled Trials as Topic, Risk Reduction Behavior

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