Effect of Empowerment Program on Children's Knowledge, Attitude, Self-Efficacy, and Practice of Nail Biting.

NCT06471153 | Completed

• 1 other identifier: 7/2022PEDI2-1
• Study Type: interventional
• Target: 135
• Locations: 1 country
• Sites: 1

Brief Summary

The study aims to evaluate the effect of an empowerment program based on the BASNEF model on children's knowledge, attitude, self-efficacy, and practice of nail biting. Research Hypothesis H1: The application of an empowerment program based on the BASNEF model has a positive impact on children's knowledge, attitude, self-efficacy, and practice of nail biting.

Conditions

Nail Biting

Keywords

BASNEF Model; Children; Knowledge; Nail Biting; Practice; Self-efficacy

Outcome Measures

Primary Outcomes (4)

• Children's Nail-Biting Knowledge

  It includes ten questions about nail biting revolving around the definition (2 items), predisposing factors (2 items), complications and adverse effects (3 items), and management (3 items). A score of (1) was given for the correct answer and zero for the incorrect one.

  one month

• Children's Nail-Biting Practice/Habits

  It includes ten items describing the children's nail-biting habit, including frequency and duration (2 items), aggravating factors (2 items), areas involved in nail-biting (3 items), and description of nail-biting behavior (3 items). They are instructed to self-monitor their nail-biting behaviors on five a 5-point Likert scale ranging from very frequent (4) to never (0).

  one month

• Children's Attitude and Self-efficacy Towards Nail-biting

  It consists of 13 items; 10 items measure the child's attitude, and three items assess their intention to act (self-efficacy). Children were asked to rate their answers on a 5-point Likert scale ranging from Strongly Agree (4) to (0) Strongly Disagree.

  one month

• Subjective Norms and Enabling Factors of Nail-Biting Among Children

  The questionnaire includes ten yes/No questions divided into two categories. The subjective norms category consists of 8 items describing the external factors that influence children either to increase or quit their nails

  one month

Study Arms (2)

Study Group

EXPERIMENTAL

Received the empowerment program based on the BASNEF model

Behavioral: Empowerment Program Based on BASNEF Model

Control Group

ACTIVE COMPARATOR

received the routine care

Behavioral: Routine Health Education

Interventions

Empowerment Program Based on BASNEF Model BEHAVIORAL

Initially, the researcher established rapport with children of both groups and their gradians, screened them for the eligibility criteria, explained the aim of the study, the duration and nature of the training sessions, and obtained informed assent. The researcher established the session objectives and learning activities and prepared the learning materials. The researchers also prepared the learning environment. The Empowerment program is implemented in accordance with the BANCEF model for behavior transformation into four educational sessions. After the intervention, children's nail-biting knowledge, practice, attitude, and self-efficacy were reassessed.

Study Group

Routine Health Education BEHAVIORAL

Children in the control group received routine health education about the problems of nail-biting and routine advice to quit nail-biting.

Control Group

Eligibility Criteria

• Age: 6 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Had nail-biting habits
• Willing to attend the educational sessions

You may not qualify if:

• Had history of mental illness

Sponsors & Collaborators

• Alexandria University: lead

Study Sites (1)

Alexandria University

Alexandria, 32511, Egypt

Location

Related Publications (8)

• Zareipour MA, Mahmoodi H, Valizadeh R, Ghelichi Ghojogh M, Rezaie Moradali M, Zare F. Impact of an Educational Intervention Based on the BASNEF Model on Skin Cancer Preventive Behavior of College Students. Asian Pac J Cancer Prev. 2018 Oct 26;19(10):2717-2722. doi: 10.22034/APJCP.2018.19.10.2717.

  PMID: 30360596 BACKGROUND

• Abd-Elsabour MAA, Hanafy RMH, Omar OM. Association between children's resilience and practising oral habits: a cross-sectional study. Br Dent J. 2023 Feb 17:1-5. doi: 10.1038/s41415-023-5565-7. Online ahead of print.

  PMID: 36801961 BACKGROUND

• Gur K, Erol S, Incir N. The effectiveness of a nail-biting prevention program among primary school students. J Spec Pediatr Nurs. 2018 Jul;23(3):e12219. doi: 10.1111/jspn.12219. Epub 2018 May 24.

  PMID: 29797491 BACKGROUND

• Ghanizadeh A, Shekoohi H. Prevalence of nail biting and its association with mental health in a community sample of children. BMC Res Notes. 2011 Apr 11;4:116. doi: 10.1186/1756-0500-4-116.

  PMID: 21481256 BACKGROUND

• Ergun A, Toprak R, Sisman FN. Impact of a healthy nails program on nail-biting in Turkish schoolchildren: a controlled pretest-posttest study. J Sch Nurs. 2013 Dec;29(6):416-24. doi: 10.1177/1059840513481386. Epub 2013 Mar 14.

  PMID: 23492878 BACKGROUND

• Silva LCD, Vedovello SAS, Vedovello Filho M, Meneghin MC, Ambrosano Bovi GM, Degan VV. Anxiety and oral habits as factors associated with malocclusion. Cranio. 2021 May;39(3):249-253. doi: 10.1080/08869634.2019.1633492. Epub 2019 Jun 23.

  PMID: 31232226 BACKGROUND

• Baghchechi M, Pelletier JL, Jacob SE. Art of Prevention: The importance of tackling the nail biting habit. Int J Womens Dermatol. 2020 Sep 17;7(3):309-313. doi: 10.1016/j.ijwd.2020.09.008. eCollection 2021 Jun.

  PMID: 32964094 BACKGROUND

• Rashwan ZI, Darweesh HAM, Elsobky FA, Amer SAM, Nada MAA. BASNEF behavioral transformation: effect of empowerment program on children's knowledge, attitude, self-efficacy, and practice of nail biting. BMC Pediatr. 2025 Apr 22;25(1):312. doi: 10.1186/s12887-025-05450-w.

  PMID: 40264049 DERIVED

MeSH Terms

Conditions

Nail Biting

Condition Hierarchy (Ancestors)

Habits; Behavior

Study Officials

• Zohour I Rashwan, Professor

  Alexandria University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assisstant Profesor

Study Record Dates

• First Submitted: June 18, 2024
• First Posted: June 24, 2024
• Study Start: April 20, 2023
• Primary Completion: December 18, 2023
• Study Completion: December 20, 2023
• Last Updated: June 24, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)