Risk factors of Non-communicable Diseases Intervention among Middle School Adolescent Children.

Intervention Objective: To improve students’ knowledge, attitudes, and behaviors related to key risk factors of NCDs, such as physical inactivity, unhealthy diet, and tobacco/alcohol use. Study Design: A school-based intervention implemented in two phases, targeting middle school children. Schools for intervention and control were purposively selected. The program was evaluated using pre- and post-assessments. Intervention Components 1. Mini-Lecture Sessions (Health Education Sessions) Topics Covered: - Importance of physical activity - Healthy eating (especially fruit and vegetable consumption) - Risks of tobacco and alcohol use - Sharing health messages with parents Session Details: - First Phase (May 10–21, 2017): - Two one-hour sessions (1st on fruit/vegetable consumption, 2nd on sports/physical activities) Second Phase (May 16–21, 2018): - One one-hour follow-up session on both topics - Delivered by trained public health graduates and researchers - Participation organized with prior notice; school attendance register used for tracking 2. Educational Leaflet Distribution - Take-home leaflet developed specifically for this study - Included key messages on healthy eating and physical activity - Aimed at students and their parents - Distributed during both intervention phases 3. Physical Activity Promotion - Organized one-time sports activities (e.g., football, badminton) - Encouraged peer involvement in games - Delivered by trained research team members - Student participation monitored by school principal and physical activity teacher - A follow-up session conducted in the second phase 4. Wall Posters and Charts - Motivational posters displayed in schools - Reinforced messages on physical activity and healthy eating 5. Parental and Peer Engagement - Parents informed via leaflets taken home by students - Encouraged peer participation in physical activities - No formal training was provided to parents or peers - Monthly meetings held with school principals and physical activity teachers to sustain student engagement Intervention Timeline First Phase (May 10–21, 2017): - Three health education sessions - Displayed wall charts - Distributed educational leaflets - Provided sports materials for physical activity promotion Second Phase (May 16–21, 2018): - One follow-up health education session - Redistributed the same educational leaflet All intervention sessions and activities were conducted by trained public health graduates and researchers.