ArticlePilot and feasibility studies2020
School health education program in Pakistan (SHEPP)-a threefold health education feasibility trial in schoolchildren from a lower-middle-income country.
Article in Pilot and feasibility studies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 8 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
School Health Education Program in Pakistan(SHEPP) ; Impact on Lifestyle and Cardio-
A School-based to Prevent Obesity Among Children Aged 4-7 Years: A Feasibility Quasi-Experimental Trial in Karachi, Pakistan
Who cites it
8 citing papers in PubMed, 13 citations in OpenAlex.
- Student Perceptions of the School eHealth Education Program Pakistan (eSHEPP): A Qualitative Study of Acceptability, Feasibility, and Awareness of Non-Communicable Diseases.Research square · 2026Article
- Article
- School eHealth education program Pakistan (eSHEPP): an exploratory qualitative study of stakeholder perspectives on design, barriers, and facilitators.Journal of health, population, and nutrition · 2025Article
- Comparison of physical activity levels among school-age adolescents in rural and urban areas of district Swat, KPK, Pakistan.The Journal of the Egyptian Public Health Association · 2025Article
- School eHealth Education Program Pakistan (eSHEPP): An Exploratory Qualitative Study of Stakeholder Perspectives on Design, Barriers, and Facilitators.Research square · 2025Article
- Obesity and risk of hypertension in preadolescent urban school children: insights from Pakistan.Journal of health, population, and nutrition · 2024Article
- School Health Education Program in Pakistan (SHEPP): findings from a feasibility trial in pre-adolescent school children from a lower middle-income country.Pilot and feasibility studies · 2023Article
- A PRECEDE-PROCEED model-based educational intervention to promote healthy eating habits in middle school girls.Food science & nutrition · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe school environment plays an essential role in promoting health education and physical activity for children and adolescence, and they are more likely to adapt it into their adulthood. School health education program has been endorsed and emphasized by the World Health Organization has not been implemented in true spirit in Pakistan yet. We aim to test feasibility of threefold health education program in children and its potential efficacy on physical activity and diet and cardiometabolic risk factors by including BP, BMI, and waist circumference.
methodsIt is a parallel-group feasibility intervention trial. It is being conducted in two schools from lower to middle-income areas, at different locations but having the same school curriculum under the Aga Khan Education Service, Pakistan (AKESP). All children aged 9-11 years enrolled from the schools mentioned above were included. Children with any physical disability were excluded. One school received threefold intervention (focused on children, parents, and teachers) of school health education program in Pakistan (SHEPP) while the other school continued routine activity. Intervention of SHEPP is directed towards educating children, parents, and teachers about healthy behaviors. Children will receive interactive educational sessions and specially designed physical activity sessions. A 3-h health education session focusing on same healthy behaviors as for children will be conducted for both parents and teachers. Primary outcome is feasibility of SHEPP in terms of recruitment, retention, and treatment fidelity. Secondary outcomes are physical activity levels, dietary intake (of fruits, vegetable), and cardiometabolic risk factors (blood pressure, BMI, and waist circumference (WC)). The total number of children recruited were 982 (82.5 %); 505 from school A and 477 from school B and 496 (50.5) were boys.
conclusionSHEPP is a unique health education program for children as it focuses on children while involving the parents and teachers in the behavior change process. If found feasible and demonstrating potential efficacy on physical activity, dietary behaviors, and cardiometabolic parameters, we will be able to replicate this on a larger scale in public sector schools also.
trial registrationNCT03303287.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.