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. 2023 Oct 24;2023(10):CD014722. doi: 10.1002/14651858.CD014722.pub2

Müller 2019.

Study name Effects of a school‐based health intervention programme in Port Elizabeth, South Africa: the KaziBantu project
Methods Study design: cluster‐RCT
Country: South Africa
Participants Children in grades 1‐6 aged (between 6 and 16 years) and school teachers
Inclusion criteria: 
Children:
a. grade 1‐6;
b. aged 6‐14 years;
c. written informed consent by parent/guardian;
d. not participating in other clinical trials;
e. not suffering from medical conditions that prevent participation in physical activity.
Teachers:
a. involved in implementation of the school‐based health promotion programme;
b. ticked all questions with "yes" in the Physical Activity Readiness Questionnaire to be able to take part in the cardiorespiratory fitness test.
Exclusion criteria:
Children:
a. suffering severe malnourishment (as diagnosed by a study nurse following national guidelines. In this case, children will be referred to local clinics).
Teachers:
a. acute or chronic medical conditions that prevent participation in a submaximal fitness test (if uncertain, participant will be asked to consult a general practitioner and provide a doctor's certification before he/she is included in the study);
b. temporary illness such as a cold or fever (to participate in cardiorespiratory fitness test);
c. minimum 50% employment rate for at least 6 months.
Stated purpose: to assess how effective school‐based intervention programmes are on communicable diseases, risk factors for non‐communicable diseases, health behaviours (beliefs and actions relating to health and well‐being) and psychosocial health in school‐aged children in disadvantaged neighbourhoods in Port Elizabeth, South Africa. Additionally, study aims to develop and pilot‐test a workplace health intervention for primary school teachers.
Interventions Intervention:
School‐based health promotion programme
For children: children will take part in a school‐based health promotion programme that lasts for 32 school weeks. This involves one 40‐minute long physical education lesson per week, one 40‐minute moving‐to‐music lesson per week, and 3 health‐education and 3 nutrition‐education lessons (all 40 minutes long) across the study period. Children will also undergo deworming (helminths) using a single dose of albendazole or mebendazole.
For teachers: teachers will take part in a 6‐month workplace health promotion programme. There will be a baseline assessment including measurements relating to perceived health, disease history, blood tests, body measurements, physical activity, mental health and stress and quality of life. Following this, teachers will receive a personal health profile providing an overview of cardiovascular and mental health that is used to estimate their health risks, along with brief information on how to interpret this.
The workplace health programme will last for 20 weeks and involve individually tailored lifestyle coaching workshops.
Control:
Control group (not specified)
Outcomes Participants'outcomes of interest for this review
  1. Mental health symptoms/distress – Perceived Stress Scale, German version (PSS4)

  2. Mental health symptoms/(mental distress or minor psychiatric morbidities) – General Health Questionnaire (GHQ‐12)

  3. Mental health symptoms/distress/PTSD (burnout symptoms) – Shirom‐Melamed Burnout Measure (SMBM)


Economic outcomes
Nil
Time points: baseline, post‐intervention (after 12 months)
Starting date 1 July 2018
Completed (31 December 2019)
Contact information Uwe Pühse, uwe.puehse@unibas.ch
Notes Source of funding: Novartis Foundation, Basel, Switzerland
Prospective trial registration number: ISRCTN18485542