Health Promotion Education on Adolescent Digital Addiction and Lifestyle

NCT07442227 | Completed

• 1 other identifier: B.30.2.ATA.0.01.00/253
• Study Type: interventional
• Target: 76
• Locations: 1 country
• Sites: 1

Brief Summary

Adolescence is defined as a unique period between the ages of 10 and 19, essential for the construction of development and health. During this stage, adolescents exhibit rapid physical, cognitive, and psychosocial growth. However, significant health problems may arise during this period that can adversely affect their development. In the contemporary era, the frequency of digital device use among adolescents is increasing, leading to a heightened risk of digital addiction. Digital addiction has negative impacts on nutritional and exercise behaviors, many of which are preventable and treatable. To improve and promote their health, adolescents require essential education regarding healthy lifestyle behaviors, accessibility to health services, and a safe, supportive environment. Therefore, opportunities must be provided to adolescents to protect and enhance their health. In this context, public health nurses have critical responsibilities within the scope of preventive services. Furthermore, beyond identifying risky health behaviors, public health nurses play a vital role in protecting and promoting adolescent health through their clinical approaches to existing risky behaviors. Public health nurses can raise awareness among youth regarding healthy nutrition, participation in physical and social activities, the harms of substance abuse (tobacco, alcohol, drugs), violence, and accident prevention. Preventive interventions by nurses targeting the risky health behaviors observed during this period and the potential health problems in adulthood will contribute significantly to the formation of healthy societies.

Conditions

Nutrition; Exercise; Digital Addiction

Keywords

Adolescent; Nutrition; Physical Exercise; Digital Addiction; Health Promotion; Pender's Health Promotion Model

Outcome Measures

Primary Outcomes (2)

• Child-Adolescent Digital Addiction Scale (CADAS) Score

  Seema et al. (2022) developed the CADAS to evaluate the behaviors and emotions of adolescents aged 11-19 years toward digital devices. Factor loadings ranged from .598 to .759. Cronbach's alpha coefficient was .83. The scale consists of a total of 10 items. Example items: "If I can't use my digital device, I feel bored", "If I can't use my digital device, I get grumpy", and "As soon as I put my digital device away, I feel the urge to use it again". There are no reverse items in the scale. The scale is a seven-point Likert-type scale; 1 = never, 2 = rarely, 3 = somewhat rarely, 4 = so-so, 5 = often, 6 = somewhat often, 7 = very often. The total score obtained from the scale gives the CADAS score.

  14 weeks (6 weeks of intervention + 8 weeks of follow-up after the end of education).

• The personal information form

  The personal information form is a form that includes the socio-demographic characteristics of adolescents.

  14 weeks (6 weeks of intervention + 8 weeks of follow-up after the end of education).

Secondary Outcomes (1)

• Nutrition-Exercise Behavior Scale Score (Follow-up)

  14 weeks (6 weeks of intervention + 8 weeks of follow-up after the end of education).

Study Arms (2)

Intervention Group

EXPERIMENTAL

Adolescents in this group receive a structured education program based on the Health Promotion Model (HPM), focusing on digital addiction prevention, healthy nutrition, and physical exercise.

Behavioral: Health Promotıon Model-Based Health Education Program

Control Group

NO INTERVENTION

Adolescents in this group do not receive the HPM-based education program and continue with their routine daily activities.

Interventions

Health Promotıon Model-Based Health Education Program BEHAVIORAL

Nursing is a specialized profession dedicated to protecting individual and community health through a holistic approach. Supporting adolescents, who represent the future of society, against addiction and risky behaviors is crucial for public health. Within this framework, providing health education is a fundamental nursing responsibility. Current literature lacks integrated programs that simultaneously mitigate digital addiction and enhance healthy nutrition and exercise behaviors among adolescents. Accordingly, an educational model grounded in Pender's Health Promotion Model has been designed, targeting the appropriate utilization of digital devices alongside healthy lifestyle habits. This study aims to evaluate the efficacy of this model through empirical data. Upon establishing its effectiveness, the ultimate goal is to implement this intervention as a standard practice on both national and international scales to improve adolescent well-being.

Intervention Group

Eligibility Criteria

• Age: 10 Years - 14 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Being a student in the 5th, 6th, or 7th grade.
• Having signed the informed consent form specifically prepared for the students.
• Having the informed consent form signed by the parents/legal guardians.
• Maintaining active student status throughout the duration of the research.
• Scoring 48 or higher on the Digital Addiction Scale.
• Having no hearing or visual impairments.

You may not qualify if:

• Failure of the student to provide signed informed consent.
• Failure of the parent or legal guardian to provide signed informed consent.

Sponsors & Collaborators

• Ataturk University: lead

Study Sites (1)

Secondary Schools affiliated with Siirt Provincial Directorate of National Education

Siirt, Merkez, 56100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Student and Principal Investigator

Study Record Dates

• First Submitted: February 24, 2026
• First Posted: March 2, 2026
• Study Start: October 29, 2025
• Primary Completion: November 7, 2025
• Study Completion: March 1, 2026
• Last Updated: March 20, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)