Health LiteracyNCT06084429
Developing School Health Champions to Increase Health Literacy Both in School Adolescents and Community People Through Providing Health Education by the School Nurses in Bangladesh: Community-based Pre- and Post-experimental Design
A study testing pre and post test (health educational intervention) in people with Health Literacy, run by Hiroshima University at 1 site in Bangladesh.
Trial summary
Health literacy is a person's decision-making ability to improve their quality of life and prevent diseases by accessing, understanding and applying health information. Health literacy in the adolescent's period can aid them to gain and understand health information which can bring positive health outcomes. Read more about this study
- Who is it for?
- Ages 11 to 18 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Health Literacy
- What is being tested?
- pre and post test (health educational intervention)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 138 participants
- Where
- 1 siteBangladesh
- Study dates
- 24 Feb 2024to 30 Aug 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 11 to 18 years
- Women only
- Healthy volunteers accepted
- Child, Adult
Who may be able to join
- For school adolescents:
- Students who are willing to participate.
- Students who study in class 8 (Grade 8) at the time of enrollment.
- Students who are female.
- Students whose parents or legal guardians agree to give consent and are willing to participate in the study
- Students who agree to receive health checkup, and are willing to respond to the questionnaire.
Show all 12Show fewer
- Students who will stay in the same school till study completion.
- For community people:
- Persons who are aged at least 18 years old.
- Persons who are willing to participate.
- Persons who agree to receive health checkup, and willing to respond to the questionnaire.
- Persons who will attend the health education activities.
Who cannot join
- For school adolescents:
- Students who are absent from school during the health checkup periods due to severe illness or without any reason or information
- For community people:
- Persons who will not attend the education sessions physically.
- Persons who will not live in the community until the post-test.
Trial locations and contacts
1 site in 1 country.
Bangladesh1 site
Begum Ayesha Pilot Girls' High School And College
Dhaka, Dohar, 1330
About this study
Official title: Developing School Health Champions to Increase Health Literacy Both in School Adolescents and Community People Through Providing Health Education by the School Nurses in Bangladesh: Community-based Pre- and Post-experimental Design.
Health literacy is a person's decision-making ability to improve their quality of life and prevent diseases by accessing, understanding and applying health information. Health literacy in the adolescent's period can aid them to gain and understand health information which can bring positive health outcomes.
The aim of this pilot study is to examine the efficacy of health education and school health activities provided by school nurses on improving health literacy among secondary school adolescents. The study will also examine whether health education by health champions (the adolescents) is effective in improving the health literacy of the community people, and examine whether these interventions develop awareness, improve health knowledge, empower, and change behaviors of secondary school adolescents.
Read more
This intervention study aims to improve health literacy in the adolescents in Bangladesh and the school-located community. The Begum Ayesha Pilot Girl's High School in Dohar, Dhaka district will be selected as a field. First, we will place school nurses at the school, provide health checkups for both the adolescents (about n=316) and community people (about n=200), and school nurses will provide weekly health education for 3 months to the adolescents. After certifying them as "Health Champions", the health champions visit the community and provide health education activities to the community people. For both participant groups, health literacy will be measured as efficacy checking of this pilot study.
Assent and informed consent will be obtained from the participants. Autonomy, beneficence, non-maleficence, fidelity, veracity, confidentiality, and justice of the participants will be ensured. Also, anonymity will be maintained across all stages of the study.
- Conditions
- Health Literacy
- Being tested
- pre and post test (health educational intervention)
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
pre and post test (health educational intervention)Other
The health education will be provided the following sessions.
