Building Healthy Food Environment in Schools: Evaluating Co-created Interventions in Low Resource Settings. #BetterNutrition4Adolescent

Summary

The goal of this clinical trial is to learn if a multicomponent nutrition program developed together with the students, parents, teachers and canteen operators will improve nutrition status of adolescents. It will also learn about the acceptability and feasibility of implementing the program in the school settings. The main questions it aims to answer are:

What is the effect of co-created multicomponent intervention promoting healthy food behavior and environment in schools on the proportion of normal weight adolescents? What proportion of the target adolescents and teachers does the intervention reach? What proportion of the schools are willing to implement the intervention? What was the level of fidelity of implementation of all components of the intervention and the barriers and facilitators to implementation? What is the cost for maintenance, and facilitators and barriers of sustainment? School going adolescents studying in grades 7 to 9 from 26 schools in India and 26 schools in Nepal will be enrolled in the trial and their height, weight, dietary behavior, mental well-being and physical activity will be measured at baseline and at 12 months follow up. After the baseline assessment the school community (students, school environment, parents, teachers, canteen operators) will receive the intervention.

Conditions

• Overweight Adolescents
• Underweight
• Obese Adolescents

Interventions

OTHER

Multicomponent school nutrition intervention

The intervention will include innovative components that aims to change school food environment, nutrition education to promote healthy eating and community and parental involvement. This section will be completed after the intervention package is finalized during the co-creation phase.

OTHER

Usual nutrition program

Usual nutrition program that is being implemented, no any additional active intervention

Sponsors & Collaborators

• Institute for Implementation Science and Health

  collaborator UNKNOWN

• Public Health Foundation of India

  collaborator OTHER

• University of Birmingham

  collaborator OTHER

• Norwegian University of Science and Technology

  lead OTHER

Principal Investigators

• Archana Shrestha, PhD · Institute for Implementation Science and Health

• Monica Arora, PhD · Public Health Foundation India

Study Design

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

11 Years

Max Age

15 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2026-10-31

Primary Completion

2027-12-31

Completion

2027-12-31

Countries

• India
• Nepal

Study Locations