Nursing Strategies to Increase Vaccination Rates in Adolescents: Education, Video Animation and Games

NCT06832670 | Completed

• 1 other identifier: hakanavan-0003
• Study Type: interventional
• Target: 210
• Locations: 1 country
• Sites: 1

Brief Summary

Purpose: This study aims to evaluate how immunization education, video animation, and game interventions based on the Health Belief Model (HBM) affect the immunization decisions of late adolescents. The findings could contribute to the development of targeted interventions to increase vaccine acceptance among adolescents. Hypotheses: Does the educational intervention, video animation, and game application affect adolescents' knowledge of vaccines? Do these interventions influence adolescents' positive attitudes towards vaccines? Will the interventions lead to significant changes in adolescents' health beliefs, especially regarding perceived risks, benefits, and barriers? Do the interventions increase vaccine acceptance and vaccination rates among adolescents? Do the interventions reduce vaccine hesitancy among adolescents? Can the Health Belief Model-based interventions provide an effective communication strategy to increase vaccine acceptance? Method: The research will be conducted from March 3 to March 30, 2025. Participants will undergo immunization education, video animation, and game applications. Expert opinions will be consulted for developing educational materials, videos, and games. Institutional approval will be obtained, and an informed consent form will be distributed to participants. Those who volunteer will be assigned numbers, and participants for the intervention and control groups will be selected using simple random sampling. Interventions: Educational Material: Aimed at increasing awareness about vaccines, the education focuses on the perceived risks, benefits, and barriers to vaccination. Video Animation: A video that explains how vaccines work, strengthen the immune system, and address perceived risks and benefits. Game Application: A simulation game called "infected interaction," where participants learn about the spread of infectious diseases during social interactions. Inclusion Criteria: Inclusion: Adolescents aged 18-21, willing to participate, complete research forms, and attend the sessions. Exclusion: Withdrawal from the study. Variables: Independent Variables: Gender, age, income, school, chronic illness, etc. Dependent Variables: Scale scores. Data Collection Tools: Adolescent Introductory Questionnaire: A form with 14 questions about demographic information and attitudes toward vaccination. Vaccine Hesitancy Scale: A 9-item scale measuring vaccine hesitancy. Self-Efficacy Scale: A 23-item scale to assess adolescents' self-efficacy in various contexts. Statistical Analysis: Sample size was determined by power analysis: 210 participants (105 intervention, 105 control). Data will be analyzed using IBM SPSS Statistics V 26. Normal distribution will be assessed with the Shapiro-Wilk test, and homogeneity of variance will be tested with Levene's test. Pre- and post-test scores will be compared using repeated measures ANOVA. A p-value of \<0.05 will be considered statistically significant. Expected Outcomes: Increased Knowledge: It is expected that educational interventions and video animations will improve adolescents' knowledge about vaccines, potentially influencing their attitudes. Positive Attitude Change: The intervention may lead to more positive attitudes towards vaccination. Changes in Health Beliefs: The intervention could alter adolescents' perceived risks, benefits, and personal beliefs regarding vaccines. Increased Vaccine Acceptance: The study may demonstrate that these interventions increase vaccine acceptance and vaccination rates. Effective Communication Strategies: The study may identify effective communication strategies for increasing vaccine acceptance among adolescents. Contribution to Public Health: This research could show that interventions targeting adolescents may play a critical role in improving public health by reducing the spread of infectious diseases.

Conditions

Health; Vaccination Hesitancy; Adolescent Health

Keywords

Nursing Strategies; Vaccination Rates; Adolescents; Health Education; Video Animation; Health Belief Model; Game-Based Learning

Outcome Measures

Primary Outcomes (2)

• 1. Increase in Vaccine Knowledge and Positive Attitude Change Toward Vaccines

  The video animation, game application and educational program are expected to increase adolescents' knowledge about vaccines. This increased knowledge may lead to changes in attitudes towards vaccines and general health beliefs. The "Vaccine Hesitancy Scale" will be used for evaluation. The score obtained from the scale and its subdimensions is calculated by summing the points from the relevant items, and an increase in the score indicates a decrease in vaccine hesitancy. Although there is no specific cutoff point for the scale, the total score can range from 9 to 45 points.

  3 weeks

• 2. Increase in Vaccination Acceptance Rates and Contribution to Public Health

  This study may show that video animation, game implementation and educational interventions increase adolescents' vaccine acceptance, which may be valuable for the development of future public health strategies. The "Self-Afficacy-Efficacy Scale" will be used for the assessment. A score between 23 and 115 can be obtained from the scale. A higher score indicates a higher perception of Self-Efficacy-Competence regarding vaccines. The scale consists of four sub-dimensions.

  3 weeks

Study Arms (2)

intervention

EXPERIMENTAL

Other: intervention

control group

SHAM COMPARATOR

Other: active comparator

Interventions

intervention OTHER

Participants in the intervention group will receive vaccine education, video animation and game practice.

Also known as: video animation, game practice, vaccine education, active comparator

intervention

active comparator OTHER

There will be no intervention in this group. It will continue its active education.

control group

Eligibility Criteria

• Age: 18 Years - 21 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Aged between 18-21
• Willing to participate in the research
• Completes all research forms
• Fully participates in the training sessions

You may not qualify if:

• Desire to withdraw from the research

Sponsors & Collaborators

• Kahramanmaras Sutcu Imam University: lead

Study Sites (1)

Kahramanmaraş Sütçü İmam University

Kahramanmaraş, Eyalet/Yerleşke, 46000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Vaccination Hesitancy; Health Education

Interventions

Methods

Condition Hierarchy (Ancestors)

Vaccination Refusal; Treatment Refusal; Treatment Adherence and Compliance; Health Behavior; Behavior; Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care

Intervention Hierarchy (Ancestors)

Investigative Techniques

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: February 3, 2025
• First Posted: February 18, 2025
• Study Start: March 3, 2025
• Primary Completion: March 30, 2025
• Study Completion: April 10, 2025
• Last Updated: April 24, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL

Locations

TU (1)