]>
IRCT138706091126N1 IRCT 2015-05-17 Guilan University of Medical Sciences A Comparative effect of Child-to-Child and Health Educator to-Child teaching approaches on nutritional status in Elementary School Students in Rasht, 2014 Effect of Child Education on nutrition A Comparative effect of Child-to-Child and Health Educator to-Child teaching approaches on nutritional status in Elementary School Students in Rasht, 2014 2015-03-01 anticipated 450 Complete https://irct.ir/trial/159 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Other. N/A Malnutrition. Intervention 1: This is across-sectional and quasi experimental-interventional study.Samples were chosen by random-cluster sampling modelthrough which 450 students are selected from third, fourth and fifth grades from elementary schools of different districts of Rasht. The number of sample (sample size) is used to determinethe favorable and unfavorable food frequency. Data-collection tools consist of demographic questionnaire (parents' level of education, age, sex, economic situation and weight)and FFQ (food frequency questionnaire or checklist) with 54 items onsnacks. Before the intervention, the questionnaire is completed by the researcher and mother during one week and after gathering them, the items of questionnaire (checklist) will be summed upfor determining the favorable and unfavorable food frequency. This means that 54 items of authorized and unauthorized snack-foods with a variety of four main groups of food pyramid have been listed. If each student consumes 28 items of the authorized snack-foods during one week or consumes the other authorized snack-foods with the same nutritional value and a variety of four main food groups for seven times or more, she/hewill obtain 0.5 points, and if the diversity of snack-foods is not met or the students consume the unauthorized ones, they will obtain point zero. The total score for the authorized snack-foods is 14. According to the score of food frequency, the students are divided intodesirable (favorable) and undesirable (unfavorable) groups using random method. In the first group, the subjects who obtain 14 points or more for the food frequencyhave the favorable frequency which they will not be entered in the educational intervention. In the second group, the subjects who obtain a score less than 14are categorized as unfavorable frequency which they are qualified to enter the educational intervention. From 450 students with the unfavorable frequency, 174 students are selected and divided into three groups (58 students for the first group or the child-to-child group, 58 students for the second group of the health educator-to-child group and 58 students for the third group or control group). First and second groups will receive educational intervention but the third or controlgroup will get no teaching intervention. Some of thelittle educators will be selected for each level of studies regarding the highest score in the questionnaire (checklist) and the comments of school masters and principlesin order to recognize the student with a good rhetoric. A training course for the little educators and the health care providers will be held by the researcher (by using pamphlets, booklets and posters) at one of the schools during three sessions. Three training sessions (for 30 minutes) with the subjects about the authorized and unauthorized snack-foods, micronutrient, the role each of them plays and the fruit festival will be held for each level of studiesby the child-to-child and the educator-to-child groups at one of the school in the afternoon. There is no training course for the control group. After three weeks, a questionnaire (observation checklist) is completed by the researcher and mother during one week, which the research and mother's information will be gathered at the end of the week. Finally, the score of the food frequency will be favorably and unfavorably computed according to the determined points. The reliability and validity of the feed frequency questionnaire (checklist) was examined by the FFQ Questionnaire of Mirmiranet al. (2009) at Tehran University of Medical Sciences (TUMA). This study's FFQ results can lead to an acceptable reliability and validity for most food groups. Intervention 2: Department of Child-to-child education, peer-to-child child in three 30-minute sessions in the school. The third, fourth and fifth classes have 58 students. Intervention 3: Group training coach children for three 30-minute sessions health educator to students in school. The third, fourth and fifth classes have 58 students. Intervention 4: Education and other intervention control group that did not take place on students And the number 58 in the third and fourth classes and fifth respectively.