Introduction to Global and Bangladesh Health, Health Information access (Validity), Critical Values (Vital signs, BMI, RBS etc.), Emergency Management (burn, chocking, knife cut, fainting etc.), Food (classification, healthy food, unhealthy, food label, salt intake) (NCDs from unhealthy diet), Smoking and Alcohol (NCD related, substance abuse, secondhand smoking), Physical activity (Benefits, sedentary lifestyle, NCD related), Women's health (menstruation, menstrual cycle, hygiene, STD, contraception), Hygiene (water, food, brushing, bath, toileting, healthy habits), Environmental Sanitation and Communicable disease (clean, effects on health), and Women's health and societal contribution
| Study group | Role | What they receive |
|---|---|---|
| pre and post test | Experimental | School adolescents studying in 8th grade. Receives: Other: pre and post test (health educational intervention) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in health literacy score among the secondary school students
Primary outcome will be measured by the health literacy scale for school-aged Children (HLSAC), Bangla version.
Measured: Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)
Secondary outcomes (9)
Change in ratio of the level of health literacy
This will be measured by HLSAC, Bangla version.
Measured: Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)
Change in self-efficacy score
this will be measured by General Self-Efficacy Scale (GSE)
Measured: Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)
Change in reproductive age women specific health literacy
This will be measured by using the Health literacy scale for women of reproductive age, Bangla version
Measured: Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)
Change in awareness and knowledge score
This will be measured by the researcher-developed scale
Measured: Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)
Change in health behavior score
this will be measured by the researcher-developed scale
Measured: Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)
Qualitative self-evaluation attending the project and being a health champion
Data will be collected through a open qualitative questionnaire (one/two questions will be asked the participants to share their experience for being a health champion and data will be recorded using a voice recorder).
Measured: Endline (after 6 months of baseline)
For community people- Change in health literacy score
This will be measured by the European Health literacy Survey Questionnaire short version (HLS-Q12), Bangla version, which is developed by Finbraten, 2018 in English
Measured: Midline (after 3 months of baseline), Endline (after 6 months of baseline)
For community people- Change in awareness and knowledge score
This will be measured by the researcher-developed scale
Measured: Midline (after 3 months of baseline), Endline (after 6 months of baseline)
For community people- Change in health behavior score
This will be measured by the researcher-developed scale
Measured: Midline (after 3 months of baseline), Endline (after 6 months of baseline)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Oct 2023
- Study start24 Feb 2024
- Primary completion30 Aug 2025
- Study completion30 Aug 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Health LiteracyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 138 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hiroshima University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Popi Rani Bhowmik, Hiroshima University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06084429
- Sponsor's protocol ID
- 2023/OR-NSU/IRB/0707
- Status last verified
- Feb 2026
- First submitted
- 9 Oct 2023
- Last updated
- 19 Feb 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Will be shared according to correspondence request.
Study at a glance
From the registry record, last updated by the sponsor on 19 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Developing School Health Champions to Increase Health Literacy Both in School Adolescents and Community People Through Providing Health Education by the School Nurses in Bangladesh: Community-based Pre- and Post-experimental Design.
- ClinicalTrials.gov ID
- NCT06084429
- Acronym / sponsor ID
- 2023/OR-NSU/IRB/0707
- Conditions
- Health Literacy
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 138 participants (actual)
- Lead sponsor
- Hiroshima UniversityUniversity, hospital or other
- Study start
- 24 Feb 2024 (actual)
- Primary completion
- 30 Aug 2025 (actual)
- Study completion
- 30 Aug 2025 (actual)
- First posted
- 16 Oct 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Health literacy is a person's decision-making ability to improve their quality of life and prevent diseases by accessing, understanding and applying health information. Health literacy in the adolescent's period can aid them to gain and understand health information which can bring positive health outcomes.
The aim of this pilot study is to examine the efficacy of health education and school health activities provided by school nurses on improving health literacy among secondary school adolescents. The study will also examine whether health education by health champions (the adolescents) is effective in improving the health literacy of the community people, and examine whether these interventions develop awareness, improve health knowledge, empower, and change behaviors of secondary school adolescents.
This intervention study aims to improve health literacy in the adolescents in Bangladesh and the school-located community. The Begum Ayesha Pilot Girl's High School in Dohar, Dhaka district will be selected as a field. First, we will place school nurses at the school, provide health checkups for both the adolescents (about n=316) and community people (about n=200), and school nurses will provide weekly health education for 3 months to the adolescents. After certifying them as "Health Champions", the health champions visit the community and provide health education activities to the community people. For both participant groups, health literacy will be measured as efficacy checking of this pilot study.
