NCT06693414

Brief Summary

Health promotion is a comprehensive process that includes supporting knowledge, skills, and environmental conditions to improve the health levels of individuals and communities. In nursing practice, health promotion plays a critical role in guiding, educating, and raising awareness among individuals about health. Learning foundational knowledge in health promotion allows first-year nursing students to provide more informed and effective health counseling as they gain clinical experience. Enhancing health awareness among first-year nursing students is vital not only for their personal health but also for their future professional competency. Developing awareness of healthy living can positively influence students' health behaviors, empowering them to make more informed health decisions. Awareness of healthy living habits also helps students acquire knowledge in areas such as stress management, nutrition, exercise, and sleep, which can improve their performance in clinical practice. Moreover, nursing students' level of health literacy is crucial for sustaining health behaviors throughout life. Nurses with high health literacy are better equipped to interpret health information effectively, leading to more informed decisions in patient care and healthcare delivery. Therefore, it is essential that nursing students have a high level of health literacy, as it is necessary for their personal development and for maintaining the health of the individuals they serve. Salutogenesis is an approach that focuses on the factors that support and enhance health rather than simply the absence of disease. This approach emphasizes the active role individuals play in maintaining and improving their health. Thus, it is believed that developing salutogenic health perspectives in nursing students from the beginning of their education is important. This study will be conducted to determine the effects of education aimed at health promotion on nursing students' awareness of healthy living, salutogenic health indicators, and health literacy.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
232

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Nov 2024

Shorter than P25 for not_applicable

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 13, 2024

Completed
5 days until next milestone

First Posted

Study publicly available on registry

November 18, 2024

Completed
2 days until next milestone

Study Start

First participant enrolled

November 20, 2024

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2025

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2025

Completed
Last Updated

November 18, 2024

Status Verified

November 1, 2024

Enrollment Period

3 months

First QC Date

November 13, 2024

Last Update Submit

November 14, 2024

Conditions

Keywords

nursing studentshealth promotionnursing interventionsalutogenetic health indicatorsgeneral health literacy

Outcome Measures

Primary Outcomes (3)

  • Healthy life awareness

    The Healthy Life Awareness Scale (HeLAS) was developed by Özer and Yılmaz to determine the healthy life awareness level among individuals (Özer \& Yılmaz, 2020). It is a 5-point Likert-type scale (1:totally disagree-5:totally agree) with fifteen items and four sub-dimensions. The total score can be got from the scale ranges between 15 and 75. There is no cut-off point; the higher the score, the more awareness of healthy life increases. The Cronbach's alpha of the total scale is 0.81 (Özer \& Yılmaz, 2020).

    14 weeks up to December

  • Salutogenetic health indicators

    The scale developed by Bringsen and colleagues in 2009, and validated and tested for reliability in Turkish by Acı and colleagues (2024), aims to achieve a salutogenic and holistic perspective in measuring health through health indicators. The scale includes questions related to experience, morale, tension, sleep, concentration, creativity, problem-solving, expression of emotions, illness, energy level, social capacity, and physical function. It consists of 12 items on a 6-point Likert scale and has two sub-dimensions: personal characteristics and interactive function. There are no reverse items on the scale. Participants' views over the past 4 weeks are assessed. Scores on the scale range from 12 to 72. The higher the score, the better the individual's health from a salutogenic perspective. In the scale's validity and reliability study, the Cronbach's alpha reliability coefficient was found to be 0.91 (Acı et al., 2024).

    14 weeks up to December

  • Health literacy

    The HLS19-Q12 is a 12-item short version of the 47-item European Health Literacy Scale, developed by Pelikan and colleagues on behalf of the HLS19 Consortium of the WHO Action Network M-POHL team to assess health literacy levels in the general adult population (Pelikan et al., 2022). The Turkish validity and reliability study of the scale was conducted by Terzi and colleagues (Terzi et al., 2024). The scale is onedimensional and in Likert format, with responses ranging from '1=very difficult, 2=difficult, 3=easy, 4=very easy, 99=don't know.' The total score is calculated as a percentage by dividing the number of questions answered as 'easy' or 'very easy' by the number of valid responses and multiplying by 100. Only responses of '1=very difficult, 2=difficult, 3=easy, 4=very easy' are considered valid and included in score calculation. In the validity and reliability study of the scale, the Cronbach's alpha coefficient was found to be 0.886 (Terzi et al., 2024).

    14 weeks up to December

Study Arms (2)

Intervention group: Health promotion education

EXPERIMENTAL

A 14-week health promotion program will be implemented for the intervention group. The training will use lecture, question-and-answer, individual work, and group work techniques. Additionally, activities targeting health-promoting behaviors will be conducted.

Other: Tailored health promotion educationOther: Routine nursing education

Control group: routine nursing education group

ACTIVE COMPARATOR

Participants in the control group will not receive additional health promotion training apart from vocational training.

Other: Routine nursing education

Interventions

14 weeks tailored education

Intervention group: Health promotion education

14 weeks nursing education

Control group: routine nursing education groupIntervention group: Health promotion education

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • being 18 and older years old
  • studying in nursing department
  • being voluntary to participate in
  • speaking Turkish as a mother language

You may not qualify if:

  • having any visual and/or hearing disorders

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (2)

  • Terzi H, Akca A, Ayaz-Alkaya S. Adaptation of the health literacy survey19-Europe-Q12 into Turkish culture: A psychometric study. J Eval Clin Pract. 2024 Dec;30(8):1782-1790. doi: 10.1111/jep.14161. Epub 2024 Oct 7.

    PMID: 39373230BACKGROUND
  • Aci OS, Gencbas D, Ciydem E, Kackin O. Validity and reliability study of the Turkish version of the Salutogenic Health Indicator Scale. Int J Nurs Pract. 2024 Apr;30(2):e13231. doi: 10.1111/ijn.13231. Epub 2023 Dec 20.

    PMID: 38123188BACKGROUND

Central Study Contacts

Sultan Ayaz-Alkaya, Professor, PhD

CONTACT

Handan Terzi, Asst. Prof., PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

November 13, 2024

First Posted

November 18, 2024

Study Start

November 20, 2024

Primary Completion

March 1, 2025

Study Completion

March 31, 2025

Last Updated

November 18, 2024

Record last verified: 2024-11

Data Sharing

IPD Sharing
Will not share