public Nasrin Mokhtari
Nursing and midwiffery school, Daneshjo st., Beheshti Highway, Rasht
Rasht Iran (Islamic Republic of) 4146939841 +98 13 3355 3202 Lakeh@gums.ac.ir Guilan University of Medical Sciences scientific Nasrin Mokhtari
Nursing and midwiffery school, Daneshjo st., Beheshti Highway, Rasht
Rasht Iran (Islamic Republic of) 4146939841 +98 13 3355 3202 Lakeh@gums.ac.ir Guilan University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Inclution criteria : third, fourth and fifth grades from elementary schools and completing consents,parents Exclution criteria :Except for the above that is exclution creteria 9 years 11 years Both E40-46 Malnutrition Prevention Prevention Prevention Prevention This is across-sectional and quasi experimental-interventional study.Samples were chosen by random-cluster sampling modelthrough which 450 students are selected from third, fourth and fifth grades from elementary schools of different districts of Rasht. The number of sample (sample size) is used to determinethe favorable and unfavorable food frequency. Data-collection tools consist of demographic questionnaire (parents' level of education, age, sex, economic situation and weight)and FFQ (food frequency questionnaire or checklist) with 54 items onsnacks. Before the intervention, the questionnaire is completed by the researcher and mother during one week and after gathering them, the items of questionnaire (checklist) will be summed upfor determining the favorable and unfavorable food frequency. This means that 54 items of authorized and unauthorized snack-foods with a variety of four main groups of food pyramid have been listed. If each student consumes 28 items of the authorized snack-foods during one week or consumes the other authorized snack-foods with the same nutritional value and a variety of four main food groups for seven times or more, she/hewill obtain 0.5 points, and if the diversity of snack-foods is not met or the students consume the unauthorized ones, they will obtain point zero. The total score for the authorized snack-foods is 14. According to the score of food frequency, the students are divided intodesirable (favorable) and undesirable (unfavorable) groups using random method. In the first group, the subjects who obtain 14 points or more for the food frequencyhave the favorable frequency which they will not be entered in the educational intervention. In the second group, the subjects who obtain a score less than 14are categorized as unfavorable frequency which they are qualified to enter the educational intervention. From 450 students with the unfavorable frequency, 174 students are selected and divided into three groups (58 students for the first group or the child-to-child group, 58 students for the second group of the health educator-to-child group and 58 students for the third group or control group). First and second groups will receive educational intervention but the third or controlgroup will get no teaching intervention. Some of thelittle educators will be selected for each level of studies regarding the highest score in the questionnaire (checklist) and the comments of school masters and principlesin order to recognize the student with a good rhetoric. A training course for the little educators and the health care providers will be held by the researcher (by using pamphlets, booklets and posters) at one of the schools during three sessions. Three training sessions (for 30 minutes) with the subjects about the authorized and unauthorized snack-foods, micronutrient, the role each of them plays and the fruit festival will be held for each level of studiesby the child-to-child and the educator-to-child groups at one of the school in the afternoon. There is no training course for the control group. After three weeks, a questionnaire (observation checklist) is completed by the researcher and mother during one week, which the research and mother's information will be gathered at the end of the week. Finally, the score of the food frequency will be favorably and unfavorably computed according to the determined points. The reliability and validity of the feed frequency questionnaire (checklist) was examined by the FFQ Questionnaire of Mirmiranet al. (2009) at Tehran University of Medical Sciences (TUMA). This study's FFQ results can lead to an acceptable reliability and validity for most food groups. Department of Child-to-child education, peer-to-child child in three 30-minute sessions in the school. The third, fourth and fifth classes have 58 students. Group training coach children for three 30-minute sessions health educator to students in school. The third, fourth and fifth classes have 58 students. Education and other intervention control group that did not take place on students And the number 58 in the third and fourth classes and fifth respectively. Education. Timepoint: A week before, a week after the intervention, three weeks after. Method of measurement: Food Frequency Questioner. Nutrition Status. Timepoint: A week before, a week after the intervention, three weeks after. Method of measurement: Food Frequency Questioner. Guilan University of Medical Sciences Approved 2015-02-24 Ethics committee of Guilan University of Medical Sciences Guilan University of Medical Sciences, in front of Sepah Bank, West Beheshti blvd., Rasht Rasht Iran (Islamic Republic of)