Assent and informed consent will be obtained from the participants. Autonomy, beneficence, non-maleficence, fidelity, veracity, confidentiality, and justice of the participants will be ensured. Also, anonymity will be maintained across all stages of the study.
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| pre and post test | Experimental | Other: pre and post test (health educational intervention)School adolescents studying in 8th grade. |
Who may qualify
- Ages
- 11 to 18 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
Key inclusion criteria (12 listed)
- Students who are willing to participate.
- Students who study in class 8 (Grade 8) at the time of enrollment.
- Students who are female.
- Students whose parents or legal guardians agree to give consent and are willing to participate in the study
- Students who agree to receive health checkup, and are willing to respond to the questionnaire.
Key exclusion criteria (5 listed)
- Students who are absent from school during the health checkup periods due to severe illness or without any reason or information
- Persons who will not attend the education sessions physically.
- Persons who will not live in the community until the post-test.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| pre and post test (health educational intervention)The health education will be provided the following sessions. Introduction to Global and Bangladesh Health, Health Information access (Validity), Critical Values (Vital signs, BMI, RBS etc.), Emergency Management (burn, chocking, knife cut, fainting etc.), Food (classification, healthy food, unhealthy, food label, salt intake) (NCDs from unhealthy diet), Smoking and Alcohol (NCD related, substance abuse, secondhand smoking), Physical activity (Benefits, sedentary lifestyle, NCD related), Women's health (menstruation, menstrual cycle, hygiene, STD, contraception), Hygiene (water, food, brushing, bath, toileting, healthy habits), Environmental Sanitation and Communicable disease (clean, effects on health), and Women's health and societal contribution | Other | pre and post test |
Primary outcome
Change in health literacy score among the secondary school students
Time frame: Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)
Primary outcome will be measured by the health literacy scale for school-aged Children (HLSAC), Bangla version.
9 secondary outcomes
Change in ratio of the level of health literacy
Time frame: Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)
Change in self-efficacy score
Time frame: Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)
Change in reproductive age women specific health literacy
Time frame: Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)
Change in awareness and knowledge score
Time frame: Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)
Change in health behavior score
Time frame: Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)
Qualitative self-evaluation attending the project and being a health champion
Time frame: Endline (after 6 months of baseline)
For community people- Change in health literacy score
Time frame: Midline (after 3 months of baseline), Endline (after 6 months of baseline)
For community people- Change in awareness and knowledge score
Time frame: Midline (after 3 months of baseline), Endline (after 6 months of baseline)
For community people- Change in health behavior score
Time frame: Midline (after 3 months of baseline), Endline (after 6 months of baseline)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Feb 2026.
- Individual participant dataSharing planned: No. Will be shared according to correspondence request.
Related trials for Health Literacy
Recruiting
Evaluating the Impact of Using the B-OK Bottles for HIV and ART Literacy in South Africa
HIV, HIV Treatment
Active, not recruiting
Designing and Evaluating a Classroom-Based Mental Health Programme for Adolescents.
Mental Health Promotion
Not yet recruiting
Advancing Cardiovascular Health Among Adolescents With Intellectual Disabilities: Co-Development of Technology Interventions to Enhance Physical Activity
Physical Activity, Intellectual Disabilities
Not yet recruiting
Community Health Worker Nutrition Self-Management Support for Cardio-Kidney-Metabolic Health
Hypertension (HTN), CKD - Chronic Kidney Disease
Not yet recruiting
Sperm, Exposure and Endocrine Disruptors
Fertility, Male Fertility
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing pre and post test (health educational intervention) in people with Health Literacy, run by Hiroshima University at 1 site in Bangladesh.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 12 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Bangladesh. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in health literacy score among the secondary school students (time frame: Baseline, Midline (after 3 months of baseline), Endline (after 6 months of baseline)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Feb 2026.