Omaha System-Based Health Application on Improving Knowledge, Attitude, and Behaviors Regarding Infectious Disease Prevention in the Community

NCT07048301 | Not Yet Recruiting

• 1 other identifier: 2024-A4-01-39719
• Study Type: interventional
• Target: 112
• Locations: 0 countries
• Sites: N/A

Brief Summary

Background: Infectious diseases remain significant public health concerns due to several factors such as climate and environmental changes and natural disasters. Mobile health applications (mHealth apps) can be an appropriate way for fostering community participation, disseminating knowledge, and promoting behavior change toward infectious disease prevention. This study aims to describe a protocol for a pilot randomized controlled study to evaluate the impact of the Omaha System-Based mHealth app (BUHOS) on improving knowledge, attitude, and behaviors (KAB) regarding infectious disease prevention in an earthquake-affected region of Türkiye. Methods: This study is a two-armed, parallel-group, randomized controlled trial design. A total of 112 eligible participants will be recruited from two separate container cities of an earthquake-affected region. These participants will be randomly allocated to either an intervention group or a control group. BUHOS will be designed based on the Omaha System, a widely recognized standardized taxonomy for the assessment, planning, and evaluation of healthcare services. BUHOS will be a two-week nursing intervention that includes monitoring KAB, employing Education, Guidance and Counseling (education videos), and Surveillance (reminder messages), and assessing the outcomes. Outcome variables will include the Problem Rating Scale for Outcomes, Community Communicable Diseases Knowledge Survey, Communicable Diseases Risk Awareness and Protection Scale and System Usability Scale. Outcome variables will be assessed on the 15th and 30th day after intervention. Hypotheses: H1: Among the Omaha System Problems, the Communicable/ Infectious Condition Problem Knowledge score will be higher on the 15th and 30th days compared to the control group. H2: Infectious diseases risk awareness and prevention score will be higher on the 15th and 30th days compared to the control group. H3: Communicable/ Infectious Condition Status Behaviour Parameter score will be higher on the 15th and 30th days compared to the control group H4: The knowledge and behaviour of the communicable/ infectious status and the awareness and prevention of the risk of infectious diseases of the experimental group will be higher than before the intervention on the 15th and 30th days.

Conditions

Infectious Diseases; Attitude; Behavior; Knowledge

Keywords

Omaha System; Mobile health app

Outcome Measures

Primary Outcomes (4)

• Omaha System- Problem Rating Scale for Outcomes Knowledge parameter

  15th and 30th day after intervention

• Omaha System- Problem Rating Scale for Outcomes Behavior parameter

  15th and 30th day after intervention

• Communicable Diseases Risk Awareness and Protection Scale (CDRAPS)

  15th and 30th day after intervention

• Community Communicable Diseases Knowledge Survey

  15th and 30th day after intervention

Secondary Outcomes (1)

• System Usability Scale (SUS)

  30th day after intervention

Study Arms (2)

BUHOS app

EXPERIMENTAL

BUHOS app

Other: BUHOS app

Control Group

ACTIVE COMPARATOR

Control Group

Other: Control Group

Interventions

BUHOS app OTHER

In this study, the BUHOS app initiative will be implemented among participants in the intervention group. BUHOS will be a two-weeks nursing intervention that includes monitoring KAB, employing Education, Guidance and Counseling (education videos), and Surveillance (reminder messages), and assessing the outcomes.

BUHOS app

Control Group OTHER

No intervention will be made to the patients in the control group, and the training videos prepared after the study is completed will be shared.

Control Group

Eligibility Criteria

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

You may qualify if:

• being aged between 18 and 64 years,
• living in two container cities,
• having a knowledge score of 'very low (1)' and 'low (2)' on the Omaha System Problem Rating Scale for Outcome for Communicable/ Infectious Problem Knowledge Parameter,
• being literate,
• owning a smartphone.

You may not qualify if:

• having impaired vision or hearing,
• having a mental illness,
• not owning a smartphone,
• being pregnant or postpartum,
• being participants in another scientific study,
• refusing to participate.

Sponsors & Collaborators

• Kocaeli University: lead
• Atlas University: collaborator
• Istanbul Medeniyet University: collaborator
• Istanbul University - Cerrahpasa: collaborator
• Hatay Devlet Hastanesi: collaborator
• Health Institutes of Turkey: collaborator

Related Publications (1)

• Secginli S, Altiner Yas M, Torun G, Ilhan N, Dogru Bolat S. Developing an Omaha System-based health application to improve knowledge, attitude, and behaviors regarding infectious disease prevention in the community: a study protocol for a randomized controlled trial. BMC Public Health. 2025 Nov 27;25(1):4170. doi: 10.1186/s12889-025-25587-8.

  PMID: 41310526 DERIVED

MeSH Terms

Conditions

Communicable Diseases; Behavior

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Infections; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Nesrin İlhan, Assoc. Prof.

  Istanbul Medeniyet University

  PRINCIPAL INVESTIGATOR

• Selda Seçginli

  Atlas University

  STUDY DIRECTOR

• Seda Doğru Bolat, Msc.

  Hatay State Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Gizemnur Torun, PhD.

CONTACT

+902623034722; gizemnur.torun@kocaeli.edu.tr

Merve Altıner Yaş, Assistant Professor

CONTACT

Study Design

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

Study Record Dates

• First Submitted: June 23, 2025
• First Posted: July 2, 2025
• Study Start: September 1, 2025
• Primary Completion: December 1, 2025
• Study Completion (Estimated): June 1, 2026
• Last Updated: July 2, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share